I really don't know how to rate this book. It is one of five or fewer books that has ever given me a profound sense of horror, to a degree that moved me beyond my control. Others that have moved me so include A Wrinkle in Time, when I was a child, 1984, issue 100 of The Walking Dead, and House of Leaves. All of those books I consider among the best I've ever read. The horror I experienced reading Matthew Good's book, however, was mixed with a thick disgust that grew with each page. I could not finish it, though I'd purchased the book, and love the music of Matthew Good. Whether this means the book is very good or very bad, I do not know.