The narrator of the story, Shannon McFarland, is a disfigured former model who goes by multiple pseudonyms, notably Daisy St. Patience and Bubba Joan—identities given to her by Brandy Alexander.

She immediately drives to the hospital and recovers, but her lower jaw is lost; she keeps her disfigured face veiled and her modeling career has been destroyed.

The narrator sets fire to Evie's house and overpowers and then forces Manus to ingest pills before locking him in the trunk of his own car.

They frequently pretend to be wealthy clients to view expensive homes that are for sale and steal whatever drugs they can find, alternately ingesting or selling them.

Later, the narrator learns of Brandy's stories of sexual abuse by police officer Manus as a teenager, leading to Shane's contracting gonorrhea, being assumed to be gay, and being kicked out.

In turn, Shannon reveals that she shot herself in the face to escape from being beautiful and beholden to her career and relationships, mirroring Shane's decision to transition.

Leaving her pocket book with all of her identification, she tells a sleeping Brandy that since Shane is still confused about what he wants out of life, he can have the only thing she has left, her identity as Shannon McFarland.

In the Remix version, it is revealed that Shannon, now going by Daisy St. Patience full-time, has established a cemetery after her parents have died, in which people can buy plots for relatives they disliked with spiteful sayings carved into the tombstones.

The company established a website to help raise support where people can demand the book be made into a movie by submitting their email, name and location online.

Motion City Soundtrack has a bonus track on their album Commit This to Memory titled "Invisible Monsters", in direct reference to the novel.