This book does contain a lot of heavy content and I didn't see many trigger warnings going in. So, I will list the majority of them below.

TW: Shooting, gun violence, violence, blood, death of loved ones and grieving, Heroin addiction, overdose, graphic depiction of dying, shooting + graphic depiction of being shot car accident death due to drunk driving, car crash with a minor injury, stalking and domestic abuse, rape, abortion, closed adoption, alcoholism, graphic depictions of physical abuse, racism, a character with fetal alcohol syndrome, talk of suicide & suicide death, fat-shaming and talk about weight specifically being overweight, toxic masculinity (Bill's character), PSTD, stabbing, bipolar disorder (medicated and non-medicated), being held at gunpoint

I loved this book. It's tough to write a book with multiple POV's and in this case, 12+. Each character had their own personalities, hardships, and familial issues and didn't feel rushed. I loved how each character viewed their Native culture differently and they weren't all the same. I also liked how we were given context in each chapter especially toward the middle and the end of the book because I often would need a reminder of which character was which and the character list at the front of the book helped, too. I really enjoy books with multiple POV and when all of the characters connect, it makes the story stand out and gives the characters a purpose. So, I really enjoyed the way Orange incorporated this into the novel.

This was a really great and impactful read and I highly recommend it. But, I cannot comment on the representation especially with alcoholism, bipolar disorder, addiction, and more.