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The Graceview Patient by Caitlin Starling

Margaret lives with a rare autoimmune condition that has destroyed her life, leaving her isolated. It has no cure, but she’s making do as best she can—until she’s offered a fully paid-for spot in an experimental medical trial at Graceview Memorial. The conditions are simple, if grueling: she will live at the hospital as a full-time patient, subjecting herself to the near-total destruction of her immune system and its subsequent regeneration. The trial will essentially kill most of, but not all of her. But as the treatment progresses and her body begins to fail, she stumbles upon something sinister living and spreading within the hospital. Unsure of what's real and what is just medication-induced delusion, Margaret struggles to find a way out as her body and mind succumb further to the darkness lurking throughout Graceview's halls. PUBLISHER: St. Martin's Press YEAR: 2025 LENGTH: 320 pages AGE: Adult GENRE: Horror RECOMMENDED: Highly Queer Rep Summary: No canon queer rep. *I...
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Pretties by Scott Westerfeld (Uglies, #2)

Pretties presents a Tally who is different the one we met in Uglies, her vocabulary transformed to make her feel like a new narrator while keeping her underlying personality. It’s a really good portrayal of memory loss and identity.‬

Her relationship with Shay is complex and dynamic, and I like the Crims as a group. This book explores more the world established in Uglies, especially in ways that show the underlying systems of control which are in place.

I appreciate the handling of the dynamics with Zane and David, especially the message that you can have had a good relationship with someone but not want to return to it later on because you’re different people. It’s dystopian, so the time horizon for this change is pretty extreme, but it’s still a good message. As a book for teens, taking the time to say this is really important, given that the series establishes multiple romantic interests in the first place.

Book CWs for discussion of eating disorders, self-harm.


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