'All My Puny Sorrows' dives deep into the complex relationship between two sisters, Elfrieda and Yolandi, who face life's stark realities and the harsh challenges of love and loss. Elfrieda, a world-renowned pianist, appears to have an enviable life filled with glamour and success yet harbors a relentless desire to die. Yolandi, on the other hand, grapples with her own chaotic life, dealing with divorce and the struggles of single parenthood. As Yolandi endeavors to keep her sister alive, Elfrieda's latest suicide attempt leads to a crucial crossroads, prompting Yolandi to confront the harrowing question: Should she respect her sister's wish to end her suffering? Miriam Toews crafts a narrative that is equally humorous and heart-wrenching, exploring the strength of familial bonds, the weight of mental illness, and the profound acts of love that test our moral thresholds.