Alternating between a woman's childhood in a small town and as an adult in the city, this novel traces a Jehovah Witness family's splintering belief system, their isolation, and the erosion of their relationships.

As Emily becomes closer to her closeted Uncle Tyler, she begins to challenge her upbringing. Her questions about the Jehovah's Witnesses' insular lifestyle, rigid codes of conduct, and tenets of their faith haunt her older sister Lenora too. When Lenora disappears, everything changes and Emily becomes obsessed with taking on her sister's identity, believing that Lenora is controlling her actions. Ultimately, Emily finds release through self-mutilation.

The narrative offers a haunting, cutting exploration of the Jehovah's Witness practice and practical impact of "disfellowshipping," proselytization, and cultural abstinence, as well as their attitude toward the "worldlings" outside of their faith. Sparse, vivid, menacingly suspenseful, and darkly humorous, Watch How We Walk simultaneously engages on emotional, visceral, and intellectual levels.