Beautiful descriptive writing! I really enjoyed the visceral horror elements of this book -- the descriptions are just impeccable  and there was a very defined sense of atmosphere that I appreciated. Andrew's anxiety and panic attacks were represented quite well and there was a lot of creative imagery. 

Here's the thing: I have a very particular pet peeve regarding a certain type of mental health representation that I really do not care for still being around. The blurring of fiction and reality is often very creative but there is a certain extent at which it stops being inventive and just starts bordering on harmful mental health representation. Unfortunately, that is what happened here and what happens in many magical realism books that attempt to involve mental health. To be honest, that is what knocked the book from a 4 to a 2.5 for me. 

I think the characters could have been fleshed out better -- I felt like we were often told why we should like a character or care for them but not often given an opportunity to create our own opinions on the matter. It would have been nice to see more involvement of the side characters that were given such a grave importance within the book. 

Unfortunately, I did not care much for the romance. Again, since description takes up such an impressive majority of the book, it was hard to really care fully about it and it felt as if we didn't see them interact enough, in a way. 

Overall, not for me! But definitely not a horrible book.