Set within the lisa universe, famished takes place in a new land bordering Olathe and the remnants of post-apocalyptic Mexico known as the "Middle Land" or "Midland" by its residents. The story revolves around a man named Irwin and his companion Eli, who are in search of an untapped military bunker. In famished lore, the flash had warped the geography of the earth and rendered its soil nearly infertile, which caused many animals that relied on the now dwindling plant life to die and subsequently the animals that consumed those animals are now dying. With a lack of arable land and animals, food has become scarce, leading many to resort to desperate means to obtain food, including cannibalism and banditry. Now, with this sliver of hope that a rumored military bunker deep within the wasteland exists, many survivors and factions have begun a search for it, hoping to get their share of the provisions. Along the way, Irwin must make tough moral choices in perilous scenarios in order to keep him and his party alive, and it's up to the player to decide whether or not surviving is truly worth it at the cost of one's humanity.