Cole Freeman maintains an uneasy equilibrium in his Appalachian town, looking after the old and infirm in the community while selling their excess painkillers to local addicts to make ends meet. But when an old friend returns with dangerous new plans that threaten the fragile balance Cole has crafted in his declining mountain town, his world and identity are thrown into deep disarray. A moving lyrical hymn for the complex tangle of hardship and hope wrought by the opioid addiction in Appalachia.