So Razor House happens, where they get into the communal hippie circle to communicate with the alien mind from the alternate reality imprisoned on the shard of the planet Marduk but the alien is actually God who possess Nameless and makes him kill everyone with a hammer before trying to claw out his own eyeballs. And then the doctor gives him magical super drug thing that makes him forget everything including his name and then he apparently kills the doctor and goes on some kind of psychopathic walkabout for 10 years before getting hired by the people he murdered to steal shit from people's dreams and eventually gets hired to go on some space mission to save the Earth from aforementioned evil Marduk shard that's on a collision course with the big blue bitch. Yada Yada demonic possession shit, some stabby bullshit, but apparently everything after Razor House is actually just him hallucinating since God made him go crazy and is slowly taking him over, so none of it is real except apparently the shard and the entire mission that is only occurring in his head actually manages to crash into the moon thus saving the Earth that has gone full purge mode with the impending Apocalypse. And then the book ends.