Tom Lowe’s identity and his pride are invested in the work he does with his back and his hands. He designed and built his family’s dream home, working extra hours to pay off the adjustable rate mortgage he took on the property, convinced he is making every sacrifice for the happiness of his wife and son. Until, in a moment of fatigued inattention, shingling a roof in too-bright sunlight, he falls. In constant pain, addicted to painkillers at the cost of his relationships with his wife and son, Tom slowly comes to realize that he can never work again.

After their parents divorced in the 1970s, Andre Dubus III and his three siblings grew up with their exhausted working mother in a depressed Massachusetts mill town saturated with drugs and crime. To protect himself and those he loved from street violence, Andre learned to use his fists so well that he was even scared of himself. He was on a fast track to getting killed—or killing someone else—or to beatings-for-pay as a boxer.

In this riveting novel of almost unbearable suspense, three fragile yet determined people become dangerously entangled in a relentlessly escalating crisis. Colonel Behrani, once a wealthy man in Iran, is now a struggling immigrant willing to bet everything he has to restore his family's dignity. Kathy Nicolo is a troubled young woman whose house is all she has left, and who refuses to let her hard-won stability slip away from her. Sheriff Lester Burdon becomes obsessed with helping her fight for justice.

Dana Trent is only a preschooler the first time she uses a razor blade to cut up weed and fill dime bags for her schizophrenic father, King. While King struggles with his unmedicated psychosis, Dana’s mother, the Lady, a cold and self-absorbed woman whose personality disorders rule the home, guards large bricks of drugs from the safety of their squalid trailer. But when the Lady impulsively plucks Dana from the Midwest and moves the two of them south, their fresh start results in homelessness and bankruptcy.

This audiobook narrated by acclaimed archaeologist and best-selling author Eric Cline offers a breathtaking account of how the collapse of an ancient civilized world ushered in the first Dark Ages.