The author expresses feeling ugly inside and out, and coping with an unknown mental illness. They find brief happiness in small treasures, but feel they are undeserving and like trash. A dear friend recently committed suicide, which has left the author also considering suicide as an option. They describe their life as bittersweet ugliness and denial, and creating dark drawings helps alleviate their emptiness. The book contains triggering content and is a collection of their worst thoughts and desires.