Delilah Monroe is desperate for a change. She lives in a trailer with her cousin and spends her days working at the local grocery store. She's worked hard to get out of her dead-end job in a backwoods Appalachian town and make a better life for herself, away from her dysfunctional family and trappings of a desperate small town. When someone she cares about makes a terrible mistake, Del must choose between helping him or helping herself. Along the way she must negotiate a world of vice and crime inhabited by all kinds of monsters, some supernatural and some mundane. Her choices make her wonder if she's ever really known who she is or what she's capable of doing. Can she transcend her situation, or will she be permanently drawn into a life of violence and crime? Tooth and Nail is a genre-blending tale of family, crime, and desperation.