It is nine years since the Detonations. The survivors are horribly damaged. Everyone has burns and embedded glass and metal. The bombs had the ability to merge living flesh and inanimate objects. The main character, Pressia, who is sixteen, was holding a doll when the bombs hit. The doll's head has taken the place of her left hand. It has become a part of her; when she tries to cut it off, it bleeds. A young man named Bradwell has a living flock of birds in his back; they rustle their wings underneath the shirt he wears over them. A soldier was riding on a motorcycle with his brother behind him when the bombs went off; his brother is now merged into his back, the brother's arms hanging around his neck. 
 Those who live outside the Dome eke out a meager living while trying to avoid being killed by Dusts - those who fused with the earth, now more rock than human. At the age of sixteen, the OSR - originally Operation Search and Rescue, now Operation Sacred Revolution - takes you away. No one knows what happens once you are taken, but Pressia is determined to escape the OSR. 
 Those who live inside the Dome and escaped damage from the blasts are called Pures by the survivors outside. They attend class, eat only pills formulated for optimal health, and undergo "coding." Not surprisingly, those outside the Dome hate the Pures. When Partridge, one of the Pures, escapes to see if he can find his mother outside the Dome, he meets up with Pressia and Bradwell, and the three begin to question everything they've been told about the Detonations and life on the other side.