A dystopia about the normalization and control of the body and the unpersoning of anybody who falls outside the "correct" parameters, showcasing oppressive government control and a subculture outside of it. I found the inclusion of "axes" fascinating, people who aren't citizens but can become citizens of a secondary class of people (who are still treated badly and clearly labelled as class II citizens, but at least they are citizens now!) by axing other defiants and earning their citizenship through blood and especially the fact that a society that claims to abhor violence to see who is tasked with carrying it out and where ("outside their pur(e)view"). I also was very intrigued by the many "corrupt" bodies and minds the book included (the eating disordered, the fat, the trans, the disabled, the Deaf, the mad, the self-harming, the queer, the inter body), which are all bodies targeted by the government's focus on purity and health (as they were and are in our society). I also liked the acknowledgement that society's fatphobia and discrimination against fat people is a factor in many eating disorders (not the only one, but certainly part of many), while society (current and the dystopian one in the novel) like to pretend that eating disorders are a purely personal failing without acknowledging the way society's fatphobia influences and forms them. What I found fascinating also was the many bodies that were inherently excised from the population (the visibly disabled body that cannot hide their disability, the intersex body, those that cannot stomach the food regime due to allergies or other digestive issues). Any body that cannot be fixed to fit the norm was disappeared. And while the exclusion of non-white people is not explicitly stated, there are quite a few hints (emphasis of the palebright skin that allows people to become dr, RSCH, or police, "long dead englishes", the fact that the only (afaik) darker skins that are mentioned is in a pile of corpses), and so even the non-white body has become excluded in this society. The parallel of whiteness and purity (a white wall against ungoverned thoughts, white clothes for drs., white streets and houses) is also constantly reinforced.
There's also a disabled t4t romance that doesn't shy away from showing the ways in which even those relationships can cause harm, but can also be lifesaving love and connection.
The plot itself meanders, gets lost in time and memory, skips like a scratched record and gives small memory flashes as insights to the past. The only true constant we have is the main character I and so we follow I through their journey, with flashbacks to memories, more recent past, hypothetical pasts and futures and the "factual" present. The story is challenging to read, but fascinating and if you've ever wanted to see a book do incredibly interesting things with language and genre, please check this out!
My absolutely favorite part of this novel was the writing style, making use of blank space, different fonts, the inclusion of poetry, word play such as "It was where I first learned to shrug off my parole. (p)erforming (a) (role)", "I ow(n)ed myself", "outside their pur(e)view". Grammar, vocabulary and language in general is portrayed as a shaper (word makes world) and so it is disrupted, reorganized and reclaimed.

Absolutely recommended to anybody who wants more trans, Mad and disabled liberation, if you enjoy the writing style of Charity Heartscape Porpentine and House of Leaves, if you're a true Matrix-Head or want to see something interesting done to linguistics.

tw: oppressive government, control and coercion, ableism, transphobia, eating disorders, fatphobia, interphobia, institutionalization, medical abuse, force feeding, self-harm (probably more that I missed. It's an intense story)