Nothing ever seems to happen in the small town of Saltus. At the Harvest Gold Inn and Restaurant off Highway 53, two waitresses spend their evening shifts delivering Salisbury steak specials and slices of pie to the regulars. But everything changes when Nadine, a headstrong single mother, and her teenager, Aaron, arrive at the Gold, where Aaron—who has repeatedly been denied appropriate gender-affirming medical care from the mainstream system—undergoes a near-fatal procedure performed by an unqualified and eccentric recluse who lives on the outskirts of Saltus. The events that transpire that evening force each townsperson to look long and hard at themselves, at their own identities, and at the traumas and experiences that have shaped them.