Macedonia opens with Heather Roberson, a student of Peace and Conflict Studies at the University of California at Berkeley, arguing with a professor about the inevitability of war.

Once inside the country, Roberson sees the tense relationship between the majority Macedonians and the Albanians, the largest minority.

She travels to the cities of Belgrade (in Serbia), Skopje, and Tetovo, conducting interviews with an ombudsman, professors, and a police trainer.

Pekar was there on the invitation of Roberson's sister, speaking at a showing of American Splendor, a film based on his comics.

A reviewer in Booklist stated the Pekar "skillfully prepared the book’s text and basic layout", but complained that Piskor's illustration was "stiff".