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This was brutal! I didn't read the synopsis at all, just went into this without any expectations other than knowing it was extreme horror, and I didn't see the twist coming at all.
I know I've ranted about this many times before, but so much of the extreme horror I've read has been poorly written with very bland characters and predictable plots that rely on grossing the reader out more than telling a story, so I'm always extra impressed when I pick up an extreme horror book and find depravity and successful story-telling.