I can't in good conscience recommend this book to anyone and I'm not really sure how to rate it. The book accomplished what it set out to achieve. It's debatable whether what it set out to achieve was a good thing.

I nearly set this book down ten pages in. There are no paragraphs in the entire book and some of the sentences run on for several pages. The writing is stream of consciousness messy vulgarity. The content is violent, vulgar, and horrifying to most sensibilities. The effect is that we get a chaotic picture of the (frankly horrible) lives these characters are stuck in. Trigger warning for basically anything and everything but especially things related to reproductive trauma (including but not limited to miscarriage), sexaul violence, severe and persistent drug use, and abuse of animals and minors (plural). As I said in the begging: I can't recommend it in good conscience. I would only read this if you have a strong stomach and want to meet tragic characters infecting horrific immesurable trauma on each other.