In a shifting, surreal metropolis where reality and memory blur, disparate inhabitants struggle to find meaning amidst the city's encroaching shadows. The narrative follows a series of interconnected lives—from a weary private investigator to doomed lovers—as they navigate the physical and psychological hazards of a place that defies conventional geography. Thompson employs a multi-perspective framework, utilizing ten distinct chapters to map the city's sinister architecture and the fragile connections formed by those lost within its borders. The city itself acts as a primary antagonist, constantly reconfiguring its streets and history to trap or transform its residents.

Communion Town is frequently noted for its ambitious structural design and its ability to evoke a sense of uncanny urban dread. Critics often highlight the author's stylistic versatility, noting how the prose shifts to match the unique voice of each chapter's protagonist. The work is recognized for its departure from traditional linear storytelling, favoring a mosaic approach that mirrors the fragmented nature of city life. Readers often respond to the haunting, dreamlike quality of the setting, which serves as a character in its own right throughout the collection.