This book reminds me a lot of the THE DUMB HOUSE. An interesting but disturbing premise, adequate execution, but no discernable themes? Sometimes I think a book exists just to make you feel kind of gross, and this is one of those books. 

I will say, the narrator really kills it here. He get into character and he has a great accent and he really makes the whole story come to life. There were some story elements that I found interesting, but for the most part I just kind of felt overstimulated for the sake of shock. I can understand why some people might like that, but it's not really for me. The more I think back on it, the more I dislike it.

I think it you like books like THE DUMB HOUSE, or EXQUITISTE CORPSE (haven't read but a gut feeling), then maybe pick this one up at it seems to be in a similar vein. Otherwise, steer clear.