I think that the author chose the title because the plot of the story is about saving Cascadia Island. I think the title means something bad might happen to Cascadia Island. I think the title literally means that someone has to save Cascadia Island. My prediction I that the island of Cascadia is going to have a disaster and it might kill lots of people when/if it does.
Do you mean "literally" saving the island? Or do you think they are going to save the people on the island? Just a thought...
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