Oktober is a labyrinthine, psychological road novel that blurs the line betweens reality and fantasy. Each chapter is divided into four sections, each of the sections is a journal entry written by one of the main characters. Thus, each chapter is told four times over, from each character’s point of view. The characters openly invite the readers into their minds, only to then threaten and berate them. As the foursome flees a powerful organization known as "Rousseau International" across America, they encounter a variety of bizarre and grotesque creatures and people. Such as a cannibalistic shape-shifter named Echo, and the mythic Thunderbird.