Spoiler warning.
With the defeat of all the major heroes, Avengers and FF included, the US military moves in, under the command of Hulk's most classic mundane foe, General Ross. This time though they're armed with ADAMANTIUM bullets and tank shells. How they obtained that much adamantium, or why they stockpiled so much of it in the shape of ammunition, I'm not certain.
While the Hulk's under the adamantium barrage, Dr. Strange uses the distraction to force the Hulk into the astral plane, where he manages to convince Banner to speak with him. He discovers though that Bruce is just as angry as the Hulk, with painful consequences. The Hulk then goes on to destroy the entire military force sent against him, adamantium ammo notwithstanding.
When Hulk's warbound go to fetch Dr. Strange, capturing Iron Fist, Echo and Ronin in the process, the desperate magician is forced to unite with the essence of the demon Zom in order to fight back on the Hulk's own terms
An important element here is that this is the first time an member of the Illuminati denied planning the explosion that destroyed Hulk's new home and killed his queen.
Also presented here are the opposing points-of-view of the Hulk's two closest "friends," Rick Jones and Miek (carried over from the latest Incredible Hulk issue).
Overall, the book does a great job of maintaining the violent elements of the previous two installments while promoting the underlying plot elements which motivate the green goliath. All this while promising a greater smashfest to come.