Misty Wilmot has had it. Once a promising young artist, she's now stuck on an island ruined by tourism, drinking too much and working as a waitress in a hotel. Her husband, a contractor, is in a coma after a suicide attempt, but that doesn't stop his clients from threatening Misty with lawsuits over a series of vile messages they've found on the walls of houses he remodeled.

Suddenly, though, Misty finds her artistic talent returning as she begins a period of compulsive painting. Inspired but confused by this burst of creativity, she soon finds herself a pawn in a larger conspiracy that threatens to cost hundreds of lives. What unfolds is a dark, hilarious story from America's most inventive nihilist, and Palahniuk's most impressive work to date.