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The book follows 20th-century doctor Claire Fraser and her 18th-century husband, Jamie Fraser, as they face the politics and turmoil of the forthcoming American Revolution. The preceding novel, The Fiery Cross, concluded with political unrest in the colonies beginning to boil over while the Frasers try to live peacefully on their isolated homestead. Claire's skill as a healer on Fraser's Ridge brings suspicions of witchcraft and murder upon her, while Jamie faces conflicting loyalties – one to the oath he swore to the British crown after the Jacobite Rising, and one to his hope for the American independence his daughter Brianna and son-in-law Roger have assured him of.