Thank you to Net Galley and the publisher for providing an ALC for me to read and review. 
My rating: 4.5 stars 
WARNING: DO NOT EAT SLIMY FOODS WHILE READING....  This is my first experience reading from this author and I am relatively new to reading horror. This is a highly politically and socially charged story and the audio is a full cast and well produced with sound effects and great voice actors. I found this a good solid read overall with a couple of slower parts of the story... which normally would be a downside, but in this case I felt like they were well placed slow parts allowing the reader to take in what is happening and letting the reader really get caught up in the why's and wherefore's of the story. I listened to this in one sitting and would recommend doing this on purpose... get set up for the evening all snuggly and cosy with a strong drink and be ready to be thoroughly creeped out with a few side orders of ick! 
I appreciated that this politically and socially charged, apocalyptic story didn't rely on unnecessary use of slurs despite the conversations and experiences of the characters being so heavily entrenched in the prejudice of the social and political environment of the book. I also thought it showed how easy it is to miss the gradual change in people close to us and even the change in ourselves. 
I would recommend this to readers that - have a strong stomach; enjoys horror that relies on social commentary that feels a little too reflective of current times; enjoys a satirical vibe; enjoys apocalyptic stories that feel like they could happen; and doesn't mind not having clear answers for everything.