I think this is overall well-written, and something I would never want to reread. It definitely pulls off queer, lovecraftian, cosmic horror. However, the book is split into parts that make me feel like I'm watching random scenes of a film, but the connective tissue is missing. The scenes are striking and there is lots of social commentary to go around. I think there are some missteps in a few characters, but overall the choices do enhance the horror and depravity of the world the characters exist in. 
If you can't stomach gore and body horror, this might be one to skip.