Red has tried to keep his nose clean but the sins of his past still haunt him. They’ve forced him back into the darkness—toward a life he’d hoped to leave behind. Now he has just four days to make things right.

Billy Silver, a low-life, self-downtrodden junkie, needs some cash to get his next fix.

After the loss of a child along with a slew of agonizing misfortunes, Nick and Jess decide to end their lives. Unable to cope with the misery that fills their days, they commit one last act together and die in loving relief. But when Nick wakes up, he soon realizes that death isn't the gentle darkness he expected. Panicked and horrified, he struggles to understand the twisted abominations and hellish world he's now trapped in.

Deep in the heart of Appalachia stands a crooked farmhouse miles from any road. The Morrows keep to themselves, and it's served them well so far. When girls go missing off the side of the highway, the cops don't knock on their door. Which is a good thing, seeing what's buried in the Morrows' backyard. But 19-year-old Michael Morrow isn't like the rest of his family. He doesn't take pleasure in the screams that echo through the trees.

A young hospital security guard with a disturbingly unique taste in women. A maternity doctor with a horrifically unusual appetite. When the two of them meet, they embark on a journey of self-discovery while shattering societal norms and engaging in destructively aberrant behavior. As they unwittingly help each other understand a world in which neither seems to belong, they begin to realize what it truly means to be alive...and that it might not always a good thing.