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Patient 974

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They arrive alive.
They leave dead.
But first, they give me their confessions.

These are the patient files for the deathbed confessions of my patients.

This one you're about to read is for PATIENT #1024 .

He's known on my ward as Ken from the famous "Ken and Barbie" duo. They were the Bonnie & Clyde in the Asylum.
His confession is included in The Asylum Book 1.

Fans of Stephen King, Joe Hill and like to read books like The Bird Box and The Haunting, and can't get enough stories about serial killers are going to enjoy reading the deathbed confessions from The Asylum.

My name is Jack Steen and for those who arrive on my 'death' ward at the Asylum, I'm the last face many will see before they die. I am the night nurse at the Asylum for the Criminally Insane.

Most of my patients are serial killers and mass murderers and they know me as the Angel of Death. When they come onto my floor, I offer a tell me their story, their 'untold' story that hasn't been read about in the news, sensationalized by media or cataloged in a ridiculous number of academic papers. I want the real story - the one they haven't old anyone.

Some of these killers have never confessed to their crimes, some kept certain information to themselves...those are the stories I want. If they give them to me, I'll make their death...easier. They're already dying, that's why they're now my patients.

If they play nice, I can make their death less painful. But only if they play nice and tell me their confessions.
The majority of these killers are expert manipulators. I realize they could be playing me and messing with my head.

It's a chance I'm willing to take. And now...they might just be playing with yours too.

1 pages, Audiobook

Published June 16, 2021

52 people are currently reading
704 people want to read

About the author

Jack Steen

29 books501 followers

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5 stars
124 (35%)
4 stars
102 (29%)
3 stars
90 (25%)
2 stars
26 (7%)
1 star
7 (2%)
Displaying 1 - 19 of 19 reviews
Profile Image for Kaelah ♡.
51 reviews1 follower
July 3, 2024
10000/5 book for me! Man, these patients are soooo sick. I have already read this story in the first book that I read from Jack Steen. I just always wondering what makes people want to do bad things to other people. What is the final draw to being, I want to kill this person, or I want to do this to this person. Always a mystery to me that I will never find out! I personally love hearing the stories that Jack was told while working as a nurse. He is becoming one of my favorite authors and he didn't intend to be one!
Totally recommend this book to anyone that is interested in hearing some crazy stories of patients in insane asylums!
Profile Image for Cris.
2,304 reviews26 followers
December 22, 2022
The narrator, both as the nurse and the killer had a flat affect. It made the story creepy but it also made you wonder if the nurse has worked there too long!!
Profile Image for Patrick .
135 reviews2 followers
April 24, 2024
holy shit this book was fantastic, This is my second jack steen book! I knew immediately after starting it I was going to love every second!!
This was a super creepy story I liked seeing Ken’s pov of things and learning about why he did what he did! This reads like a true crime story which was extremely enjoyable and entertaining! The story and plot to this one was fantastic and well thought out. Jack is a angel of death in the ward of the asylum he works at, he gives them an offer to tell their real stories and give a true confession and in return he’s makes their passing easier! the more we see off Jack it really makes you wonder if he enjoys the story’s he’s being told. Definitely going to continue these books I want more!! 4/5 ✨✨
Profile Image for Sarah Jensen.
2,090 reviews178 followers
April 13, 2025
Book Review: The Asylum Confessions - Spotlight on Patient 974

In the intriguing anthology The Asylum Confessions, one story shines brightly amidst a collection of dark tales: the chilling yet captivating confession of Patient 974. Authored with undeniable finesse, this particular narrative draws readers into the twisted psyche of a character who epitomizes the multifaceted nature of human relationships and the lengths one will go to for love.

A Perfect Ken to His Barbie

Patient 974, described as the quintessential “Ken” to his “Barbie,” offers a startling glimpse into a mind that balances charm with a sinister edge. As we peel back the layers of his story, we encounter a man whose devotion seems earnest and heartfelt at first glance. However, as his confession unfolds, readers are pulled into a world where love becomes dangerously possessive, revealing the haunting truth behind his actions.

Stirring Emotions and Psychological Depth

The author masterfully crafts Patient 974’s narrative, skillfully blending elements of psychological thriller with a profound exploration of obsession. The prose is both lyrical and haunting, capturing the reader’s imagination while also sending shivers down the spine. This juxtaposition of beauty and horror is what makes The Asylum Confessions so compelling.

Patient 974’s reflections are not merely confessions; they are a poignant commentary on the darker aspects of love and human connection. Each revelation unfolds layers of his character, forcing readers to confront their perceptions of morality and loyalty in relationships. The emotional depth and complexity of his journey ensure that his story will linger in the minds of readers long after they turn the final page.

A Must-Read for Fans of Psychological Thrillers

For anyone drawn to intricate narratives that dive deep into the human soul, Patient 974’s tale is a must-read. The blend of suspense, emotional turmoil, and sharp insights into human behavior makes this a standout piece in The Asylum Confessions. The author’s ability to evoke empathy for a character that embodies both love and darkness is nothing short of brilliant.

In conclusion, The Asylum Confessions offers a rich tapestry of stories, but it is Patient 974’s confession that truly captivates. This narrative not only entertains but also challenges readers to reflect on the nature of love and the dark corners of the human heart. Highly recommended for those who appreciate stories that thrill and provoke thought, this book will leave you haunted yet satisfied, contemplating the depths of dedication and the thin line between love and madness. Highly recommend!!!
Profile Image for Molly Nause-McCord.
126 reviews1 follower
January 15, 2025
This was good. I listened to it as an audiobook. I’ll admit that I borrowed it from the library because it was in sort of the mystery thriller category and I really needed an audiobook while I waited for my other loans to show up and this one is available now I started at walking my dog and was like wait. Why is this so fast in percentage?

Turns out it’s like a one off short story that goes along with a series of a bunch of other one off short stories with sort of essential theme. The narration was good. The storyline was basically a repeat of any other Bonnie and Clyde criminal minds situation but I enjoyed it well enough that I put the first book in the actual series on hold . Apparently these are really well received so we’ll see what happens. Meanwhile, it was such a short book that I almost kind of feel bad letting it count towards my yearly total. Lol
Profile Image for Meghan Maxey.
94 reviews
September 24, 2024
i don’t remember how i heard about or got recommended this book but i had asked libby to flag me if they ever acquired a copy and they did yesterday so 🤷🏻‍♀️

i listened to this audiobook on the way home from the airport and it was a quick listen, only about an hour but honestly i was expecting more. there was a lot of buildup with like omg deathbed confessions but i was hoping we’d hear from a lot of different characters instead of one. it didn’t even really dive into like the guys head on why he had done it or what it felt like or whatever. also i googled to find out if it’s real and i don’t even think jack steen is a real person so that also takes away points lol , would not really recommend
Profile Image for James.
74 reviews3 followers
May 10, 2024
Creepy.. imho way more disturbing than Patient 1024 due to some scenes even after Jack stating he edited out the worst. That he said he had to do that just makes your skin crawl. If you get there you.ll understand. You.ve been warned .
Profile Image for Madison Barr.
57 reviews
May 27, 2025
Even though I only rated this three stars, I’ve heard that the other ones are better so I’m excited to read the other ones! This one was really short, and I wanted a lot more out of the confession !!!
Profile Image for Emily Stephens .
44 reviews
January 4, 2024
I like his writing-more journal like. I don’t really know how to rate these ha-creepy, interesting?!
Profile Image for Alexa.
139 reviews1 follower
September 10, 2024
Fast-paced read. Very graphic in regards to the confession of the patient so be warned. This is a good audiobook while you are doing chores around the house.
Profile Image for Sam.
241 reviews25 followers
January 27, 2025
Wow, I love seeing the inside of the criminal mind and this delivered! Mind the triggers though… SA/R-pe are very heavy themes.
Profile Image for Jess Greenland.
141 reviews
April 1, 2025
Don't know what I expected, but it was average. I could have seen it go in a totally different direction and it would have been interesting.
Profile Image for Vicky Peplow.
Author 68 books63 followers
December 31, 2025
Another great book.

Even though these books by Jack are shorter than the others, they still pull you in and leave you wanting more. Have a beer on me.
Profile Image for Sara Wilson.
Author 2 books
October 12, 2024
Every one of Jack Steen novels were easy to read and pretty interesting. I enjoyed them. Even the more disturbing ones. Just as a one time read though, nothing I'd want to purchase for my collection.
Displaying 1 - 19 of 19 reviews

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