The Pisstown Chaos is a novel about disease and forced-relocation. Political power seems to be solely in the hands of one Reverend Herman Hooker, an “American Divine” who revels in the peoples' suffering as they are “shifted” (separated from — and then randomly coupled with — one another) by decree every five years. There are up-shifts, down-shifts, and side-shifts, but no attempt to make harmonious pairings. Chaos rages on as parasitic infestations spread and the Reverend rules with an iron fist from his Templex headquarters, spouting platitudes to the ever-moving masses.