The novel follows the life of Dunstan Ramsay, a man haunted by a childhood accident that he believes he caused. The book explores his guilt and its impact on his life, as well as his relationships with others, including a woman he loves but cannot have, a brilliant but troubled friend, and a saintly fool. Throughout his life, Ramsay seeks redemption and understanding in the realms of history, mythology, and religion.

The novel is a stark portrayal of small-town life in Scotland at the turn of the 20th century, focusing on the Gourlay family, who are brought to ruin by the tyrannical and arrogant John Gourlay. Despite his initial success as a merchant, Gourlay's hubris and inability to adapt to changing times lead to his downfall, exacerbated by the malicious gossip and envy of his neighbors. The story is a grim depiction of the destructive power of pride and the often cruel nature of community life, where the failings of one family become a spectacle for public scorn and schadenfreude. The green shutters of the Gourlay's house come to symbolize the envy and the facade of respectability that hide the family's internal decay and disintegration.

"Fall On Your Knees" is a multi-generational saga set in Cape Breton, Nova Scotia, that explores themes of family, love, betrayal, and secrets. The story revolves around the Piper family, specifically four sisters, their father James, and their mother Materia. The narrative weaves through time, revealing the family's complex relationships, the impact of racial and cultural tensions, and the dark secrets that have shaped their lives. This novel is a deep exploration of family dynamics, love, and the power of secrets.

The novel centers around Rachel Cameron, a 34-year-old spinster schoolteacher living in a small Canadian town, who confronts her solitary existence and the constraints of her conservative environment. Through a summer romance with a former childhood acquaintance, she experiences an awakening of her long-suppressed desires and emotions. This personal journey is marked by moments of introspection and the challenge of breaking free from the expectations imposed by her overbearing mother and the community. As Rachel grapples with the complexities of adulthood, love, and identity, she embarks on a path of self-discovery that promises to transform her life.

"Shuggie Bain" is a heart-wrenching tale set in 1980s Glasgow, Scotland, centered on a young boy, Shuggie, who is struggling with his mother's deteriorating mental health and alcoholism. As he tries to navigate his own burgeoning sexuality in a harsh, unforgiving environment, he also strives to care for his mother, who is trapped in a cycle of addiction and abusive relationships. The book gives a stark portrayal of poverty, addiction, love, and the human spirit's resilience.

All My Puny Sorrows is a poignant exploration of the complex relationship between two sisters, one a successful concert pianist battling severe depression and the other a struggling writer trying to support her. The narrative delves into themes of mental illness, suicide, love, and the power of familial bonds. It grapples with the moral and ethical questions surrounding assisted suicide, the struggle to understand a loved one's pain, and the lengths to which one might go to help them find peace.