Thanks to NetGalley for a copy of this book in exchange for a free review. 

It was raw, it was gritty, it was definitely a page-turner. 
It was great to read about Miles, trans, autistic, aromantic main character, one that fights for a change in a place that is actively hurting his family and now against him, too.
Very important part for me was the relationship between Miles and his parents after his coming out, the kind of middle ground where there's no gushing acceptance nor rejection, but an often weird feeling that lingers around the characters for a while. It made the story feel extremely real, and the growth of both of the parents as they learned more about Miles' identity was great to see on page. Then, his relationship with Cooper among the deaths and how it progressed, and the reunion with Dallas and their connection, were both also interesting to read about.
Of course, the acceptance and the community, the way other people leaned on each other to combat the oppression from the cops really shown the strength these things have. 
Speaking of community, West Virginia (and rural areas in general, and not only in the US) were so nicely portrayed in this book, especially how queer people from these places are often forgotten and brushed away by mass media to only show the stereotypes that then shape how the general population from large cities and such view it.