The night after fleeing her mother's funeral, cellist Louise Rakoff meets aspiring therapist Leon Rosenberg at a Rosh Hashanah dinner in 1974. Over the next two decades, they build a marriage and a family based on honesty, argument, and a shared appreciation of the absurd. But that rock-solid foundation crumbles when Louise is diagnosed with a rare degenerative disease—the same one responsible for her mother's slow, agonizing passing.

Determined to spare Leon and their daughter Lydia from her messy decline, Louise makes the simultaneously selfish and altruistic decision to leave her family and die on her own terms. Her disappearance forces the Rosenbergs to grapple with how to find meaning in the face of mortality—a manic and mystical quest that sends them careening across the globe, colliding into tattoo artists, Chasidic Jews, playworkers, and witches. And finally, back into each other.

Bursting with humor and heartbreak, and inspired by Yahm's own experience as a disabled author facing the existential terror of parenting while ill, Unfinished Acts of Wild Creation leaps into the trials of motherhood, the impossibility of adolescence, the hopelessness of grief, and all the wild beauty and hilarity that makes life worth living anyway.