A poet's life is turned inside out by a sudden, wrenching pain. The pain brings him to his knees, and eventually to the ICU. Confined to bed, plunged into the dysfunctional American healthcare system, he struggles to understand what is happening to his body, as someone who has lived for many years in his mind. This is a searching, sweeping novel set at the furthest edges of human experience, where the forces that give life value—art, memory, poetry, music, care—are thrown into sharp relief.

Twenty-year-old Jummai is a beautiful and unassuming house girl whose dreams of escaping her home life are disrupted when an unexpected pregnancy forces her to hide her lover's identity. Tebeya, an ambitious Dublin-educated doctor, has left prestigious opportunities abroad to return to the small town of her birth, and discovers a painful betrayal when she strives to take control of the mission clinic.

In 1951, a mysterious old woman confronts Pilar Aguirre in the small border town of La Cienega, Texas. The old woman is sure Pilar stole her husband and, in a heated outburst, lays a curse on Pilar and her family. More than forty years later, Lulu Muñoz is dodging chaos at every turn: her troubled father’s moods, his rules, her secret life as singer in a punk band, but most of all her upcoming quinceañera. When her beloved grandmother passes away, Lulu finds herself drawn to the glamorous stranger who crashed the funeral and who lives alone and shunned on the edge of town.

In 1964, Stanislavo, a zealous young man devoted to his ideals, turns his back on his privilege to join the leftist movement in the jungles of Venezuela. There, as he trains, he meets Emiliana, a nurse and fellow revolutionary. Though their intense connection seems to be love at first sight, their romance is upended by a decision with consequences that will echo down through the generations.

Alma Cruz, the celebrated writer at the heart of The Cemetery of Untold Stories, doesn’t want to end up like her friend, a novelist who fought so long and hard to finish a book that it threatened her sanity. So when Alma inherits a small plot of land in the Dominican Republic, her homeland, she has the beautiful idea of turning it into a place to bury her untold stories—literally. She creates a graveyard for the manuscript drafts and revisions, and the characters whose lives she tried and failed to bring to life and who still haunt her.