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Despite reading the trigger warnings (very kindly) included in the book and being very uncomfortable with the first few chapters, I decided to finish this book because I really wanted to know what happened. Unfortunately, the unending medical gore made me so viscerally uncomfortable that I had to keep pausing because I was having physical reactions to it. I can't do gross-surgery-goes-wrong stuff, and our main character is always thinking about or performing it. I can read so many horrible things in books, but this one type of thing is the only one to physically upset me. Because of this, I won't be rating the book. If you're like me, I'd avoid this book. If that's something you can take, I do recommend this!
Now my otherwise thoughts on the book. I really enjoyed Silas as a main character. He was well characterized and I deeply wanted everything to be okay with him. The author is also trans and autistic, so those aspects are Own Voices. While it's great to be reading about trans, queer, and autistic characters in a historical setting, this is a more realistic book that depicts the horrible ways such people were treated in the past (and in some places, today). There is deep tragedy in the way that these children are treated and experimented on. I also appreciated that the author acknowledged the history of Black people particularly having horrifying medical experiments done on them. In terms of this being a speculative fiction book, I thought the magic and spirit stuff left some to be desired. I wanted to know more about how this world was affected by spirits being a part of life. I wasn't 100% on the relationship because they don't know each other well and have basically one thing in common, but for the sake of a HEA, I'll take it. I also am unsure that this should be categorized as YA; yes, it follows teen characters, but the content is so very adult.
Overall, I should have DNFed because of the medical gore, but otherwise I think it's a high quality book.
Graphic: Adult/minor relationship, Animal death, Body horror, Child abuse, Child death, Confinement, Deadnaming, Death, Emotional abuse, Gore, Hate crime, Homophobia, Miscarriage, Misogyny, Pedophilia, Physical abuse, Rape, Sexism, Sexual violence, Torture, Transphobia, Forced institutionalization, Blood, Medical content, Medical trauma, Murder, Pregnancy, Lesbophobia, Outing, Sexual harassment, Dysphoria
Graphic: Ableism, Deadnaming, Misogyny, Sexual violence, Transphobia, Violence, Forced institutionalization, Blood, Medical content, Abortion
Moderate: Adult/minor relationship, Miscarriage, Rape, Suicidal thoughts, Death of parent, Pregnancy, Dysphoria
Minor: Self harm, Cannibalism, Suicide attempt
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cover artist: niky motekallem
Graphic: Transphobia, Violence, Medical trauma
My last review on an AJW book ( Compound Fracture) explains a little bit more on my critiques of that book. For a TLDR, it was described as a gory thriller with trans folks, and I felt that it abandoned the actual gore and thriller scenes and focused.. too much? On the MC's transness. White's writing style is fantastic, no doubts there, but I felt that it abandoned the plot of being grippingly violent and shocking. This book, to say the least, felt as if White personally heard my complaints about Compound Fracture and handed this book to me as a blessing.
This writing was bare-bones, no holds barred violent. There is little I love more in this world than some detailed body horror and gore in books, and DAMN this book signed, sealed, delivered. Silas is a trans man in a time where the word "trans" isn't yet a thing, rather some sort of illness or delusion. The involvement of violet eyed folks having a stronger link to the Veil is really cool, and the paranormal aspects of this were perfectly spooky!
Silas' autism (again, no one knows what autism is, more just odd mannerisms and seen as behind in society) was very well-written, and I LOVED how medical procedures and surgery were used as metaphors for many things in Silas' POV. I also have a big fixation on medicine and surgery, so I felt super seen by this internal monologue. His intrusive thoughts of taking out his eyes, uterus, and other things like that were also incredible, as I often have similar intrusive thoughts of that nature. This book was fantastically disgusting and violent, and I wouldn't have it ANY other way. The mute groundskeeper's sign of the spirit with a hand over the mouth and the eyes slowly making sense over time with the doctors and the headmaster was so smart!
What I loved most was how frank this book was on the topic of how women were treated in the 1800s. This book was not gentle, was not kind, it was real. It was honest, and I respect that so deeply. I was constantly on the edge of my seat from all of the awful injustice that the characters in this book went through, ESPECIALLY the excusing of any problems as simply hysteria (or, in this book's case, Veil-sickness).
A big warning for anyone wanting to read this fantastic book: don't take the gore/body horror warnings lightly. The main character (spoilers if you want to avoid)
Spoiler
is described when he performs an unsafe, illegal C-section/abortion on their friend in a bathtubI could yap about this book for pages upon pages, but alas this is just a review and I don't want to talk about the whole dang book. Hopefully this review spurs you on to check it out, because you won't regret it! This was perfectly spine-chilling, shiver-inducing, and perfectly horrifying and I wouldn't have it any other way for this type of book and time period.