In the aftermath of the United Authority's fall-war, pestilence, and famine continue to ravage the land. Nation-states, already reeling from societal and environmental collapse, fail to provide the basic necessities. Bloodshed brings strife to a land born after the end of electricity, as MilitiaMen coalesce around the banners of ambitious warlords. After five years of relative peace, the Medicine Woman is kidnapped, becoming enmeshed in a brutal conflict between those who love her and those who want to weaponize her. In the sequel to The Medicine Girl, the Medicine Woman struggles to maintain her humanity. Her mother's mandate to "alleviate suffering" proves almost impossible to fulfill as she makes her way through an amoral world-one hell-bent on making her an instrument of destruction.