Many Americans, argues Michael C. C. Adams, tend to think of the Civil War as more glorious, less awful, than the reality. In Living Hell, Adams tries a different tack, clustering the voices of myriad actual participants on the firing line or in the hospital ward to create a virtual historical reenactment. Neither film nor reenactment can fully capture the hard truth of the four-year conflict. Living Hell presents a stark portrait of the human costs of the Civil War and gives listeners a more accurate appreciation of its lasting consequences. Adams examines the sharp contrast between the expectations of recruits versus the realities of communal living, the enormous problems of dirt and exposure, poor diet, malnutrition, and disease. He describes the slaughter produced by close-order combat, the difficulties of cleaning up the battlefields, and the resulting psychological damage survivors experienced. Drawing extensively on letters and memoirs of individual soldiers, Adams assembles vivid accounts of the distress Confederate and Union soldiers faced daily: sickness, exhaustion, hunger, devastating injuries, and makeshift hospitals where saws were often the medical instrument of choice.