In a straightforward, childlike voice accompanied by charmingly naïve mixed-media illustrations, a pale-skinned narrator with long red hair recounts the story of a scraped knee and its aftermath. A few days after a fall and “you-know-what” dripping down the child’s leg, a humungous scab forms. Though adults reassure the child that it will go away soon, “we kept staring at each other, the scab and me…I was afraid it would stay forever.” The “hideous” scab is a source of constant distraction, the “worst one in the whole world,” but it follows the little one everywhere, so the child decides to name it Pepper. Pepper becomes a companion through the summer, and the scab slowly changes, pulling at the surrounding skin and shrinking. “Sometimes it seemed like she was smiling at me,” the child notes, and soon the little one begins to share stories, thoughts, and dreams with Pepper. Then one morning, Pepper is gone. She is found among the bedsheets, small and sad. Alemagna deftly captures feelings of loss over something inconsequential to adults but of outsized importance to a child. Off-kilter compositions create an uneasiness that offsets the sweet childlike scenes, allowing for complicated emotional responses.