Super Short Summary

The Covenant of Water by Abraham Verghese follows a multi-generational Indian family from 1900 to 1977, centering on Big Ammachi, a child bride turned family matriarch, as they grapple with a hereditary condition causing many of its members to drown. The novel intertwines the story of Scottish surgeon Digby Kilgore, whose life intersects with the family through various tragedies, impacting their fates. The book depicts child marriage, suicidality, drug use, and sexual assault.