Willy Vlautin's stunning fourth novel opens with Leroy, a young, wounded, Iraq veteran, waking to a rare moment of clarity. When his attempt to end his half-life fails, he is taken to the local hospital where he is looked after by a nurse called Pauline, and visited by Freddie, the night-watchman from his group home for disabled men. As the stories of these three wounded characters circle and cross each other, we come to learn more of their lives.