He's Alex, an Oregon gentleman farmer with a very bad brother! She's Annie, a Deaf woman who's treated like garbage by literally everyone! Welcome to Annie's Song by Catherine Anderson!

There are some pretty strong content warnings for this one - it won't surprise you that it's full of ableism, both Original Recipe and Extra Paternalistic, of course. There's also a pretty harrowing sexual assault that starts the book off - it's not graphic on the page but it's very traumatic for the character.