Super Short Summary

Fall on Your Knees by Ann-Marie MacDonald follows the Piper family in early 20th-century Cape Breton and New York, focusing on three sisters, Kathleen, Mercedes, and Frances, as they navigate a convoluted world of family secrets, religious conflict, and dark passions. The novel explores themes of sexuality, death, and the clash between flesh and spirit in a Catholic context. The book contains graphic depictions of violence, including combat, death by suicide, and medical trauma. It also details pedophilia, sexual assault, incest, and rape, alongside depictions of racial intolerance, bigotry, anti-gay bias, and substance addiction.