In this novel, the protagonist, a young, ordinary man, visits his cousin at a tuberculosis sanatorium in the Swiss Alps. Intending to stay for only a few weeks, he ends up remaining there for seven years, becoming a patient himself. The book explores his experiences and relationships with other patients and staff, delving into philosophical discussions on life, time, and the nature of disease. It also provides a vivid portrayal of the European society and intellectual life on the eve of World War I.

The novel is set in a small frontier town of an unnamed empire, where the magistrate lives a life of civil service and relative peace. His world is disrupted when the Empire declares a state of emergency due to rumors of barbarian uprising. The magistrate becomes a critic of the Empire's brutal and inhumane methods of dealing with the perceived threat, which leads to his arrest and torture. As he tries to understand his role in the vast political machinery, he also grapples with questions of power, justice, and humanity.

This book is a seminal work in the field of psychology, exploring the inherent tension between civilization and the individual. The author, a famed psychologist, argues that civilization's imposition of societal norms and restrictions leads to individual unhappiness and discontent. He delves into the conflict between the human desire for freedom and society's need for order, suggesting that this tension is at the root of much human suffering. The book further explores concepts such as the super-ego, guilt, and the death drive, offering profound insights into the human psyche.