Set in 1950s Knoxville, Tennessee, the novel follows the life of a man who has renounced his former existence of privilege to live among society's outcasts on the river. He is an educated man, who has chosen a life of fishing and surviving on the fringes of society. The narrative is filled with his encounters with various characters from the underbelly of the city, including criminals, prostitutes, and other outcasts. Despite his attempts to isolate himself, he finds himself drawn into the problems and tragedies of those around him.

The Butcher Boy is a dark and disturbing tale set in small-town Ireland, following the life of a troubled young boy who descends into madness and violence. The protagonist's life is filled with neglect, abuse and mental health issues, and his increasingly erratic behavior and gruesome fantasies lead him down a path of horrific actions. The novel provides a stark exploration of the effects of societal neglect and the failure of mental health systems.

"Bad News" is the second novel in a series that follows the life of Patrick Melrose, a man from a wealthy but deeply troubled family. In this installment, Patrick, now 22, must travel to New York to collect his father's ashes. As he navigates the city, he struggles with his addiction to drugs and alcohol, and grapples with the traumatic memories of his abusive father. The narrative provides a darkly comic and deeply poignant exploration of addiction, trauma, and the struggle for redemption.

"Some Hope" is a darkly humorous novel that delves into the life of a man who struggles to overcome his traumatic past and drug addiction. He is invited to a lavish party filled with Britain's aristocracy, where he must confront his past and deal with the pretentious and shallow society he is part of. The narrative explores themes of abuse, recovery, and the struggle to find redemption and hope amidst despair.

"Jerome" is a dark and unsettling novella that delves into the life of its eponymous protagonist, a reclusive, grotesque, and morbidly obese librarian who lives in a decrepit apartment. His existence is one of grim routine and perverse fantasies, as he harbors an unhealthy obsession with the young daughter of his landlord. The narrative explores the depths of Jerome's alienation and psychological torment, painting a bleak portrait of a man consumed by his own depravity and the suffocating confines of his solitary world. The book is a stark examination of loneliness, despair, and the human condition, rendered with a visceral intensity that leaves a lasting impression.