Life in the ravaged wilds of Appalachia is dangerous, and most folks don't live past fifty. Even if sickness or starvation doesn't get you, the rival clans, or shifty nomads, or the unbred monsters that roam the hills will. Strangers are not to be trusted. But when a wandering drifter turns up with an army of ravenous pigmen at his heels, Ella Holland and the rest of her clan will have to confront the harsh realities they've kept sealed outside their walls, the lies they've told themselves, and even the specter of their own extinction.