In the dense, unnerving Black Hole, Charles Burns combines realism and surrealism all in one style of narrative and artwok. The setting is Seattle during the early ´70s. A sexually transmitted disease, the "bug," is spreading among teenagers. Those who get it develop bizarre mutations of various and sundry sorts. The most visibly deformed victims end up living as homeless campers in the woods, venturing into the streets only when they have to, shunned by normal society. The story follows two teens, Keith and Chris, as they get the bug. Their dreams and hallucinations are a key part of the tale. Not for the faint of heart.