Storm Blackhorse is close to completing her final year of medical school in rural Minnesota. She's dreamt of becoming a surgeon ever since a traumatic childhood accident, leaving no distractions to break her focus until her rotation at the Kanopa Psychiatric Ward. During her rotation she takes interest in the patients she meets, becoming especially close to another Native American girl her age named Maliya, who convinces her that they are both sociopaths due to their violent upbringings. Their relationship descends into a whirlwind of murder, psychological terror, and the malevolent spirits of American Indian Chumash legend in a unique and mesmerizing, captivating tale unlike anything you've read before.