God’s Adamantine Fate has at its core a medical mystery. Set in the early 1990’s, three young boys from a small area have been diagnosed with a rare cancer. Two have already died. Could this be coincidence, or is there a more sinister explanation? A local pharmaceutical company has had a chemical spill in a nearby creek. What spilled, though, is an approved drug, a wonder drug. Or, is it? The search for the truth brings together a small-town talk show host, searching for a story to establish her on a broader stage, with the physician treating the last surviving boy, a man who will stop at nothing to do what is right for his patients even though he will not fight for his own interests. To solve the case they must deal with not only the byzantine health care and pharmaceutical industry, but also with a love affair neither believed possible. As this unlikely duo seeks answers, the ripples from their effort spread wider and wider drawing more people into the case. Other individuals and corporations, whether from fear or greed, see in the tragedy an opportunity to exploit for their own ends. Ultimately, this tightly woven and detailed thriller about the intersection of medicine and the real world concludes in a way that none of the characters expect.