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An Impossible Choice: Utterly gripping and heart-wrenching family life fiction

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Mothers talk about impossible choices. But, as I look at my daughter in a hospital bed, her red hair fanning out around her, my heart feels literally torn in two. Should I risk my son’s life to save my daughter, or keep my little boy safe and watch my precious girl slip away?

My darling daughter Tara has a rare form of cancer and there’s nothing I can do. At eleven years old, she’s already been so brave, but my sweet girl is hanging on by her fingernails. She has one last a bone marrow transplant from her little brother. But nine-year-old Callum has an autoimmune disease, and there’s a chance it will put him at risk.

It’s life or death for one of my children and I have to make this decision alone.

I wish there was someone by my side to help me and my family through this terrible time. But life has hit us so hard recently. A few months ago, my beloved husband died in a tragic accident and now I might lose Tara too. All I want to do is to protect my so much has been taken from us already. I hope for a miracle, but my daughter is running out of days, and I have to choose.

If I make the wrong choice, will I lose one of my precious children forever?

Totally heartbreaking and gripping fiction about parenting, loss and finding light in the darkest of times. If you love Jodi Picoult, Kate Hewitt and Jojo Moyes, this novel will stay in your heart forever.

What readers are saying about Alison

⭐️⭐️⭐️⭐️⭐️ ‘The saddest book I have read this year… Even through all the tears that flowed down my face I kept on reading. I did have to take a break a few times so I could see the words… So honestly heartbreaking… 5 stars and a million more.’ Linda’s Book Reviews

⭐️⭐️⭐️⭐️⭐️ ‘WOW, WOW, WOW, what an emotional rollercoaster I was glued to it… Tears pouring and my bin full of tissues… Really knows how to pull at your heartstrings.’ @karen_loves_reading

⭐️⭐️⭐️⭐️⭐️ ‘Incredible… My heart felt like it would breakTore me apart heart and soul… Shattered to pieces… Touched me in ways I never knew a book would… I become completely immersed… Heart-wrenchingTruly touched my soulExceptional.’ Goodreads reviewer

⭐️⭐️⭐️⭐️⭐️ ‘I’m about ready to run my tear ducts dry!I was doing the ugly cry… I was drawn into their story from page one and had a hard time putting it down to go to bed. My dreams were filled with this story… Worth taking a day off work!PJP Reviews

⭐️⭐️⭐️⭐️⭐️ ‘Wow. Just wow… I smiled, I laughed, I cried and then I smiled some more.

322 pages, Kindle Edition

Published June 7, 2024

1179 people are currently reading
257 people want to read

About the author

Alison Ragsdale

16 books452 followers
Alison's Amazon best sellers include: TUESDAY'S SOCKS, THE FATHER-DAUGHTER CLUB, FINDING HEATHER, A LIFE UNEXPECTED, THE ART OF REMEMBERING, DIGNITY AND GRACE, HER LAST CHANCE, SOMEONE ELSE'S CHILD, THE CHILD BETWEEN US, AN IMPOSSIBLE CHOICE, and MY HUSBAND'S CHILD.

Originally from Edinburgh, Alison now lives in the US with her husband and dogs. Educated in England, she holds an MBA from Leicester University.

For more information: www.alisonragsdale.com.

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5 stars
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297 (32%)
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119 (13%)
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Displaying 1 - 30 of 67 reviews
Profile Image for Kristina Anderson.
312 reviews119 followers
July 5, 2024
This book certainly was "heart-wrenching"! It was about family drama with so many ups and downs. It was definitely a tear jerker whether tears of happiness or sadness. A roller coaster ride for sure. Very captivating and if you are planning on reading it, keep the tissues close at hand! This book really pulls at your heart strings and is about making difficult choices. A 5 star rating from me.
Profile Image for Susan Peterson.
2,003 reviews380 followers
June 1, 2024
From the moment I opened this book, I was mesmerized. This heart wrenching family drama kept me so thoroughly engrossed that I could not put it down; I could not get these characters and their stories out of my mind for one minute. From the beginning, it is clear that Honour, Kenny, and their two children will be going through some really difficult times. But the book is so beautifully written, it is so filled with love and determination, that there is always a glimmer of hope. Did I cry a million tears? Yes! Was my heart broken and shocked in a myriad of ways? Also yes! But the love and devotion that is the heart of this story lifted my spirits through the hard times. I had so much love for Honour and her family; I had so much compassion for her and for all the impossible decisions she had to make; I read every word, sentence, and chapter with my heart in my throat. Alison Ragsdale has gifted her readers with another story of great courage in the face of despair, filling us with hope and optimism even when the world seems dark and bleak. Bring tissues. Lots and lots of tissues. I read an advanced reader copy of this book which was provided by the publisher.
Profile Image for Linda.
1,095 reviews143 followers
June 7, 2024
This is your typical Alison Ragsdale book. Take your heart and stomp on it then mend it back together all the while laughing and knowing that she is still going to make you pay. Make your heart lurch. Make you weep. Right when I thought it was going to be ok I had a moment that made me literally gasp. And cry so hard. It was in the Epilogue of all places. I did not see it coming. I was floored.

This story is about a family. One that you think is almost perfect. Almost but not quite. I loved them all and felt their pain when Kenny fell overboard. When Honour could not hold on any longer. Then after going through that, the worse pain ever, she finds out her daughter has cancer. A fairly rare cancer and needs a bone marrow transplant. What more can happen to this family.

I loved Honour until I didn't anymore. I finally forgave her but it took a lot. If it was anyone else I would have been ok. But not in this case. And then when I kept hoping that Kenny wasn't dead. I wanted him to come back so bad. I wanted Tara to be ok. For Callum to be ok. For this family to heal and move forward. This story made my heart hurt. Made my eyes hurt. But it was also so good. I know that is crazy but it's true. This author makes you crazy with emotions. Then she reaches in and twists the knife one last time...

Read this one with a few boxes of kleenex. You'll need them.

Thank you #NetGalley, #AlisonRagsdale, #Bookouture, for this ARC. This is my own true thoughts about this book.

Five big stars.
Profile Image for Susanne Baker.
728 reviews30 followers
June 17, 2024
Oh my goodness what an emotional journey this captivating story took me on!
I have read many of Alison’s books already so I knew to have tissues and a day set aside to loose myself in the book, as once I start reading them I cannot put them down!
From the very first sentence I was hooked, the dramatic start grabbed my attention and it did not wander away all they way through.
Honour is an amazing character, so strong and brave, the way she supports her family was awe inspiring. My heart went out to her so often as I turned the pages, feeling her utter despair and desperation for help in an unthinkable situation.
It was a heartbreaking situation but as always Alison manages to bring in uplifting moments and a truly beautiful community to support the family.
This was a thought provoking story, I have two boys, similar ages to Tara and Callum, and so it really hit home with the difficult choices that Honour had to make on her own.
Some jaw dropping moments too kept me avidly reading and had me enthralled to the very last page.
Profile Image for Nana.
337 reviews
September 15, 2024
A truly heart renching story on so many levels. Children are the mortor that hold our lives together. This book reflects all that and more. I am rating this a 4.5.
Profile Image for Stacia.
56 reviews2 followers
May 25, 2024
First of all, I'd like to thank Netgalley and Bookouture for the Advanced Reader Copy of An Impossible Choice in exchange for my honest review.
Anytime I read one of Alison's books, I know I will not be able to put it down. This one is not an exception. This book pulls on your heartstrings and makes you really think about your life and the choices you have made. It is a very emotional book, so have the tissues ready.
Profile Image for Heidi Lynn’s BookReviews.
1,311 reviews110 followers
June 4, 2024
First, I want to thank Alison Ragsdale, Bookouture and NetGalley for providing me with this book so I can bring you this review.

Warning you are going to want to grab your box of tissues and clear your schedule for the day. Alison Ragsdale’s An Impossible Choice is an incredibly emotionally filled book that pulls hard on your heartstrings. No parent should have to be put in the situation she was put in or choose the outcome..it was just sad. I wish I could have lept into the book and comforted her.

Alison doesn’t waste any time jumping into the fast paced prologue detailing the intense horror at sea that Kenny and his wife Honour were experiencing. It was an action packed scene that you would see in a movie. I was at the edge of my comfy chair dying to know what was going to happen to Kenny!

From the prologue the book jumps back three weeks prior to the events that occurred at sea. It is here we get to know Kenny a little bit more along with meeting the other characters.

Alison educates her readers on Ménière’s a disease that one of her character’s Callum suffers from.

So many times I just wanted to jump into the book and give the characters a comforting hug! There were just so many tragedies, heartache, pain and grief many characters were facing.





Profile Image for Carla Suto.
902 reviews85 followers
June 3, 2024
AN IMPOSSIBLE CHOICE is the latest heart-wrenching, yet uplifting, family story by Alison Ragsdale. There is not a book of hers that I have read that I have not loved and this one is no exception. In this story, Honour is a mother faced first with the tragic death of her beloved husband, Kenny, then an impossible choice when her young daughter, Tara, is diagnosed with a rare form of cancer. Tara needs a bone marrow transplant to live, but the donor most likely to be compatible is her younger brother, Callum, and he suffers from an auto-immune disease that could put him at great risk. How can a mother possibly choose between the lives of her children? I was engrossed in this beautifully-written and emotional story of family, love and friendship from beginning to end and I know it will stay on my mind for a long time to come. I most highly recommend this touching book. Thank you to the author, publisher and NetGalley for the chance to read and review an early copy.
937 reviews22 followers
June 8, 2024
Thank you so much for the opportunity to read this book from one of my favourite authors who always gets right to the heart of human emotion in their books. This story was no exception and was a heartbreaking emotional roller coaster of a read which makes you question how lucky you are and to also think about what you would do if faced with a similar situation.

This story covers a lot of health issues in a very sensitive way and brings them to the forefront and educates readers about conditions they might not previously have much knowledge off.

As always with this reader once I had started reading I couldn’t put it down and read in practically one sitting. This is a book that will stay with you long after you have finished reading. And will definitely require a box of tissues.
Profile Image for Phyllis Jones Pisanelli Reviews .
558 reviews38 followers
June 3, 2024
Alison Ragsdale has once again graced us with her outstanding ability to spin a story that will forever change us. Not only did I cry a bucket load of tears while reading An Impossible Choice but, I carried the sadness of the characters with me in my heart. I don’t know how you could possibly read this book and not feel profound empathy for Honour and her family.

I have found Ms. Ragdale has a way of developing characters that I find hard to dismiss. They wiggle their way into my heart and won’t let me go. I actually started this book on Saturday evening as I was getting ready to go to sleep and only read a few pages. I couldn’t put it down once I picked it back up again. I had to know what was going on with the people.

Tissue warning. Please make sure you have tissues next to you while reading this book. I was a blubbering mess within the first ten percent of this book. This book had times of complete joy to counteract the sadness. I do have to tell you what you find on the cover of this book will give you some idea of what you will be dealing with. Sickness of a child and the decisions that need to be made can tear your heart into a million pieces.

The storyline was believable and not at all contrived. You will have some good surprises along the way. The family has friends and a town that rallies around them to help with the hard times they are facing. It always warms my heart when you see people willing to step up and help out when needed. It always means so much. I will have to say that this book pulled a full spectrum of emotions out of me.

If you love a heartfelt book. One that will pull at your heartstrings and one that will make you hopeful and joyful then An Impossible Choice should be on your radar and on your nightstand. 

I will forever be a fan of Alison Ragsdale. Nobody can make me connect with my feelings and heart the way she does. If you haven’t read anything by her, you don’t know what you are missing. Until next time…Happy Reading!

Don’t forget to support the authors you read by leaving a review!

I received a complimentary copy of this book from the author. The opinions I have expressed are my own and I was not required to write a review. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255.
87 reviews5 followers
July 22, 2024
Beautifully written story of love, heartache, hope, betrayal, secrets, and moving on from a mother's worst nightmare. The story is set in Scotland with Honour a fisherman's wife. She does the best she can to move on with her life after a tragedy at the beginning of the story raising her two children without her husband. She gets help from her parents and friends in the small fishing village they live in. She gets news from another town then just a quickly as she gets hope, she loses it. She starts to rebuild her life when she gets the devastating news that one of her children are sick. Honour is faced with challenges, struggles and heartbreaking decisions. She faces a secret from her past and makes the decision to face it head on for the love of her family with strength and courage. As she is getting ready to go to work, there is a knock on her door. I loved this book and I highly recommend it. Make sure you have tissues handy.
44 reviews1 follower
June 30, 2024
So this book took me on a journey. When you read the description, you think that it’s gonna be focused on whether honor is gonna sacrifice callum for Tara. That’s the hook that was decided to use to drag people in to this book. Should one sick child be sacrificed to save the other? And that part of it was resolved really quickly to the point that it wasn’t even much of the story! So I felt like that was very misleading. In fact, it was downright annoying because she did have another solution besides her sick son to donate bone marrow! So I just kept feeling really frustrated! Then stuff gets revealed that makes me legit hate her! And then after that we get a shocking twist and I forget I hate her because I’m so happy! And then the epilogue happened and… another twist! All in all, I can say I enjoyed this book but it’s nothing like I was expecting.
Profile Image for Kamber Derosier.
326 reviews11 followers
June 8, 2024
I have never been disappointed by one of Alison Ragsdale’s books. An Impossible Choice was no exception. It drew me in right from the start and I felt an instant connection to Honour, Kenny and their family and the author dives right into the first tragedy leaving you feeling a bit bereft. She then gives you some backstory to help develop the view of the family and what led up to the tragedy. But this was just the beginning and you will need more tissues to get through the rest of the book. This family has way too much to go through. There are unexpected twists and turns and hard decisions no one ever wants to have to make. I highly recommend!

Thanks to Netgalley, the author, Alison Ragsdale and her publisher, Bookouture for an ARC to read in exchange for an honest review.
Profile Image for Erica.
20 reviews1 follower
July 3, 2024
Many times women are compared to jugglers trying to balance life like balls in the air. Between family, home, friends, work, and self-care, it can be quite the task. It’s comforting when going smoothly and yet so easily thrown off course. One has to wonder how many more balls can be added to the mix before they all come tumbling down. In An Impossible Choice, Honour finds herself in the daily juggling act until an unexpected tragedy occurs. As she tries to help herself and her children adjust, a major illness with hard choices is thrown in. Now add some secrets that have been hidden for years and you have to wonder- will Honour be able to keep it all going or will it all come tumbling down? A great story that needs tissues nearby!
Profile Image for Els .
2,277 reviews52 followers
May 12, 2024
Wow! This story grabbed me by the throat and did not let me go.

After the book is finished, there is a note or a question from the publisher asking if my heart was broken in two by the story of Honour and her family. Unfortunately, I have to say no wholeheartedly. My heart was broken in a million pieces though.

I was gripped by the friendship, love and help Honour could count on during the darkest days and I have to admire how Cal and Tara, her children, coped with everything. They were a very strong trio. 

The only one who disappointed me was Kenny, Honour's husband. He should have had more faith and he should have realised what he put his family through. On the one hand, I can understand his feelings. On the other hand he is a bit of a coward. I am glad he saw the light.

This was such an emotional story that brought tears to my eyes. Now, a few hours later, I still feel tears well up. µ

I know this is fiction, but sadly some people really have to cope with these devastating events. Some days we all moan about the most trivial things. When I read this kind of stories, I realise how fortunate I am.

This is a very beautiful story that makes you see everything in a different light. 5 stars

Thank you
Profile Image for MeWriter.
847 reviews14 followers
May 23, 2024
You can always count on Alison Ragsdale to write the most heart-warming and heart-breaking stories! An Impossible Choice is relatable, well written with well-developed characters that leads you to the stunning ending.

Many thanks to NetGalley and Bookouture for this ARC!
Profile Image for Sandy Mckenzie.
188 reviews33 followers
July 21, 2024
One of the best books I've read in a long time! It is one of those books that stay with you. How can one woman cope with a missing presumed dead husband, a daughter with cancer, a son with a rare disease, work, and everything else. But she does. No details, I want you to read it. Keep your tissues handy.
Profile Image for Sharon Valler:  Live Love Read Review.
1,038 reviews18 followers
June 8, 2024
Oh my goodness! This incredible book pulled at all my heart strings. Filled with love and loss, pain and forgiveness, hope and gratitude, I adored every emotionally wrenching moment.

It is an impossible choice indeed, that Honour has to face when her daughter is diagnosed with cancer and only a bone marrow transplant from her son can save her. But Callum has Menières and harvesting his bone marrow puts him at risk too.

How can a mother choose between her children? But then there’s a shocker of a twist and everything is turned spectacularly on its head!

Alison Ragdale’s writing is completely immersive, the pacing is spot on and the writing flowed well. A stunning book.

5 ⭐️ Thanks to Netgalley, Alison Ragsdale and Bookouture, for an ARC in return for an honest review.
690 reviews15 followers
June 28, 2024
A tear jerker

An Impossible Choice is a 5 star read! Of course, every book from Alison is fantastic. I love a book that makes me cry. Grab your tissue and enjoy an evening of good reading!
33 reviews
July 3, 2024
Heartbreaking and thrilling best combination!

I I was heartbroken reading this story, and the fate of this family. It kept you reading and loving the characters. The amazing twists the story unfolds just leaves you wanting more. I would love to see a sequel to this amazing story.
479 reviews20 followers
May 18, 2024
Alison has done it again with this sad, heartbreaking beautifully written book

Great storytelling with excellent characters and I have no hesitation in recommending this great book.
Profile Image for Michele Anne Waite.
215 reviews45 followers
June 7, 2024
An Impossible Choice by Alison Ragsdale is an eloquent and beautifully written book full of love, compassion, and hope. I’ve learned not to read Alison’s books in public as tissues are inevitable. With that being said, I’ve always enjoyed her books as Alison is a master in bringing tough issues to the forefront, yet creating an overall atmosphere of one of life’s greatest gifts, optimism. ALL of the characters in this book are wonderful and Alison does a fantastic job describing the surroundings in an impeccable manner. An Impossible Choice by Alison Ragsdale is a book I highly recommend.

Thank you to Alison Ragsdale, Bookouture, and Netgalley for giving me the opportunity to read an advanced reader’s copy in return for my honest review.
Profile Image for Linda Zagon.
1,700 reviews212 followers
May 30, 2024
Alison Ragsdale, the Author of “An Impossible Choice” has written a somber, penetrating, and thought-provoking novel. This is an emotionally charged novel that is extremely heartfelt. The Genres for this novel are Women’s Domestic Life, Family Fiction, and Psychological Fiction. The author is an amazing storyteller and in this well written-novel, Alison Ragsdale discusses the importance of choices, family, second chances, forgiveness, love and hope.

The author describes the characters as complex and complicated. A wife becomes a widow and single mom, after a tragic accident. Next she is confronted with the most challenging and terrifying dilemma any mother faces. When her daughter requires a bone-marrow donor, can her son with an auto-immune disease be able to provide it? Be warned, have tissues ready!!

Even in the darkest of times, Alison Ragsdale is able to provide a light at the end of the tunnel. I highly recommend this memorable and inspiring book.
1 review2 followers
September 22, 2024
This was a great book although sad. It definitely kept my attention
Profile Image for Nethanja.
844 reviews9 followers
June 1, 2024
Wow wow wow, this story pulls on your heartstrings. At one point predictable but at more points it takes you totally by surprise.
What an emotional rolling coaster. This was my first story by this author but won’t be the last.
Must read!
531 reviews11 followers
June 17, 2024
Alison Ragsdale, upon finishing An Impossible Choice, I am truly at a loss for words! What a work of art you have created, as usual. There were a couple of surprises that I expected, and a few that blindsided me completely. Told from the heart, any reader who doesn't have a strong emotional reaction to this story can't be moved by anything else that they read or live through! Incredibly written, I would suggest this book to ALL OF MY READING FRIENDS! ALL the feels were included for a family that was staggeringly challenged from start to finish! I loved everything about this book, and truly love Alison Ragsdale's books....every last one. Keep on writing, and I will continue to stalk your books!
Profile Image for Traceylee.
604 reviews5 followers
June 22, 2024
This book was so hard to put down. I will definitely save to read it again in my favorite. It's a tear breaker too.
1,213 reviews39 followers
June 9, 2024
An Impossible Choice will warm your heart, break it in two, then carefully stitch it back together. I loved this book and all the curve balls the author throws at the reader. It’s not easy to write a whole book of loveable characters and throw each of them into impossibly difficult situations. You’ll find yourself truly invested in the MacLeod family.
Honour MacLeod is the mother of two children and wife to Kenny. She lives a simple life working and juggling her kids busy schedules while her husband works as a fisherman. They have been together a long time and Honour can’t imagine her life without Kenny in it. Kenny pressures Honour into spending the day out on his boat to conquer her fear of the sea and enjoy some much needed alone time. Unfortunately every fear Honour has comes true and life as she knows it will never be the same.
The MacLeod family will get hit over and over and need to rely on family and friends to get thru these major life events. Honour will question herself and her life’s choices but will always wonder if she’s strong enough to make it through.
The love that a mother has for her children cannot be measured.
Profile Image for Sam.
638 reviews35 followers
June 10, 2024
Welp yall, Alison has done it AGAIN! This woman truly knows how to write a book that gets you all in your feels. Think of the movie “Beaches” and you’ll know what I’m speaking of.

After her husband dies, a woman’s daughter is diagnosed with cancer. Not only are they still reeling from his death but, now facing a tumultuous cancer battle. It’s a rare form of cancer at that so, only a few would be able to give their bone marrow to help her. However her little brother has Ménière’s disease so, he’s already dealing with enough for his little body. The fight is on to find a donor and save her sweet girl.

Truly a heart breaking story but also a story of hope, love, courage, and forgiveness. I’m pretty sure it’s the saddest book I’ve read all year and I’m here for it. Sometimes you just need a good cry and this story fit the bill. Womens fiction is not Womens fiction without the name of Alison Ragsdale. Her writing is unmistakable and that’s a wonderful thing. I loved it and for that reason I’m giving it five stars.
Displaying 1 - 30 of 67 reviews

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