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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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Down Among the Sticks and Bones by Seanan McGuire (Wayward Children #2)

Down Among the Sticks and Bones is calm and dark, unafraid of gore; more interested in the slow transformation of two people distorted by ill-fitting molds, suddenly released to find very different paths with new kinds of darkness, surety settling in their bones.

This was a (relatively) calm way to learn more of a very strange and haunting story that was briefly described in Every Heart a Doorway. I'd been intrigued by Jack and Jill and I loved this opportunity to learn more about them. There's a lot of care here, for the characters and the audience. At several points the unnamed narrator tells us that a particular very bad thing happens, and trusts us to manage our own imaginations as to whether we'd like to dwell on gory details. Certain kinds of darkness are left unsaid, while others are dragged into the light, given no shadows in which to hide.

It's a horrific tale, darker somehow for the feeling of creeping inevitability granted by knowing how it ends before it's begun. It's about the journey when we already know the destination, and I treasure the path this pulled me along. If you were comfortable with the kind of darkness and horror in the first book then you'll likely be fine with this one. It feels like slowly probing the edges of a certain level of grim atmosphere and familiarity with death, turning over tiny pieces of something shattered and exhaling slowly when it's as bad as you thought, but no worse; you already knew it had broken.

CW for murder, gore, grooming, major character death. 

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