VERY GORY! Had to skip many many paragraphs of this book because the author just loves body horror (which in this novel is a metaphor for transness). The world-building was impressive, and the found family storyline is fantastic, but I just found this a bit fast and gross. I really enjoyed the reflection on evangelicalism and malthusians, but it is INTENSE! I guess I would recommend for high schoolers thinking about gender who really like gross things and thrillers, or to adults willing to confront the pain of transphobia in a very visceral way