THE GRACEVIEW PATIENT

4 stars out of 5

Honestly, I'm not sure how to review this one. All the way through it was gripping - mesmerizing, even - but in the end I don't know how much that matters because it felt as it I were back at the beginning of a loop that will just keep going...and going...and going. Yeah, I know that doesn't make much sense, but that's my story and I'm sticking to it.

It begins innocently enough, though a bit out of my mental wheelhouse, as Margaret Culpepper enters Graceview Hospital as part of a treatment research trial. It seems she has an incurable condition - one that renders her nearly helpless and has resulted in alienation of all her famiily members and friends. Enter the trial, her medical consultants say, and there's a chance that you'll be cured once and for all. The process, which is long, involved and often painful, requires that her entire immune system be destroyed and a new one to be "rebuilt" from the inside out.

It certainly doesn't sound appealing to me, nor did it to Margaret; but given the prognosis, if she does nothing, she'll never get better. And after all, how many ways can it go wrong? Well, I lost count of that number in the first half-dozen chapters - and it shot higher from then on, as outlined in gory detail throughout the rest of the book. Suffice it to say Margaret alternates between being happy that she's getting a chance at a cure and trying desperately to escape from what is fast becoming a prison from which she - like other trial subjects who have gone before her - will never escape alive.

All told, it's creepy, unnerving and on occasion downright terrifying - and perhaps a little too often for my liking, off-the-charts unbelievable. Then came the ending, which as I alluded to earlier, isn't exactly an ending - reminding me of an old song by the late, great Peggy Lee, "Is that all there is?"

Do not misunderstand, though; I certainly recommend it to others who like this kind of thing. Thanks to the publisher, via NetGalley, for giving me some by-the-minute thrills by way of a pre-release copy.

The Graceview Patient by Caitlin Starling (St. Martin's Press, October 2025); 297 pp.