Pain is at the center of Nia DaCosta’s directorial debut, which showcases the tender, but not soft, relationship between two sisters, Ollie (Tessa Thompson) and Deb (Lily James). Ollie is a parolee who has managed to stay on the straight and narrow until Deb gets pregnant. Ollie knows how to make money quick—she got into trouble selling oxycontin to oil field workers after smuggling medication across the border. Deb desperately looks for options, but in desolate North Dakota, where pregnancy is expensive and abortion access is elusive, she must rely on her sister for help. Together, DaCosta, Thompson, and James form a portrait of the strength and perseverance it takes to be a woman in the United States in this gritty, of-the-moment drama.