Festering masses of worms and flies have taken root in dark corners across Appalachia. In exchange for unwavering loyalty and fresh corpses, these hives offer a few struggling humans salvation. A fresh start. It's an offer that none refuse.

Crane is grateful. Among his hive's followers, Crane has found a chance to transition, to never speak again, to live a life that won't destroy him. He even met Levi: a handsome ex-Marine and brutal killer who treats him like a real man, mostly. But when Levi gets Crane pregnant-and the hive demands the child's birth, no matter the cost-Crane's desperation to make it stop will drive the community that saved him into a devastating spiral that can only end in blood.