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Summary
So the game has ended and everything reset back to what it should have been (for example the humans are all back on Earth in their appropriate timelines) except Alternia is a bit different. This isn't a relevant plot line, it's just my knowledge of Alternia pre-game is little.
ANYWAY, there is sorta a gang called the Highbloods who are basically blue-blood and up who act as the authority figures of Alternia.
Having mutant blood is now illegal, punishable by death/torture, Karkat gets captured, eventually escapes, and is close to death. The only person who can take him in is Gamzee, who's sane again, and he nurses kk back to health, while karkles, in turn, nurses Gamzee's guilt and stuff.