4.5 disturbing stars!!!! OMG this book was nuts. Plain nuts!!! When I read a book like this and have almost compassionate feelings for the "crazy" it bothers me...in a good way...just means the author really sucked me in!!! This was so dark dark dark dark. The topics are not for the squeamish. I say if you like messed up crazy reading then definitely read this. I will not soon forget this book!!! The only reason I didn't go 5 stars is probably only because it wasn't my typical kind of read and I find it hard to process how I really feel about it!!