It's 2003, and as a college freshman in Cleveland, our narrator is adrift until he meets Emily. The two of them experience an instant, life-changing connection. But when he almost loses her, he chooses to make an indelible statement: he joins the Army. The outcome will not be good for either of them. As a medic in Iraq, he is unprepared for the realties that await him. He and his fellow soldiers huff computer duster, abuse painkillers, and watch porn. Many of them die. When he comes home, his PTSD is profound. As the opioid crisis sweeps through the Midwest, it drags both him and Emily along with it. As their addictions worsen, and with their money drying up, he stumbles onto what seems like the only possible solution—robbing banks.