Murder and madness infect a small town For sixteen-year-old Ruthie Stroud, life on tiny Hemlock Island in the Pacific Northwest is an endless sea of boring green, in a place where everybody knows everybody's business and nothing ever happens. Then her world is ripped apart when her parents divorce and a new man enters her mother's life. But worse is yet to come. When she drifts ashore on the mainland, hideously burned, Ruthie has a harrowing tale to tell. It begins with the murder of a family. It ends with her being the sole survivor of a cataclysm that sweeps her little island. As a detective attempts to unravel Ruthie's story of murder and madness, only one horrifying conclusion can be drawn: whatever was isolated on remote Hemlock Island may now have come to the mainland. Is Ruthie safe? Is anyone?