Beautifully written but the prose was slightly too flowery for me. I think it was written poetically to make the grotesque bits easier to stomach (pun intended) but I don’t feel that it was necessary. I don’t think this book should be considered “extreme horror” (some parts are gross but that doesn’t make it “extreme”). I loved the premise and the way everything clicked together in the final chapter. However, this book wasn’t quite *there* for me. I felt like there was something still missing. So it’s going to be 4 stars from me.