Desirée lies in a hospital bed thinking, dreaming. Born severely disabled, she cannot walk or talk, but she has other capabilities. Desirée is an April witch, clairvoyant and omniscient, traveling through time and space into the world denied her.

The woman who gave Desirée up at birth subsequently took in three foster daughters, who know nothing of the existence of their fourth "sister." Sensing that her own time is short, Desirée has decided that one of the others has lived the life she herself deserved. One day, each of the three women receives a mysterious letter that forces her to examine her past and her present—setting in motion a complex fugue of memory, regret, and confrontation that builds to a shattering climax.

April Witch created a furor upon its original publication in Sweden. Addressing themes of mother-daughter relationships, competition between women, and the failures of Sweden's postwar welfare state, it is foremost a thrillingly written and fascinating story.