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When Harland Cain holds a .45 automatic to his head and bears down slowly upon the trigger, he experiences a profound sense of control over his destiny for the first time in his life. He savors the moment and imagines the click of the hammer, the explosion, and the bullet spiraling through the barrel before everything turns black. It's then he hears the out-of-control screaming of tires on the pavement, followed by the sickening sound of metal crashing against concrete. He lays down the pistol and crosses his yard in that predawn darkness to find a young boy, bloody and dazed.

The war is over, yet Dr. Doll, a loner and "moderate pessimist", lives in constant fear. By night, he is still haunted by nightmarish images of the bombsite in which he is trapped - he, and the rest of Germany. More than anything, he wishes to vanquish the demon of collective guilt, but he is unable to right any wrongs, especially in his position as mayor of a small town in northeast Germany that has been occupied by the Red Army. Dr. Doll flees this place for Berlin, where he finds escape in a morphine addiction: each dose is a "small death."

Ignorant of civilization and cautioned against its evils, nineteen-year-old Wren and her two sisters, Sage and Evie, were raised in off-the-grid isolation in a primitive cabin in upstate New York. When the youngest grows gravely ill, their mother leaves with the child to get help from a nearby town. And they never return. As months pass, hope vanishes. Supplies are low. Livestock are dying.