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In an alternate version of New York in 1893, the Free States permit same-sex marriage, and young David Bingham is courted by a suitor. A century later in 1993, a young Hawaiian man lives with his much older partner while hiding a secret about his father. In 2093, a world is ravaged by plagues and surveillance. Hanya Yanagihara's novel spans three centuries and explores love, loss, power, and the bonds of family.