The submerged city of sin known as New Holland continues its cruise through the international waters of the world, peddling drugs, sex, untested medical procedures, and a host of other questionable goods and services to visitors. In Book Four, New Holland's weekly death match runs into trouble as eligible contestants are increasingly reluctant to face the reigning champion. This shortage of challengers creates a perilous situation for Sam Hightower, a moral quandary for Dr. Lila Worth, and a shocking opportunity for Victor Robles to settle an old score.