The year is 1935. For years, Attius has lived behind the imposing walls of Central State Hospital – one of only seven US psychiatric institutions built to house "insane and idiotic negroes" – where the homeless and destitute are confined alongside the diseased and the criminally insane. Attius has carved out a meager existence within the hospital building coffins, quietly crafting the final boxes for those who will never see freedom again. But everything changes when two new patients arrive, and Attius is forced to confront a possibility he buried long ago – a chance at life beyond the walls.