I had not intended to review this one. But then I just couldn't stop thinking about it. I have absolutely no idea what to make of it. It's a pandemic-driven apocalypse full of horrors you never imagined or predicted and ends up not being about the pandemic anyway. It's packed with violence and gore and body horror and death and the only scene I've ever read that made me physically gag. It also has weird sex stuff that quickly tips into extraordinarily disturbing, an uncomfortable amount of vividly-described cannibalism, and the strange and unsettling feeling of grasping for normalcy while your body becomes strange and foreign around you. There's an entire a pandemic-driven societal collapse as well as old gods from outer space, and both of those manage to somehow be background elements in this body horror fever nightmare of a book. It was dark and gory and horrible and also I just couldn't stop reading. I feel like this isn't the kind of book you should say you "love," and yet I loved it. It may be a nightmare, but it's a repulsively readable and enthralling nightmare.