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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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The Empress of Salt and Fortune by Nghi Vo (The Singing Hills Cycle, #1)

With the heart of an Atwood tale and the visuals of a classic Asian period drama The Empress of Salt and Fortune is a tightly and lushly written narrative about empire, storytelling, and the anger of women.

A young royal from the far north is sent south for a political marriage. Alone and sometimes reviled, she has only her servants on her side. This evocative debut chronicles her rise to power through the eyes of her handmaiden, at once feminist high fantasy and a thrilling indictment of monarchy.

TITLE: The Empress of Salt and Fortune
AUTHOR: Nghi Vo
PUBLISHER: Tor.com
YEAR: 2020
LENGTH: 112 pages
AGE: Adult
GENRE: Fantasy
RECOMMENDED: Highly

Queer Rep Summary: Lesbian/Sapphic Secondary Character(s), Genderqueer/Nonbinary Main Character(s).

*I received a review copy as part of the 2021 Hugo voters packet. 

THE EMPRESS OF SALT AND FORTUNE unwinds layers of grief and years of confinement amidst luxury into the willing ears of a Cleric sent to record all they can.

The layering of the framing narrative and the tale being told made this feel like it has the scope of a much larger novel while keeping the intimacy of a personal story told by one person to another over an ultimately brief period of time. I loved it and I'm eager to read more in this series.

CW for xenophobia, grief, pregnancy, medical trauma (not depicted), death.

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