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Kathy, Tommy, and Ruth grow up at Hailsham, a boarding school where they gradually learn the unsettling truth: they are clones, created specifically to donate their organs until they die. As they grow older, they realise that their futures are predetermined—they will eventually become "donors," undergoing multiple operations until their bodies give out. Despite their deep feelings for each other, especially in the love triangle between Kathy, Tommy, and Ruth, they find that love and friendship cannot save them from their fate. They even hope that their love might delay the donations, but they ultimately discover that nothing can change their destiny.
The story explores themes of what it means to be human, the value of life, and how the characters come to accept the purpose for which they were created.
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