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More than 15 years after the events of The Handmaid's Tale, the theocratic regime of the Republic of Gilead maintains its grip on power, but there are signs it is beginning to rot from within. At this crucial moment, the lives of three radically different women converge, with potentially explosive results. Two have grown up as part of the first generation to come of age in the new order. The testimonies of these two young women are joined by a third: Aunt Lydia. Her complex past and uncertain future unfold in surprising and pivotal ways.

Set against the backdrop of a changing America, from the aftermath of the Civil War to the dawn of new technologies like the telephone, Sin Eater paints a vivid picture of a society in transition. It delves into the customs and superstitions of the era, particularly the practices of sin eating and professional mourning, using these as lenses through which to explore deeper human experiences of grief, guilt, and redemption.