Newly-minted child psychologist Mina has little experience. In a field where the first people called are experts, she’s been unable to get her feet wet. Instead, she aimlessly spends her days stuck in the stifling heat wave sweeping across Britain, and anxiously contemplating her upcoming marriage to careful, precise researcher Oscar. The only reprieve from her small, close world is attending the local bereavement group to mourn her brother’s death from years ago. That is, until she meets journalist Sam Hunter at the grief group one day. And he has a proposition for her.

Father Silence once terrorized the rural town of Twisted Tree, disguising himself as a priest to prey on the most vulnerable members of society. When the police finally found his House of Horrors, they uncovered nineteen bodies and one survivor–a boy now locked away in a hospital for the criminally insane. Nearly two decades later, Father Silence is finally put to death, but by the next morning, the detective who made the original arrest is found dead. A new serial killer is taking credit for the murder and calling himself the Outcast.

Working at the local processing plant, Marcos is in the business of slaughtering humans - though no one calls them that anymore. His wife has left him, his father is sinking into dementia, and Marcos tries not to think too hard about how he makes a living. After all, it happened so quickly. First, it was reported that an infectious virus has made all animal meat poisonous to humans. Then governments initiated the "Transition". Now, eating human meat - "special meat" - is legal. Marcos tries to stick to numbers, consignments, processing.

Gracie Hutchinson has lived on Fall Island her whole life and knows there’s some truth to those words. Fall’s snowstorms have a spooky way of claiming people, making them disappear without a trace, or driving them mad. Now, with a hundred-year-storm approaching, most of Fall’s residents have fled to the mainland. But not Gracie. Left behind her with physician father, she braces for landfall.

They call them wayward girls. Loose girls. Girls who grew up too fast. And they’re sent to Wellwood House in St. Augustine, Florida, where unwed mothers are hidden by their families to have their babies in secret, to give them up for adoption, and most important of all, to forget any of it ever happened. Everything the girls eat, every moment of their waking day, and everything they’re allowed to talk about is strictly controlled by adults who claim they know what’s best for them.