Irish immigrant Siobhan Kildea's impetuous flight from a Boston lover in 1919 leads her to a new family in an unfamiliar Montana prison town. After a horrific tragedy impacts her children, her land, and her livelihood, Siobhan makes a heart wrenching decision – with consequences that ripple for decades to come.

Mysteriously linked to Siobhan is Genevieve Marchard, a battlefront nurse in France who returns stateside to find the absence of a certain soldier is her greatest loss; Anna Hanson, a music teacher who tucks herself away in a small Washington town, assuming her secrets are safe; and Erin Ellis, who thinks she and her husband won the lottery when they adopted their daughter, Claire. 

These interconnected stories, spanning three continents and five generations, begin to unravel in 1981 when Claire Ellis sets out to find her biological mother.

With puzzling suspense, unforgettable characters and uncanny insight, Out of the Water is an intoxicating novel of motherhood, secrets, and the profound ramifications our decisions have. Readers will be left wondering: ultimately, is it always better to know the truth?