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Mercy Hill

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A debut family novel about four sisters growing up on the campus of the underfunded state mental hospital where their strong-willed mother serves as head of psychiatry. A richly moving story of sisterhood, loyalty, and mental health in America.

The Cross sisters have lived their entire lives on the sprawling grounds of Mercy Hill, the embattled Raleigh mental hospital run by their formidable mother. Since childhood, JJ, Caro, Mimi, and Denise have been inculcated with their mother's they'll work alongside her to protect Mercy Hill from the fate of other state hospitals across the country, which are being gutted and closed, one by one.

After an incident involving the highest-security ward, Mercy Hill faces greater scrutiny than ever, and Lisa Cross pushes each of her daughters even harder in the name of her mission. As the sisters cross into adulthood, the pressures of their isolated environment and mercurial mother set them on different—and perilous—paths. And as the battle wages on, youngest sister and narrator Denise grapples with the added responsibility that comes from being the last hope for their mother’s dreams.

Set in the late 1990s and early 2000s, with Mercy Hill’s fate hanging in the balance, Denise recounts the transformations that shape and destroy her family, along with the landscape of mental healthcare in the United States. With sharp insight and real humor, debut novelist Hannah Thurman captures the turmoil of growing up, the true meaning of a calling, and the indelible bonds of family.

333 pages, Kindle Edition

First published May 5, 2026

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About the author

Hannah Thurman

1 book60 followers
Hannah Thurman is a Brooklyn-based writer originally from Raleigh, NC whose fiction has been published widely. In 2024 she was named a NYSCA/NYFA Fellow in Fiction. Winner of the 2023 Florida Review Editor's Prize, she's been chosen for conferences/residencies at Bread Loaf, Ragdale, Vermont Studio Center, VCCA, and Yaddo.

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Displaying 1 - 30 of 202 reviews
Profile Image for Tini.
732 reviews70 followers
May 29, 2026
Four sisters, one impossible mother, and mental health in America.

4.5 stars rounded up.

For any reader with a permanent soft spot for stories about sisters - especially the messy, emotionally layered kind found in Little Women or the more recent Blue Sisters - Mercy Hill, Hannah Thurman's debut novel, will likely feel immensely satisfying.

Told through the eyes of Denise Cross, the youngest of four sisters - nine years old at the outset of the novel in 1999 - this remarkable debut follows a family raised on the grounds of Mercy Hill, a struggling state psychiatric hospital in North Carolina reminiscent of the now-defunct Dorothea Dix Hospital in Raleigh, where the author herself grew up and where her mother my worked briefly as a speech therapist. Run by the sisters' brilliant, domineering mother, Lisa Cross, the hospital is more than her workplace; it is her mission, her identity, and the axis around which the entire family is expected to revolve.

Growing up in the shadow of both Mercy Hill and their mother leaves deep marks on each of the sisters, though each responds differently. One rebels. One disappears into religion. One struggles under the weight of her own mental health. And Denise, desperate for approval and connection, tries her hardest to become the daughter her mother wants her to be. What Thurman captures so beautifully is that none of these responses feel exaggerated or simplistic. Every sister feels fully realized and is treated with enormous compassion.

The novel is as much about family as it is about the state of mental healthcare in America, particularly during the late 1990s and early 2000s, when institutions like Mercy Hill were increasingly underfunded, scrutinized, and abandoned. But despite those larger systemic themes, the book never loses sight of the emotional core at its center: four sisters trying to survive the same childhood in very different ways.

What impressed me most was how the novel handles difficult subject matter, especially complicated family dynamics. There is pain here, but also humor, tenderness, loyalty, and moments of genuine grace. Combined with a resilient protagonist you cannot help but root for and beautiful, lyrical writing, it all adds up to a book that became impossible to put down.

Beautifully written and rich with emotional insight, Mercy Hill is a moving, character-driven portrait of sisterhood, sacrifice, ambition, and the complicated ways we inherit both trauma and love. Both thoughtful and thought-provoking, this compassionate coming-of-age story is an enormously impressive debut full of heart. Hannah Thurman is absolutely an author to watch.

Many thanks to Doubleday Books | Doubleday for providing me with an ARC via NetGalley in exchange for my honest review.

"Mercy Hill" was published on May 5, 2026, and is available now.
Profile Image for Meagan (Meagansbookclub).
869 reviews8,008 followers
April 26, 2026
I really enjoyed it but found the ending abrupt. This is a character driven story of a family and I think there was so much that I enjoyed. The writing was beautiful. Lisa Cross- complex but couldn’t help but love her.
Profile Image for Melissa.
1,066 reviews90 followers
Review of advance copy received from Netgalley
February 16, 2026
Highly enjoyable! I really loved this story, the characters and the ending. So satisfying and well written. I look forward to more from this author!

Thanks to NetGalley and the publisher for this ARC to review.
Profile Image for Laura (thenerdygnomelife).
1,117 reviews2 followers
June 21, 2026
It was much easier to sink into Mercy Hill and its characters than I was anticipating! Perhaps the cover art, which is muted and has (if I'm being frank) a bit of a stuffy fine art vibe, led me to expect a reserved narrative and slow pace. Instead, I was pulled in by the Cross family almost immediately and was thankful to experience some quirky characters with depth.

Fundamentally, this is a character-driven debut about family dynamics. Lisa Cross, head of psychiatry at the asylum, is a formidable presence who pushes her own ambitions onto her four daughters. Told in hindsight through the eyes of the youngest daughter, Denise, the traces how growing up under her mother's expectations shaped the sisters development, each in their unique way. Part of why I was attracted to the book synopsis was the mention of growing up on the asylum, which felt like a unique premise that could really have been fleshed out. The girls were largely sheltered from the inner workings of the asylum, though, which left me wanting more. The asylum ends up taking a backseat to the family drama rather than being as central as I'd hoped. All in all, this was a very strong debut and I look forward to seeing where Hannah Thurman goes next with her writing.

Read this if you like:
* character-driven literary fiction
* complicated mother-daughter dynamics
* sibling stories

Thank you to Doubleday Books, NetGalley, and Hannah Thurman for an advance copy for honest review.
Profile Image for Mackey.
1,277 reviews357 followers
September 29, 2025
Mercy Hill by Hannah Therman will be one of my favorite books for 2025, without doubt. It's far from what I was expecting and far better than I had hoped.

The book is set in a small home on the grounds of a state hospital for the criminally insane. It also houses other patients who are in need of care due to mental disabilities. Obviously, maybe, this isn't set in the present but, rather, in the not too far past. I remember these facilities so not too far at all.

The administrator of the hospital is a mother of three girls whom she pushes to accelerate their learning. They are quite capable intellectually of this rapid pace but are they psychologically ready to be pushed several years ahead of where they peers are placed? (If they were homeschooled, yes, but the mother keeps them in school for some reason.) The mother is desperate for the hospital to remain open at a time when others are being shuttered and will do ANYTHING to keep its doors open, including putting her own daughters - well below age - to work as volunteers. There are disastrous results, of course, for the hospital and the family and we see the effects of this as we slowly watch each of the three daughters age and mature through the process of handling the maternal expectations placed on them and on each other.

This is a harrowing, emotional tale, told from the viewpoint of the youngest daughter but it's also a beautiful story. It doesn't have a "happy" ending but it does have a realistic one and I greatly appreciated that. I highly recommend this book for mature readers who will appreciate its nuances.
Profile Image for Katie Darr.
354 reviews1 follower
October 18, 2025
For me, this missed the mark. I think there was an opportunity here to further explore the deinstitutionalization of mental health, but it only partially addressed that. It also tried to be a sweeping family drama, but all the characters just seemed like that--characterizations. No character really had any depth. I probably would have DNR'd it, but since it was an ARC I felt I needed to finish it. It was pretty underwhelming, not very compelling, and generally the writing was sup-par. I'm giving it two stars for trying, but I wouldn't recommend it.
Profile Image for Jill.
422 reviews88 followers
April 11, 2026
MERCY HILL
by Hannah Thurman

A character-driven debut that really leans into family dynamics and the lasting impact of a presumptuous and overbearing parent.

What stood out most to me was Lisa. She’s a formidable, overwhelming presence who casts a shadow over her entire family. As head of psychiatry, she is completely devoted to keeping Mercy Hill open, but at a real emotional cost to her family. Her determination is admirable, but also uncomfortable, especially in how strongly she pushes her own ambitions onto her four daughters. There is a quiet absence in the father—he loves his daughters and wants what is best for them, but I found him more passive than I expected. That tension is what drives the story.

I liked that the story is told through Denise looking back, as it adds a reflective, slightly haunting tone. You really feel how growing up around the hospital—and under their mother’s expectations—forces the sisters to mature quickly and shapes who they become.

The setting itself is also interesting and adds to the atmosphere, especially as the future of Mercy Hill becomes uncertain. The “troubling incident” brings everything into sharper focus, but for me, this book was less about the event and more about the emotional ripple effects within the family.

Overall, this is a thoughtful, character-focused read about ambition, control, and identity. If you enjoy stories that explore complicated family relationships, this one is worth picking up. I was impressed that this is a debut, and I’m definitely interested to see what Hannah Thurman writes next.

Thank you to NetGalley and Doubleday Books for the eARC.
Profile Image for Kenna Lowrie.
98 reviews4 followers
May 15, 2026
this book kinda just … ended? with no real ending? i kept waiting for something to happen and it didn’t
Profile Image for Frances Tambakis.
78 reviews
May 14, 2026
Well what started out to be a promising story, it sure did end up being one of the most anticlimactic books I’ve ever read. Womp womp.
Profile Image for Tammy.
1,788 reviews370 followers
May 5, 2026
4 stars. Thurman’s coming-of-age debut is quite unique as it’s set at an underfunded state mental hospital, and follows four daughters raised up in the late 90’s-early 2000’s on the hospital grounds where their mother is head of psychiatry. Told in the youngest daughter’s voice, you learn their mother is super controlling about anything hospital related and pushes her own ambitions on her girls. You can’t help feel for them growing up in those unusual circumstances, and their father is no help as he is passively absent considering his wife’s strong-willed nature. So of course this shapes what they do and who they become. I love a good character-drawn novel + anything about sisterhood, and also Thurman’s creativity of a very unexpected family dynamic + setting. A really great debut. Would read more from her. 📖🎧 Pub. 5/5/26

Thank you to NetGalley and the publisher for the arc in exchange for an honest review.
Profile Image for Amy.
860 reviews69 followers
May 25, 2026
FINAL REVIEW:
I loved this so much. This is a character driven book! It’s about a family of four young sisters, their mom and father who live on psychiatric hospital grounds. This was common back then. This took place in the 1990s to early 2000s when deinstitutionalization was common. This really touched at my core because I have been a psychiatric RN for many years. This subject is very close to my heart and I have strong opinions on it.

The four young girls JJ, Caro, Mimi and Denise have a very believable & interesting relationship with each other and their parents. She writes very believable characters. Each with a very distinct personality. I also saw great changes with all of them both good
And bad. Their mother is the head psychiatrist at the hospital and a very intelligent strong woman. This is tough for the girls as she’s constantly pushing them to do more and better. My mother was this way I get that.

The hospital itself was a character and was very real to me. At times I found the book to be humorous.

It is told from a first person perspective of Denise, the youngest child. This really works and made it all very interesting. Seeing some of the family dysfunction through her eyes made it so raw.

It’s hard to believe this is her debut novel. It was truly wonderful and I cannot wait to read her next book!!


Initial review:
Yes: A book I borrowed from the library to try before I buy (tired buying hundreds books and hating half)

I read first ch or more -first 10-100 pages skim around at times. I read many of my GR friend’s reviews. This is what I did and didn’t like:

Love this cover. I work at a psy hospital. So I love this subject!!!

I started reading it and it sounds fascinating!

Amazon $29 ouch

Oh Richard Russo & Claire Lombardo love this!!
Profile Image for Emma Ghandour.
29 reviews
May 13, 2026
I could hardly put this one down but was wholly underwhelmed by it. Still love a debut novel but confused about this one
Profile Image for Sharon Mensing.
981 reviews34 followers
Review of advance copy received from Netgalley
March 16, 2026
This coming of age book takes place in a residential mental institution where a driven psychiatrist's children grow up and learn about the world. On a personal level, it deals with how such an unusual, isolated setting as well as such a unbending, driven mother, affects the experiences and development of the children (a group of sisters) and the dynamics of the family. On a political level, it deals with the movement toward deinstitutionalization of mental health care over time. Thurman does her best descriptive writing as she paints a picture of the facility and some of its inhabitants. Although the hospital and its campus are near to Raleigh, NC, and the family does some politically motivated traveling, those details are blurred as they accentuate the importance of the facility through contrast to the clarity with which it is portrayed.

The story is told from the youngest child's (Denise's) perspective. She is so young and naive for much of that story that she offers observations but not insight. Her mother, the psychiatrist heading up the facility and fighting for its life, remains an enigma. There is very little sense of the characters motivations, other than the broad political one of keeping the facility open. The split between the mother and father seems like an unexpected discontinuity given their roles in the marriage. This is the downside of assuming a young child's perspective as a frame for the character development.

The central theme of the novel deals with mental health deinstitutionalization. Along the way, the author asks the reader to consider and question corporate greed, personal ambition vs. the needs of a family, and teenage pedophiles, among other things. There is a lot to think about in this book, and a lot to discuss. These themes suggest a depth that doesn't actually infuse the book. The book is surprising in that it seems to skim these topics without asking the reader to carry their weight. Again, this may be because this take on mental illness is viewed from a child's perspective.

Because of that child's eye view, the writing skirts around the edges of the reality of mental health issues, making the book an easy read but one that is perhaps not as rewarding or memorable as the topic might suggest. It's a straightforward, eyes-wide-open sort of perspective that is somewhat lacking in nuance.

This book takes an interesting and unique time in our history and makes the political movement toward deinstitutionalization of the mentally ill more personally accessible. It does so by employing the straightforward wide-eyed perspective of a child. In doing so, however, it loses some depth. Some of that depth could have been brought to the book through more nuanced characterization and perhaps multiple perspectives.
Profile Image for Catherine.
485 reviews76 followers
April 1, 2026
After seeing so many books with the same recycled plotlines over and over again, it was so refreshing to find this absolute gem.

This original debut novel takes place in the late 90’s/2000’s centering around the Cross family: Lisa and Tucker, and their four daughters, JJ, Mimi, Caro, and Denise. It’s told from Denise’s perspective (the youngest child). They live in a cottage in Raleigh, NC on a large property of a mental hospital where the mother Lisa works as the head of psychiatry. This unconventional lifestyle makes for a very interesting plot that I was gripped to from the very beginning.

I can’t say enough about the quality of the writing- it’s literal PERFECTION. The characters are amazing, the character development is fantastic, and the setting of this book is a fascinating character in of itself. I absolutely loved every single word of this story and ripped through it in 24 hours. It’s definitely on my list of top 10 books of 2026. Even though I’m not originally from Raleigh, it’s where I now call home, and it made my connection to this book that much stronger. I’ll have a major book hangover from this one for a long time. The author (originally from Raleigh) is visiting my local bookstore soon, and I can’t wait to hear her discuss this unforgettable novel.

*Thank you @netgalley and @doubledaybooks for this advanced reader copy. Mercy Hill hits bookshelves on May 5!
Profile Image for Sarah.
105 reviews1 follower
May 18, 2026
Emma said it best—I couldn’t put it down, yet it was surprisingly underwhelming.
Profile Image for Ellen Ross.
668 reviews82 followers
September 4, 2025
I found the plot of this book very interesting. With relatable themes of family bonds and mental health, the time period this took place in was interesting but these themes are still relevant in today’s world. I was fascinated by the sisters’ personalities and the toll of isolation. psychiatry. A richly moving story of sisterhood, loyalty, and mental health in America. The writing was so well done in this book. I received an advance review copy for free, and I am leaving this review voluntarily.
Profile Image for Kristine .
1,050 reviews342 followers
May 20, 2026
Love character driven novels about family dynamics. This one was especially different since the family lives on the grounds of Mercy Hill. The 4 Sisters all volunteer many hours throughout their childhood by their Intelligent, Driven, but also hard charging mother who really expects her daughters to follow in her footsteps and become psychiatric dr’s. It’s more the mother’s dream and how each sister reacts to these expectations plays out in different ways. The story is narrated by Denise, the youngest sister. So, although she explains the story of the other sisters it is through her eyes. Was captivating though, as their childhood was so different than most kids, it alienates them from making friends at school, yet at times they are close and others pull in different directions. It is larger based on the experiences, one in particular, that each had to go through dealing with seriously mentally ill patients, as well as there domineering mother letting them know she expects help from them all. Also, behind the family, is their goal, to keep Mercy Hill open at a time when large psychiatric facilities are being defunded. There were large problems warehousing mentally ill patients without proper staffing and funds, yet the fantasy that so many patients would find smaller and nicer group homes was unlikely to happen. So, where do they go then? For 4 young girls, mostly in their teen years, it’s a heavy load to be placed on them. Does Mom really care about Mercy Hill and it’s patients or does she just want to be on Top making all the Decisions. I think it was a mix of both and her daughters felt treated the same way.

Well Written Book. Excellent Debut Novel by Hannah Thurman. The author spent her childhood in Raleigh, NC and there was the Dorothy Dix Facility. Her mom worked there for a few years. I know this area, and it did feel authentic and well researched. It was timely then and is still an important issue now. I felt the book came together well.

Thank you NetGalley and Doubleday for a copy of this book. I always leave reviews of books I read.
Profile Image for Grace James.
63 reviews
May 17, 2026
I picked this book up because I was very interested in how the author was going to navigate the good and bad of psychiatric health facilities from the perspective of a child. That didn’t get explored as much as I was hoping for, and I think it could’ve benefitted from more of those complexities. This was definitely more of a family drama, based in a narrative of fractured sisterhood and parental pressure.

That being said, I enjoyed it! This book has very strong characterization, exploring several different outcomes of childhood trauma. Each family member was so different, and shared so many similarities underneath. Denise as a narrator was frustrating, sympathetic, unreliable, and vulnerable all at the same time. The relationship dynamics between the sisters were the most interesting, although I wish we got to see more of them one on one.

The ending was a little abrupt, and disrupted some previous characterization without giving enough time for it to settle or be understood before jumping into the 20 year time skip epilogue. Overall though, I was satisfied with everyone’s arcs and endings. They felt imperfectly realistic.
Profile Image for Heather.
603 reviews35 followers
May 7, 2026
⭐️⭐️⭐️⭐️

Thank you to Doubleday and NetGalley for the ebook copy of Mercy Hill by Hannah Thurman.

📝 Short Summary

Growing up on the grounds of the struggling Mercy Hill state mental hospital, the Cross sisters are raised under the intense expectations of their brilliant and demanding mother, who is determined to save the hospital at any cost. As the sisters move into adulthood, the pressure of family loyalty, mental health realities, and life inside Mercy Hill begins shaping each of them in very different ways.

💭 Review

I honestly ended up enjoying this book a lot more than I expected to.

What immediately stood out to me was the setting because growing up on the grounds of a state mental hospital already creates such a unique atmosphere for a family story. Mercy Hill itself feels almost like another family member throughout the book. It’s falling apart, underfunded, emotionally heavy, and filled with tension, but it also becomes home for these sisters in a way that deeply shapes who they become.

This book is definitely more character driven and emotional than plot heavy, but that really worked for me here because the relationships between the sisters and their mother carried so much weight. The story slowly unfolds through Denise’s perspective, and I loved how reflective and personal the narration felt. There’s this lingering sadness underneath everything because you can feel how much these girls grew up carrying responsibilities and emotional pressure that should never have belonged to children.

The mother, Lisa Cross, was honestly one of the most fascinating parts of the story for me because she’s so complicated. She’s passionate, intelligent, determined, controlling, exhausting, and deeply flawed all at once. You can tell she genuinely believes in her mission to save Mercy Hill and protect mental healthcare, but at the same time, her obsession with that mission affects her daughters in ways that become increasingly painful as they get older.

And honestly, that was one of the strongest parts of the book for me overall: watching how growing up in that environment shaped each sister differently. Some cling tightly to the family mission, some try to escape it completely, and others get emotionally trapped somewhere in the middle. The story captures that feeling of siblings surviving the same childhood but carrying entirely different emotional scars from it.

I also thought the book handled mental healthcare and institutional decline in America in a really interesting way. Mercy Hill is constantly under threat, constantly lacking resources, constantly fighting to survive, and you can feel the frustration, hopelessness, and pressure surrounding everyone connected to it. The hospital becomes symbolic of so many things throughout the story: duty, sacrifice, identity, generational pressure, and even emotional entrapment.

At the same time, this never felt overly heavy or emotionally unbearable because there’s also warmth, humor, sisterhood, and genuine love running through the story too. The relationships between the sisters felt believable to me because they’re messy, protective, resentful, loyal, and deeply connected in ways only sisters can really understand.

I also loved the late 90s and early 2000s atmosphere woven throughout the story because it grounded everything in this very specific emotional era without making it feel gimmicky. It added another layer of nostalgia and realism to the family dynamics.

This is definitely one of those quieter literary family dramas where the emotional unraveling matters more than huge shocking twists, but I found myself really invested in the characters and the emotional tension inside the family. By the end, I genuinely cared about these sisters and what Mercy Hill represented to all of them.

For me, this ended up being such a thoughtful, emotional story about family loyalty, identity, sisterhood, mental healthcare, and the complicated ways parents shape their children without always realizing the damage they leave behind.

✅ Would I Recommend It?

Absolutely if you enjoy literary family dramas, sister stories, emotionally layered character driven books, complicated mother daughter relationships, and stories exploring mental healthcare, identity, and family pressure.
Profile Image for Jackie.
1,496 reviews
May 17, 2026
3.75 ⭐️

From the setting to the sibling dynamics, this book felt layered in such a natural and believable way. This felt less like a dramatic historical fiction novel and more like quietly stepping into a family’s life and growing up alongside them. The setting at Mercy Hill gave the story such a unique atmosphere, and I ended up really invested in the sisters and all the complicated family dynamics. I liked how grounded and realistic the story felt, especially the family dynamics, and I thought the mental health aspects were handled with a lot of care.

The pacing felt steady and reflective in a way that matched the story really well, and the writing had such a warmth to it that made the characters easy to connect with. I also liked that it focused just as much on identity and family pressure as it did on the historical backdrop. I kept wanting to return to the story because the characters felt so authentic.

I’m really glad I listened to this one because Christine Lakin’s narration fit the tone of the story perfectly. For a debut novel, Hannah Thurman really impressed me, and I’m eager to read whatever she writes next. (Audio)
Profile Image for Ann.
528 reviews131 followers
June 2, 2026
A family drama which takes place on the grounds of a state psychiatric hospital in Raleigh, North Carolina. Timeframe is 1990s and early 2000s. The four Cross sisters are raised in a cottage there, and their mother, Dr Lisa Cross, is head of psychiatry. Their father, Tucker, is passive and not a clinical person. The story explores the costs of a mission-driven life. Lisa fights to keep the hospital open despite a traumatic incident that occurred, and each sister is affected negatively by their mother’s almost fanatical devotion to her “purpose.” This was not an easy read.

Three stars! If you read it, prepare to devote some time to the narrative.

I received a copy of the digital ARC via the publisher, the author, and NetGalley. My review is voluntary.
Profile Image for Caitlin.
205 reviews
June 11, 2026
Absolutely brilliant. A deep, enriching, analytic portrait of a family through the lens of an entire childhood. Thurman deftly wields metaphor and history; these characters feel agonizingly real.
Profile Image for Lyndsey.
21 reviews3 followers
October 4, 2025
Four sisters are raised “on site” at Mercy Hill, a North Carolina residential mental health facility operated by their psychiatrist mother. The book is told from the perspective of the youngest sister, 9 when the book begins and following her through her college years. All four sisters are borderline-prodigy “child geniuses,” skipping multiple grade levels repeatedly and at will, ivy-league courted, destined and duty-bound to become MD’s and return to Mercy Hill to continue their mother’s mission. Unfortunately (or fortunately depending on your feelings) Mercy Hill is constantly under threat of closure in favor of less restrictive settings for the population it serves.

The book captivated me with its premise but lost me a bit in the execution. Mainly I felt that some elements erred on the side of unrealistic. 4 child geniuses, but no explanation or commentary on how unusual this would be in any given family, just presented as a fact early on in the story. An extremely domineering mother, to the point of demanding all 4 of her children follow precisely in her footsteps, but no one really bats an eye. The story builds ominously toward a “shocking” event, but when it happens it is covered so quickly that it feels anticlimactic and a bit rushed. Overall I did enjoy this story and think others will too, I just wish we got a little bit more here and there.

Thank you Net Galley for the opportunity to read early and review!
Profile Image for T.J. Price.
Author 9 books41 followers
Read
May 20, 2026
I've enjoyed Hannah Thurman's work in the past—"Agency," published in The Iowa Review, is a mordant and astute X-ray of advertising culture, told with bracing candor—and this, her début novel, was also quite striking, but in a very different way.

A portrait of a family on the point of schism, this novel opens to a startling and evocative image: children—four girls—at risk from the threat of an inmate of a mental asylum. This risk, though keenly felt, is quickly dispelled by the entrance of the girls' mother—also known as Dr. Lisa Cross, the head of psychiatry at said asylum. Dr. Cross, her husband, and their four daughters all live "on campus" at Mercy Hill, in a cottage a stone's throw from three rapidly dilapidating buildings that house a variety of disturbed and unwell patients. This unique setting instantly creates intrigue and suspense, but as the story unfolds, it is the author's careful attention to the dimensionality of each person we meet—even the tertiary ones!—that really ended up setting this novel apart for me.

Told from the first-person point of view of Denise, the youngest of the four daughters, the novel almost instantly showcases a command of character that I have not too often seen in a début. Juggling one or two voices is often difficult enough (as a reader OR a writer) without dialogue attribution tags, but here I found it effortless to follow—there was never a moment when I was confused as to which sister was speaking, even when all four were present. There is a nearly painful verisimilitude to this story, and not a moment went by when I felt even the slightest twinge of disbelief in reaction to any character's choice—even the shocking ones. Each of the sisters are unbearably precocious—unbearable most of all to themselves—and are herded through their education with a furious alacrity by the unswerving hand of their matriarch.

Through it all, the titular facility spills its dark shadow over every event, even when it is not physically present on the page. I found the slow and horrific breakdown of deinstitutionalization portrayed with sympathy and humanity on the page—a light authorial touch, implicitly trusting the reader and choosing to illustrate, rather than preach. I was engrossed throughout, despite feeling that Denise acted more as a passive observer and lens for the action in the beginning of the novel, occasionally inserting a cryptic clairvoyance of dire events still to come. Once her distinct personality came to the fore, the story acquired new life and I became even more invested in its progression.

Still, I think that minor cavil could even be explained through the sharply-drawn psychological lines the author has built here: the novel is essentially a bildungsroman, and as the narrator is the youngest of a group that is tearing itself to pieces, it makes perfect sense that she emerges later than the others, frozen as she is in a fawning response to a group of people who are tearing themselves apart. Emotional resonance vibrates through the story like a plucked string, and echoes of past actions reverberate when least expected, with some real gut-punches that took my breath away—a late-story image of the character in Montauk was especially brutal, and gorgeously delivered. Streaks of bracing humor even leaven tragedy in surprising, refreshing ways; often dryly, mordantly self-aware.

I think one of the better things about this novel is how open it is to the concept of debate, and how earnestly it exhorts the reader to consider each character as more than just a collection of maladies or neurodivergence—they are fully formed beings, and each portrayed with such a complexity that it was hard not to feel sympathetic for them even at their most brazenly villainous. Many disturbing and easily-reduced moral quandaries are evinced in the span of this book (some of which I imagine might provoke disgust or horror.) However, the strength of Mercy Hill is how brilliantly it illustrates the necessity of what has sadly become all-too-desperate in our modern age: a consideration for the entire spectrum of belief. Too quickly do we dismiss or revile what we do not understand without curiosity; this novel shows in no uncertain terms that a capacity for compassion is as important as any act of mercy.
Profile Image for Danaé.
16 reviews
June 9, 2026
I really liked to read this book, but was there a proper story (beginning, middlepart, wrapped up ending)? No. We just go along in 4 sisters' childhood up until adulthood, sometimes skipping forward a year. The sisters were raised on the grounds of the mental institution their mother runs and we see how this, and their particular family dynamic, affected them all separately. I did enjoy the book, but there wasn't an actual story or big event being told. Little or big things just happened every year, and then the book just ended. I don't mind that, but others might.
Profile Image for she.readseverything.
194 reviews17 followers
June 22, 2026
4.25⭐️

I really really enjoyed this book. I loved the concept & the execution was wonderful! I think if I could’ve changed anything, I really wanted to see more of Mimi’s story and how she fared & the choices that led her to her epilogue finale. I loved her character’s development & wanted more LOL. I found the main character’s POV rather insufferable, but I appreciated that she grew and wisened up more as the book progressed. Overall, this was a really great story and kept me hooked the entire time so I would definitely recommend this in the future.
Profile Image for Katie Smith.
556 reviews1 follower
June 3, 2026
I really enjoyed this book. I was very invested in these sister’s lives and loved the audiobook so much. It did a great job pulling me into the story.

I do think it might have ended a little quickly and I think I would have liked to know more about the sisters but overall I enjoyed the book a lot and highly recommend.

4.25/5 stars
Profile Image for Demetri Papadimitropoulos.
699 reviews93 followers
May 10, 2026
The Sun Goes Missing at Noon
Hannah Thurman’s “Mercy Hill” turns a state hospital, four daughters, and a mother’s saving mission into a family novel about love mistaken for duty.
By Demetris Papadimitropoulos | May 5th, 2026


“Cottage 10 Under the Noon Shadow” – the small family home sits beneath the looming Mercy Hill buildings, where light, love, duty, and institutional shadow become the first architecture of the Cross sisters’ childhood.

The Cross sisters do not grow up beside Mercy Hill so much as under it. Each day at noon, the stone buildings of the Raleigh state mental hospital overrule the sun above Cottage 10, where J.J., Caro, Mimi, and Denise live with their parents on the hospital grounds. In Hannah Thurman’s “Mercy Hill,” that shadow is not stage fog. It is the book’s first diagnosis. Before the novel tells us what Lisa Cross has done to her daughters, it shows us the operating law of their childhood: light arrives, light is overruled, everyone adjusts.

Lisa Cross, M.D., is Mercy Hill’s Director of Psychiatry, the first woman installed in that office, and the presiding pressure system of the Cross household. Her praise feels like being knighted; her displeasure can strip a room of oxygen. She is brilliant, punitive, occasionally comic by permission, and almost always accurate in the particular way that makes her mistakes harder to survive.

Lisa’s complaint against the world is simple: state hospitals are being closed, gutted, sold, and abandoned by ledger-minded officials who prefer tidy numbers to complicated aftermaths. Mercy Hill must not be next. Her daughters are raised not only to admire this cause, but to be conscripted into it. Childhood, in Lisa’s house, is a temporary inefficiency.

The girls are taught to read usefulness as love before they can name either one. They learn the names of legislators, antipsychotics, enemies, wards, and people on agendas. They learn the difference between a resident’s off-pass and an escape. They know which adults can sign which papers, which buildings are threatened, which phrases will sound persuasive at a hearing. Lisa’s orange-binder war plan sits in the kitchen like scripture with tabs. The girls are to become doctors, advocates, witnesses – proof with homework. Other children get electives. The Cross sisters get jurisdiction.


“Scripture with Tabs” – Lisa’s orange-binder war plan turns the kitchen table into doctrine, where paperwork, motherhood, strategy, and love begin to share the same uneasy surface.

Denise narrates from adulthood with a bruise still under the skin. She looks back at the years when Mercy Hill’s emptying and the family’s unthreading became the same event. The childhood cracks open when ten-year-old Mimi falls from a magnolia tree into Ward C’s high-security yard. She lands injured among the residents, including Alexander White, whom the girls call the Scarecrow. No one in the scene is allowed one meaning. Alexander is frightening; he may also be trying to help. He touches Mimi’s blood with an eerie tenderness, and Lisa, arriving in her white coat, rescues her daughter while almost instantly erasing that possibility. Mimi’s body is hurt, the hospital is left exposed, and the accident becomes a fissure in Lisa’s fortress.


“The Magnolia Fall / Ward C Edge” – broken magnolia blossoms, a boundary fence, and the distant Ward C yard mark the moment childhood crosses into institutional danger without yet understanding the terms of the crossing.

Lisa responds not by drawing the family back, but by accelerating its usefulness. She transfers all four girls to Lincoln, an academically rigorous magnet school, and has each skip two grades. They are too young for the hallways, too strange for the other students, and much too fluent in adult catastrophe to pass as ordinary children. Denise becomes “Psycho Denise,” a nickname that lands because school is often where cruelty first discovers its talent for filing. J.J. becomes the family’s obvious prodigy and then its most devastating refuser. Caro finds in evangelical Christianity a rival authority Lisa cannot correct in red pen. Mimi, wild, perceptive, and often furious, becomes the daughter most willing to say that the mission is not the same as mercy.

Soon the girls are on Ward B, though “volunteering” is a polite word for children drafted into adult suffering with pediatric hands. They collect trays, help residents, learn staff rhythms, and discover that Mercy Hill is both home and workplace, refuge and danger, ideal and failing machine. Policy enters as a body in the hallway. A staffing shortage is a corridor with no adult where one should be. A ward closure is a dinner table gone quiet. A budget fight is a mother’s jaw tightening at the kitchen window while her daughters wait to be told what they are meant to become next.

“Mercy Hill” is a novel about psychiatric care in America, but it is more precisely a novel about what happens when a civic good becomes a private religion. The trap is that Lisa is not wrong enough to dismiss. The hospital shelters people the outside world is prepared to off-load. The promised alternatives to institutions – community care, group homes, outpatient treatment, less restrictive accommodations – often appear here as phrases with better manners than the realities they cover. When Mercy Hill fails, its work is shunted elsewhere: to prisons, to emergency rooms, to families, to streets, to whoever is standing closest.

By the epilogue, Lisa is working at Central Prison, where many former Ward C residents have landed. Thurman does not pound the table. The road has been visible all along.

Accuracy is not absolution. Lisa’s own mother lived with untreated mental illness; her father answered suffering with prayer, shame, and judgment. Lisa’s career is a counterargument to that childhood, but she raises her daughters as living proof in her case against the world. They must show that intelligence can defeat abandonment, that medicine can rebuke superstition, that preparation can outpace grief. It is a beautifully reasoned fantasy with sharp teeth.

In Lisa’s hands, care keeps turning into custody. Her love is real. So is her claim. When she destroys J.J.’s beloved porcelain dolls after Mimi’s fall, the cruelty is unmistakable, but so is the panic beneath it: one daughter has been hurt, another has failed as eldest soldier, the hospital is vulnerable. When Lisa persuades a frightened resident to accept an injection by letting him prick her with the needle first, she is terrifyingly good at her job. When she scripts her daughters for public testimony, folds them into ward work, and treats their futures as assets of the cause, she becomes unforgivable in a way that remains human.

That doubleness keeps Lisa from becoming a monster in a white coat. She is a mother who confuses stewardship with ownership, calling with conquest, and daughters with deputies. Some parents do not love too little. They love through a story so large that their children disappear inside it.

Thurman’s prose has the pace of testimony and the heat of memory. Denise’s voice preserves the child’s sensory immediacy while allowing the adult to notice what the child could not yet name. The sun climbs the paneled wall. Magnolia blossoms scatter under Mimi’s body. Drug-rep pens marked with medication names slide into Denise’s backpack. Plastic restraints snap. The Scarecrow touches blood. A kitchen window frames the buildings above. The details arrive as facts first, symbols later.

This is not memory softened for display. The language has edges. In Cottage 10, bureaucracy is not paperwork; it is table talk: wards, off-passes, diagnoses, medication closets, committee hearings, bunk beds, spaghetti, dolls, school insults, church water. Denise has been trained by Lisa to classify, argue, and defend; her adult voice still bears the marks of that training. Sometimes she explains too efficiently, as though afraid the record might close wrong. More often, that explanatory pressure feels earned. She is reviewing a childhood whose first judge was her mother.

Objects do some of Thurman’s best thinking. The symbolism is not shy – shadow, stone, fences, locked rooms, war binders – but it usually has the decency to arrive carrying groceries. A lesser novel would pin a label to every object and send it down the runway. Thurman mostly lets things stay useful: a fence cuts, a binder organizes, a doll breaks, a ward empties. Meaning comes later, like a bill.

The structure is plain-built and weight-bearing, a chronological frame that knows it is also a countdown. “Mercy Hill” moves through dated sections, from 1999 to a 2024 epilogue, and the straightness suits the material. Each year records two declines at once: Mercy Hill empties; Lisa’s daughters scatter. The design’s most revealing image comes when Lisa looks from the cottage toward the hospital’s four stone buildings: shuttered Ward A, active wards B and C, and the Admin building planted among them. Four buildings, four daughters. It is almost too neat, which is exactly why it works. Lisa’s mind turns children into architecture and architecture into destiny. Thurman lets the pattern stand, then lets time ruin its symmetry.

The momentum is not built on mystery. We are not reading to discover whether the hospital will be saved in any simple sense; the shadow has told us from the beginning that the buildings are already winning and already doomed. The question is what Lisa will require next, which daughter will mistake obedience for love, and what kind of person Denise can become once usefulness stops feeling like proof of worth. Thurman sequences the sisters’ departures with care. J.J.’s refusal of Princeton is not mere rebellion; it is a locked door she closes on herself as much as on Lisa. Caro’s faith infuriates Lisa because it offers another grammar of rescue. Mimi’s violence at school is alarming, but it is also the family’s suppressed rage finally acquiring a weapon literal enough to be noticed. Denise’s eventual turn toward law and music is the quietest escape because it is the one that stops asking Lisa’s permission to count.

Ashley Stillman’s death turns the lock. Ashley, a young resident whose anger and vulnerability have become familiar to the girls, steals a knife and dies by suicide while the sisters are shut in a medication closet. The scene converts the family virtue of helpfulness into lifelong guilt. The girls were children, but Lisa’s house has trained them to feel responsible for adult systems. After Ashley, Mercy Hill can no longer be only the embattled refuge they are saving. It is also the place that taught them proximity was power, then proved otherwise.


“Ward B / The Medication Closet” – a closed medication closet door and a dim Ward B corridor hold the aftermath of Ashley Stillman’s death, where usefulness becomes guilt and proximity proves powerless.

Thurman’s wisdom is to leave the contradiction with its burrs intact. She does not tell either easy story: that old psychiatric hospitals were only gothic warehouses of harm, or that their closure was uncomplicated progress. Mercy Hill is necessary and dangerous. It shelters and consumes. It gives Lisa purpose and gives her a language in which to injure her daughters. The residents need care. The daughters need rescue. The mother cannot fully provide one without damaging the other.

Denise’s intimacy with this world casts the book’s shadow outward. Some residents stay at the edge of the lit circle, vivid enough to wound the family, not always spacious enough to escape it. Ashley, Bethy, David Johnson, and Alexander White are memorable presences, but the narrative gravity nearly always pulls them back toward what they reveal about Lisa, Denise, and the sisters. That is a defensible choice – this is Denise’s account, not a panoramic history of the hospital – but it leaves the book exposed. A novel so concerned with people lost inside institutions cannot entirely sidestep the question of who receives a room of their own in the narrative and who becomes the event that changes someone else.

The frame does crowd: school tracking, religion, prison, foster care, race, public land, adolescent sexuality, each arriving with a chair and a claim. Most belong organically to the Crosses’ world; not all receive equal depth. Those pressures matter most when they arrive as rooms: a dinner table, a school hallway, a ward shift, a locked closet, a college visit. The novel is less sure-footed when Denise steps forward to summarize what the scene has already made legible. The reach occasionally outruns the seating chart, though not the force of its central wound.

At the last Christmas dinner before Mercy Hill’s closure, all four daughters are present, altered and uneasy, and Lisa looks past them toward the four dark buildings above. The image is almost schematic, but the book has paid for it. The living daughters have returned; the stone daughters still hold Lisa’s gaze. The 2024 epilogue then asks which sister “fared the best,” and the question quietly dismantles Lisa’s old scale of success. The answer is not the daughter who became the doctor Lisa imagined. It may be Mimi, once the wildest and most alarming, now working in foster care operations and, by Denise’s account, the happiest. She has found a way to care without needing the fortress.


“The Last Christmas Dinner / The Gaze Beyond” – four daughters gather at the table while the dark buildings wait beyond the window, making Lisa’s divided attention the final, aching architecture of “Mercy Hill.”

That reversal rescues the ending from tidy grief. “Mercy Hill” does not finally ask whether Lisa loved her daughters. Of course she did. It asks whether love can remain love when it conscripts children into the repair of an adult wound. It asks what happens when a cause is too necessary to dismiss and too damaging to obey. It asks whether a family can leave a place that has already taught them how to understand leaving.

If one wanted company for Thurman’s novel, one might gesture toward Ann Patchett’s “The Dutch House,” where a place becomes a family’s second bloodstream, or Susanna Kaysen’s “Girl, Interrupted,” where an institution has its own weather and grammar. But “Mercy Hill” is finally less interested in resemblance than in afterimage: what remains on the eye after the building is gone, the ward is locked, the mother has turned away, and the daughters are still deciding which shadows were shelter.

My rating is 87/100, which translates under my rubric to 4/5 stars on Goodreads. That score marks a strong novel held just below the highest tier by uneven secondary lives and by its occasional habit of explaining what its scenes have already proved. Its best pages leave Mercy Hill warm to the touch.

In the end, the hospital’s most troubling architecture is not stone but attention: four daughters in the room, four buildings in their mother’s gaze, and the sun, briefly interrupted, returning as if nothing had happened.


Early thumbnail studies map the emotional geometry of “Mercy Hill”: cottage below, institution above, and the first rough shape of a shadow large enough to organize the whole image.


The faint pencil underdrawing reveals the bones of the watercolor before atmosphere arrives: Cottage 10, the hill, the hospital buildings, the bench, the tree lattice, and the waiting border.


The first green-gray wash begins turning structure into mood, letting the cottage, lawn, and distant buildings emerge as a place already half-claimed by shadow.


The cover-derived swatch sheet shows the discipline behind the series: muted olives, sage, deep forest greens, cream light, and restrained brick tones held to one quiet emotional register.


The border study explores containment through branch, stone, and grounds-line motifs, turning the edge of the paper into a subtle echo of Mercy Hill’s boundaries.


This detail study refines the image’s quiet symbols – the vulnerable cottage, the empty bench, and the bare branches that make the landscape feel watchful before it feels explained.

All watercolor illustrations by Demetris Papadimitropoulos.
Profile Image for Megan F.
225 reviews4 followers
August 26, 2025
Ok, so I vacillated between giving this 3 or 4 stars, but ultimately decided to round up to four because, honestly, it was too close for me to call and I always err on the side of more vs less. This is the story of the Cross family, a mother, father, and 4 sisters of varying ages who live on the grounds of a mental health facility. Long story short, the mother, who runs the facility, is whip smart, demanding, willful, and expects her daughters to not only succeed, but to excel at all costs, including their own. The father is kind- a stay at home dad who seems resigned to his fate of being less important to his wife than the facility which she seemingly loves more than anything in her life. The Cross sisters- JJ, Caro, Mimi, and Denise are all intelligent and gifted, and respond to their mother’s heavy handed pressure in wildly varied ways. A good story with a unique setting and family melodrama at its core? Yes, sign me up, please! I’m grateful to netgalley, the publisher, and the author for the opportunity to have read this arc. This is a book full of heart that doesn’t shy away from complicated matters.
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