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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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Singularity by William Sleator

Identical twins Barry and Harry Krasner are house-sitting at their great-uncle's Midwest farm. It's peaceful at first, but soon they realize there's something about the farmhouse that makes locals stay far away. The twins are sure that the locked shed out back is their reason why - but what they find there is more shocking than anything they could have imagined.

TITLE: Singularity
AUTHOR: William Sleator
PUBLISHER: Puffin Books
YEAR: 1995
LENGTH: 176 pages 
AGE: Young Adult
GENRE: Science Fiction
RECOMMENDED: Yes

Queer Rep Summary: No canon queer rep.

“Think about what it means to go through. Once you start, there’s no changing your mind and turning back… You’d be totally alone… Think how lonely and awful that would be. You’d… kind of be a singularity yourself.”

Harry and Barry are twins, temporarily staying at their recently-deceased great-uncle's farm when they discover something strange about the backyard shed. 

Harry is content being a twin, he's more bothered by how vocally Barry seems to hate being his twin. This tension drives a very drastic choice Harry makes late in the book. Their relationship revolves around meager attempts at bonding followed by bullying in various forms. There's a neighbor girl who exists mostly as an outsider to verify that what they think is happening has actually happened. She serves to shift the balance of power between them (usually in Barry's favor) rather than having an endless back-and-forth of the kind it seems they had at home.

The worldbuilding is well done, a bunch of little things early on end up having a pretty cool answer, fitting together in a great way. I like the plot, but the ending has an ambiguity which makes it hard to know whether it's supposed to be read triumphantly or as horror. I come down more on the side of horror, but I definitely didn't pick up on that when I first read it as a teenager.

CW for ableist language (brief), vomit (brief), mental illness (discussed), confinement (graphic), eating disorder, bullying, emotional abuse, slavery (brief mention), animal death, death.

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Two boys looking down into a pool of water with the image of a metallic shark creature looming inside


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