This was a solid read that worked on most levels, even though I haven't read Fear State and that apparently is the basis for the entirety of Pamela's mindset here. The book does enough to explain what happened and why it's fucked her up, but it doesn't quite reach the levels it needs to justify this physical and emotional journey she's on. Wilson does attempt to make some decent commentary on nature vs humans via Pamela's End All Humans tour, but it feels like it meant absolutely nothing with the wimpy way that she has a change of heart in the end. The final issue just felt like a way to have Pamela turn away from becoming a straight up villain, just because she's a fan favorite and needs to be more of an anti-hero. 

The art was solid, but I don't think it was Takara's best work. The body horror art didn't do much for me, and body horror is typically one of those sub-genres that freaks me out no matter what.