When Lady Mae turns 18, she'll inherit her mother's job as the Butcher: dismembering Settlement Five's guilty residents as payment for their petty crimes. An index finger taken for spreading salacious gossip, a foot for blasphemy, no one is exempt from punishment.

But one day Winona refuses to butcher a six-year-old boy. So their leaders, known as the Deputies, come to Lady Mae's house, and, right there in the living room, murder her mother for refusing her duties.

Within twenty-four hours, now alone in the world, Lady Mae begins her new job. But a chance meeting years later puts her face to face with the Deputy that murdered her mother. Now Lady Mae must choose: will she flee, and start another life in the desolate mountains, forever running? Or will she seek vengeance for her mother's death even if it kills her?

A devastating, alarming page-turner infused with melancholy, humanity - and society's maddening acceptance in the face of horror.