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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...

Beneath The Sugar Sky by Seanan McGuire (Wayward Children, #3)

Beneath the Sugar Sky attempts to fix something broken before it loses all possibility of ever being right again. There's a sense of urgency defined by absence rather than presence; tension created by what ought to be but is not.

The world-building is fantastic, both for the specific places they visit and for what those places say about the multiverse as a whole. It moves along with the best answers we have for now and then tells the reader new answers as the characters discover them. It made it feel like discovering something wonderful along with people who know enough to be guides while still having a sense of awe at every new thing.

This returns to the setting of the first book to advance what looks like it will be the main narrative of the series, tracing the lives of the children at the school during their tenure (while the even numbered books tell more about people during the time they did not reside there). I knew a little of that structure but I was pleasantly surprised by the variety of settings in this one. The school is a locus but it doesn't constrain the story at all, getting out of the way so that we could have a quest this time. I like seeing different sides of old characters and meeting some brand new ones.

CW for (internalized) fatphobia and references to dieting.

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Purple clouds in a blue sky over a pink soda sea with a slightly open door hovering in the middle

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