This collection of short stories is as poetic, transgressive, and thought provoking as anyone familiar with Palahniuk would expect. It's also risky and experimental. As such, some elements in the stories occasionally drift into bizarre territories that may not perfectly serve to meet the book's goals. But for the occasional straying moment, for most of the book the ideas are sharp, provocative, and very artfully presented. Some of the strangest and riskiest moments even land well, such as the short story about a celebrity named Reese W. and her run in with the poop-arazzi. It worked.
Stories deal frequently with mortality, but also confront sexuality and gender, racial power dynamics, and, as usual for Palahniuk, relationships with parents.
The illustrations are flawless. As a collaborative work, the piece is beautiful. The stories are not just enhanced by the pictures. The illustrations and the stories work in concert. Also, because of the frequent depiction of various colourful bodily excretions and spills, the colouring of the pictures brings expertly crafted line work to vivid, disgusting life. Without the colours, the reader doesn't yet fully appreciate the depth and breadth of gory detail on many of the pages. Easter Eggs can be found on some pages for the reader's willing to take the time to discover the pictures by colouring them. Some of the most creative and talented artists in comics are included. It's an excellent collection.
I very highly recommend this book to any fan of Palahniuk, especially those who appreciated his recent collaboration with Cameron Stewart on Fight Club 2. Even when it flounders, the book taken as a whole is absolutely worth the time. Maybe don't eat while you're reading. Keep a bucket handy.