[3] The novel features an American adoptee from Guatemala named Chrysalis Moffat and focuses on events in her and her family's lives using an unusual style reminiscent of notes taken while composing the novel.

[5] The novel follows the protagonist, Ice Cream Fifteen Star, through a dystopian future United States while she searches for a cure for her brother's inherited disease.

[5] Her fourth novel, The Heavens (2019), published by Grove Atlantic, tells the story of a woman who lives in the early twenty-first century, but who returns every night in dreams to Elizabethan era England, where she lives as Emilia Lanier, a Jewish poet whose circle of acquaintances includes an obscure poet named William Shakespeare.

The LA Times called the book "a stunning look into what happens when a person of strength faces the worst in humanity, as well as a perfect specimen of derivative art".

[17] The Financial Times called it "a richly envisaged, frightening dystopia, wholly alive to Orwell's text",[18] while Erica Wagner dubbed it a "masterpiece" in The Telegraph.