In the small town of North River, every day that goes by bleeds into the next. Poverty begets hopelessness, hopelessness breeds violence, violence causes despair. The only way to change fate, a minister tells his son, is to leave.

The minister's son, Jake MacNeil, chooses to ignore his father's advice. Only when he realizes what has become of his life — working a grueling dead-end job, living with a drunk, friends with a murderer — does he decide to make something of himself. But nothing comes without a cost: in choosing freedom, Jake abandons his own son, Nathan, to the care of the boy's abusive mother.

Years later, a reformed Jake comes back for Nathan, to finally set things right. But in North River, everything comes around again; and when a dangerous figure from the past becomes hell-bent on dragging the new Jake "back down where he belongs", three generations of MacNeil men must come together to pay the full price of hope.

Gritty, unrelenting, yet peppered with Darren Greer's trademark poignance, Just Beneath My Skin is the work of an author at the height of his game.