The book starts off from the events at the end of The Clan of the Cave Bear detailing the life of a young Cro-Magnon woman named Ayla who has just been exiled from the Clan, the band of Neanderthals who had raised her from early childhood. Ayla now searches for her own people, whom the Clan refer to as "the Others". In a parallel narrative, Jondalar, a young Cro-Magnon man of the Ninth Cave of the Zelandonii, accompanies his impetuous younger half-brother Thonolan on a traditional rite of passage called the Great Journey. In these episodes, we learn of the Cro-Magnon's paleolithic nature religion, centered on the worship of the Great Mother of All, and follow their adventures and sexual exploits. It is also through these episodes that the animosity, verging on hatred, between the Others and the Clan is introduced. The Others have repeatedly persecuted the Clan, taking land and resources, but justify it by classing them as animals. However, over the course of his adventures, Jondalar starts to question this prejudice, noting that no other animals have fire, tools or communicate intelligently, nor are they actively hated or attacked-as-sport by his people. Ayla, alone and ritually ostracized from the only people she has ever known, travels steadily from the Beran Sea peninsular home of her former tribe north for around half a year until finding the book's titular valley sunk deep into the windy landscape of the periglacial loess steppes in Ukraine. Worried that she might never find the Others, she begins to prepare for winter. Finding a suitable cave and many conveniences in the valley, she establishes a comfortable but lonely life there. Her desire for companionship leads her to tame a filly whose mother she had killed, naming her Whinney. She also takes in and treats an injured cave lion cub, which she names Baby. In the course of their journey, Jondalar and Thonolan have met women and hope to settle with them, but Thonolan's mate dies in childbirth and Jondalar feels he is not really in love with his woman friend. They continue on their journey and meet up with the Mamutoi people, planning to join them later in the year. Jondalar and Ayla meet when Thonolan is killed by a cave lion—Baby, now fully grown and with a mate of his own. Ayla heals Jondalar's injuries and they begin to learn to communicate and get to know each other. Jondalar overcomes his inbred prejudice against the Clan and Ayla learns that all her peculiarities which confused and angered the Clan are actually fully accepted and encouraged by the Others. The two fall in love as the book nears its end, and decide to leave the Valley of Horses and explore regions around the valley Ayla has not yet investigated.