Hulu's The Testaments pulls inspiration from Margaret Atwood's book - but what significant changes did The Handmaid's Tale spinoff make? Based on Atwood's novel of the same name, The Handmaid's Tale, which aired from 2017 to 2025, takes place in a dystopian future where low fertility rates lead women to be assigned to men for the purpose of bearing children. The Hulu show took inspiration from Atwood's source material before expanding with The Testaments.