《生死疲劳》是一部长篇小说。 小说叙述了1950年到2000年中国农村50年的历史，围绕土地这个沉重的话题，阐释农民与土地的种种关系。小说的主人公之一集中阐释着农民与土地的关系，而另一个主人公即小说的叙述者，是土地改革时被枪毙的一个地主，他认为自己虽有财富，并无罪恶，因此在阴间里他为自己喊冤。在小说中他不断地经历着六道轮回，一世为人、一世为马、一世为牛、一世为驴……每次转世为不同的动物，都未离开他的家族，离开这块土地。小说正是通过他的眼睛，准确说，是各种动物的眼睛来观察和体味农村的变革。

Teased by hallucinations, Shu, a slacker living in a rural village, struggles with an ever-loosening grip on reality. Yet when one of his visions manifests as real, his fellow villagers come to regard him as a clairvoyant. Can Shu genuinely see into the future? Is he actually just a basket case? Or is he perhaps more lucid than he seems, and pulling a fast one on everyone?