It's been too long since I last read a tale of the exploits of Jack Reacher. This book (number 15 in the series) is set soon after the events of 61 Hours which ended with a Reichenbach-Falls-level cliffhanger. Did our hero escape from a seemingly certain demise?
Spoiler: yes, he did. And he's on the way to Virginia, smitten with Susan, the voice on the phone that was of significant assistance in 61 Hours. Unfortunately, that takes him to an unnamed small town in middle-of-nowhere Nebraska, where his natural talent for blundering by chance into massive deadly conspiracies seemingly kicks in yet another time.
The town is essentially owned, operated, and terrorized by the Duncan clan, three scions and an adopted son. They are assisted by a small band of ex-Cornhusker football players, ones not quite good enough for the NFL. (I'm sure the University of Nebraska loved the implication that one likely postgraduate career path for their football jocks is being a brutal thug for small-town crime lords.)
On the evening of Reacher's arrival, the Duncan son pops his wife in the nose (a common occurrance). She calls the local watering hole, where the local doctor is getting shitfaced on scotch (also a common occurrance). The doc doesn't want to get involved in an act of defiance against the Duncans, but Reacher shames him into a house call.
Things don't go well when the Duncans find out. Pretty soon Reacher is battling the Cornhusker thugs, trying to discover what's going on. Also solving a decades-old mystery. Also dealing with incoming professional enforcers worried about the disruption in supply of whatever it is the Duncans are providing.
At points, the choreography of the various characters make Worth Dying For resemble a French bedroom farce, except with armed criminals, no sex, and a high body count. But things sober up, as the Duncans' crimes are slowly revealed, and rough justice is delivered.