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In 'Fome', Roxane Gay intimately explores her struggles with weight, body image, and the societal pressures placed on bodies. The book is a raw and honest memoir detailing Gay's personal journey and her attempts to reclaim her body. Gay delves into how trauma and vulnerability have shaped her relationship with food and self-perception. The memoir challenges societal norms and offers a deeply personal perspective on the complexities of living in a body that deviates from conventional standards. Through her unflinching prose, Gay invites readers to confront their own biases and assumptions about body size and worth.

The novel is set in a near-future New England in the Republic of Gilead, a patriarchal, totalitarian state that has overthrown the United States government. Offred, the narrator, is one of the 'Handmaids', women who are forcibly assigned to produce children for the ruling class, known as 'Commanders'. The story explores themes of powerless women, loss of female agency and individuality, and the suppression of women's reproductive rights. Offred's life is marked by her restrictive routine, her memories of her past life, and her interactions with the Commander, his wife Serena Joy, and other Handmaids, including her friend Ofglen who is part of an underground resistance movement. The novel is a scathing satire, an ominous warning, and a tour de force of narrative suspense.