The Graceview Patient

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Pub Date Oct 14 2025 | Archive Date Oct 28 2025

Description

Misery meets Invasion of the Body Snatchers in this genre-bending, claustrophobic hospital gothic from the bestselling author of The Death of Jane Lawrence.

Margaret lives with a rare autoimmune condition that has destroyed her life, leaving her isolated. It has no cure, but she’s making do as best she can—until she’s offered a fully paid-for spot in an experimental medical trial at Graceview Memorial.

The conditions are simple, if grueling: she will live at the hospital as a full-time patient, subjecting herself to the near-total destruction of her immune system and its subsequent regeneration. The trial will essentially kill most of, but not all of her. But as the treatment progresses and her body begins to fail, she stumbles upon something sinister living and spreading within the hospital.

Unsure of what's real and what is just medication-induced delusion, Margaret struggles to find a way out as her body and mind succumb further to the darkness lurking throughout Graceview's halls.

Misery meets Invasion of the Body Snatchers in this genre-bending, claustrophobic hospital gothic from the bestselling author of The Death of Jane Lawrence.

Margaret lives with a rare autoimmune...


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ISBN 9781250340757
PRICE $29.00 (USD)
PAGES 320

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Average rating from 25 members


Featured Reviews

This book is a masterclass in psychological suspense, a gripping thriller that will keep you on the edge of your seat until the very last page. Caitlin Starling weaves a captivating tale of amnesia, deception, and paranoia, set against the backdrop of a secluded psychiatric hospital that feels as much a character as the people within its walls.

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This book is haunting, utterly unshakeable, hypnotic, terrifying, and impossible to look away from, a fever dream you won’t wake up from easily. It seeps into your mind, leaving behind a sense of unease that refuses to fade.

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Thank you to NetGalley and the publisher for the ARC.
Come along on a roller coaster ride inside of a hospital where you aren’t sure what is happening and what you’re imagining. Voluntarily admitting yourself as a last ditch effort to get better leads to a complete horror story of isolation and being at the mercy of others who insist you must complete the treatment. This was a book that was hard to put down and that I won’t forget about anytime soon. Definitely the stuff nightmares are made of!

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This book was so so good! I couldn't put it down! It kept me in suspense after I read it, I had to take a few minutes to process what I just read! I highly recommend reading this book!

A special thank you to NetGalley and St. Martin’s Press for a ARC in exchange for an honest review.

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A magnificent examination of chronic illness, medical knowledge, testing, and ethics, and unreliable narration. I'd teach this in literature classes. Meg, a disabled woman, agrees to take part in a medical trial, entering a hospital for several weeks. But the trial isn't what it seemed to be, the staff is sketchy, the other patients are dead or dying, and Meg begins to experience hallucinations that drive her to find answers about what she's been exposed to and why. This is visceral, wrenching horror (CW: body and medical horror) that brings both revulsion and tears to the reader. Starling's depiction of Meg's social circle dwindling because of her illness and her explanations of the social model of disability are spot-on. Highly recommended, even if horror isn't your usual genre. This is criplit at its best.

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This is my 2nd Starling book thanks to NetGalley ARC thank you!! True to form this is genre bending here are words that fought for space in my head while listening to: suffocating, anxiety inducing, claustrophobic, psychologically disturbing. Is Meg mentally unbalanced and imagining everything or is she being held against her will? I’m not sure if we ever know. Starling is masterful at her craft and this book needs handles to gang on to!

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I don't normally read horror but I enjoyed this! I am fascinated by books about psych wards or locked confinement, so this one had me glued to the pages!

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To say Margaret has hit rock-bottom probably makes her life sound better than it is. She has a rare disease which has slowly left her alone and oh so sick. When an opportunity to take a spot at Graveview Hospital in a medical trial is offered to her, what choice does she have but to say yes.
She knows that the procedure will be intense. She knows the medications will make her much much sicker until she starts to get better. She also knows that no friends or family will be visiting. What she doesn’t know is how quickly the isolation will make her question everything.
She starts hearing things, seeing things, which may be real or may just be an illusion. Soon she is sure if the medicines don’t kill her, being a patient of this study in this hospital will.
Holy fever dream! I flew through this book. I never knew if what Margaret thought was real or a side effect of the drugs she was given. The longest I’ve spent in the hospital was two weeks and if I had read this book first, trial patient or not, I would’ve been questioning everything. I’m not going to say more and risk spoiling this story. My new favorite book by this author.4.5 stars.

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Somehow, I own two of Caitlin’s books and had yet to read anything by her! Her books are obviously super intriguing to me and I need a copy, but until now, I hadn’t had the chance to pick one up! I was so surprised when St Martin’s emailed me with a widget asking if I’d like the chance to read The Graceview Patient. This wasn’t even on my radar, but I read it right away! I work in the hospital, so I always love reading stories that take place there, especially horror novels! This book was so unique and terrifying and mind bending! Being in the mind of Meg, you don’t know what to believe. As she is undergoing experimental treatment, her memory isn’t trustworthy, but it’s all the reader has to go off! It has all the makings of a fantastic horror read and makes you question everything! This one comes out this fall, perfect timing for those spooky TBRs!!

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