The Young Elites sis set in a time and place similar of 14th century medieval Europe. The Blood Fever seems to be modeled after the Black Death which devastated the worldwide population and resulted in much social upheaval. There are various historical allusions which add richness to the story. The central characters are introduced in the first few chapters. The Blood Fever is a disease in which its victims either die or are left with marks that will change their life, the ones who survive and are affected are often called malfettos. In the beginning of the book several characters are introduced. There are a re a series of flashbacks in which a time was when Adelina and her sister were innocent. Then the end of the innocence period is introduced
