The twists felt very predictable and the gore was well written and fully thought out, I’d mind the warnings this book isn’t for anyone with a weak stomach. 

I found the main character wonderfully despicable and blunt about his despicable nature, something I truly enjoy, and at parts the writing had beats akin to Fight Club which I really enjoyed. The deeper meaning of it all was sometimes buried underneath the absolute wreckage of grossness but the plot stayed true to itself.