As Father Damien Modeste nears the end of his life on the Little No Horse reservation, he faces the imminent exposure of his secret identity as a woman living as a man. Father Damien has served the Ojibwe people for over half a century, navigating the complexities of faith and survival within a remote community. His quiet existence is threatened by the arrival of a colleague tasked with investigating the sainthood of Sister Leopolda, a figure whose history is inextricably linked to his own. The narrative framework utilizes a non-linear approach, weaving together the priest's internal reflections, historical accounts of the reservation, and the immediate pressure of the impending investigation. He must decide whether to reveal his true self or construct a narrative that protects the reputation of a woman he considers dangerous.

Readers and critics frequently highlight the lyrical quality of the prose and the depth of the characterization within this work. Discussion often centers on the moral ambiguity of the protagonist and the complex portrayal of faith in a colonial setting. Many readers appreciate how the novel expands the interconnected world of the author's previous books while maintaining a distinct focus on the internal conflict of Father Damien. The pacing is noted for its deliberate, reflective nature, which allows for a thorough examination of the themes of identity and historical truth. Critics often point to the balance between the harsh realities of reservation life and the spiritual questions that drive the narrative forward.