A really fun and original concept! The writing is also top-notch; more than a lot of books I've read this year, I kept putting myself in our main character's shoes. I actually loved how unlikable our main character is - it's kind of the point. Dr. Tuttle as a character was just slightly out of my suspension of disbelief, but she was fun to read about anyways and I enjoyed her scenes thoroughly. I think the horror/"shock value" elements here really held together for me, although

putting 9/11 at the end was pretty silly and didn't fit the story very well, for me

.

Edit: okay, after letting it sit with me for longer, this book is really good. it's genuinely the only contemporary lit book i've read in the past few months that i still think about. it's thematically thorough, and i can't get it out of my head. the main character DOES suck and it's WONDERFUL. it's about facades and beauty and privilege and how some people are so lucky that they HAVE that privilege and doesn't it make them awful? isn't this terrible, that a select few get to live their lives however they want - even in stupid, awful, hurtful ways - and it doesn't even matter? oh man!! and the obvious depression narrative is really, really resonant to read, as someone who just recently experienced their first bout of severe, life-fucking depression. oof.