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A Particularly Nasty Case
Not yet published
Expected 16 Sep 25When a noxious hospital consultant dies of a heart attack, fellow doctor Eitan Rose smells foul play. But nobody else does, including some quite crucial players like the police and the coroner. Eitan's colleagues are already treating him with suspicion following his recent breakdown, and are sceptical of his increasingly wild theories. When another doctor dies in similar circumstances, Eitan becomes convinced there is more to these deaths than meets the eye. Is there really a killer marauding the wards or is Eitan losing the plot?
Deftly told and deathly funny, A Particularly Nasty Case is the unputdownable debut novel from Adam Kay, BAFTA-winning writer and author of multi-million global bestseller This is Going to Hurt.
Deftly told and deathly funny, A Particularly Nasty Case is the unputdownable debut novel from Adam Kay, BAFTA-winning writer and author of multi-million global bestseller This is Going to Hurt.
336 pages, Hardcover
First published August 28, 2025
15697 people want to read
About the author
Adam Kay
58 books3,406 followersAdam Kay is an award-winning comedian and writer. He previously worked for many years as a junior doctor. His first book "This is Going to Hurt: Secret Diaries of a Junior Doctor" was a Sunday Times number one bestseller for over a year and has sold over two million copies. It has been translated into 37 languages and is winner of four National Book Awards, including Book of the Year, and will be a major new comedy drama for the BBC.
His second book "Twas the Nightshift Before Christmas" was an instant Sunday Times number one bestseller and sold over 500,000 copies in its first few weeks.
"Dear NHS", edited by Adam Kay, was an instant Sunday Times number one with all profits donated to charity. His first children's book "Kay's Anatomy" will be released in October 2020.
His second book "Twas the Nightshift Before Christmas" was an instant Sunday Times number one bestseller and sold over 500,000 copies in its first few weeks.
"Dear NHS", edited by Adam Kay, was an instant Sunday Times number one with all profits donated to charity. His first children's book "Kay's Anatomy" will be released in October 2020.
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Displaying 1 - 30 of 123 reviews
June 17, 2025
I received a free copy of, A Particularly Nasty Case, by Adam Kay, from the publisher and Netgalley in exchange for an honest review. Eitan thinks a fellow Dr.s death is hinky, but nobody else believes him, until another doctor dies. I thought this was a good read, I could do without the language though.
September 9, 2025
⭐️ 3.5 rounded up to 4 for the humor! Many LOL moments in this fast paced, who-dun-it!
Dr Eitan Rose is struggling mentally after the death of his sister years before. Just back from a forced sabbatical at the hospital, he’s being monitored by the uptight Dr Moran.
When Dr Moran turns up dead, Eitan seems to be the only one suspecting murder. When the new head Dr Stein also dies from a heart attack Eitan sets out with his new beau, Cole ,to track a killer.
Filled with hilarious dialogue, raucous situations, and a cast of engaging friends, despite a rather predictable ending, it was an enjoyable read.
Thank you NetGalley and Mulholland Books publishers for the eARC in exchange for my honest opinion.
Dr Eitan Rose is struggling mentally after the death of his sister years before. Just back from a forced sabbatical at the hospital, he’s being monitored by the uptight Dr Moran.
When Dr Moran turns up dead, Eitan seems to be the only one suspecting murder. When the new head Dr Stein also dies from a heart attack Eitan sets out with his new beau, Cole ,to track a killer.
Filled with hilarious dialogue, raucous situations, and a cast of engaging friends, despite a rather predictable ending, it was an enjoyable read.
Thank you NetGalley and Mulholland Books publishers for the eARC in exchange for my honest opinion.
September 6, 2025
I received a copy for review purposes. All opinions are honest and mine alone.
If you’re looking for a read that will center on a young doctor, a hospital and patients in addition to A PARTICULARLY NASTSY CASE mystery, this is definitely not it.
What you will find between these too many pages is the story of an entitled young doctor with mental health issues. He’s ill mannered, foul mouthed and tortured by events from his youth. Eitan, our doctor, does have a heart, but doesn’t have any idea how to act in polite society. He has no relationship with his family, other than financial, and is tolerated professionally for a variety of reasons. His personal life is a hot mess and I wish it had remained a mystery.
Two of Eitan’s fellow doctors are found dead of apparent heart failure. He’s the only one that suspects foul play but no one believes him because of his behavior and history. He and his partner set out to prove the deaths are murder and Eitan ends up being arrested for it himself.
It’s only the last few chapters that are remotely interesting with a well held twist. Aside from that, which earned this wretched tome a second star, this was a nasty read I could have done quite well without. Misleading publisher’s blurb, lots of foul language and unnecessary gay groping add to the smarmy feel. Definitely no recommendation from me 📚
Read and Reviewed from a NetGalley eARC via Kindle, with thanks
If you’re looking for a read that will center on a young doctor, a hospital and patients in addition to A PARTICULARLY NASTSY CASE mystery, this is definitely not it.
What you will find between these too many pages is the story of an entitled young doctor with mental health issues. He’s ill mannered, foul mouthed and tortured by events from his youth. Eitan, our doctor, does have a heart, but doesn’t have any idea how to act in polite society. He has no relationship with his family, other than financial, and is tolerated professionally for a variety of reasons. His personal life is a hot mess and I wish it had remained a mystery.
Two of Eitan’s fellow doctors are found dead of apparent heart failure. He’s the only one that suspects foul play but no one believes him because of his behavior and history. He and his partner set out to prove the deaths are murder and Eitan ends up being arrested for it himself.
It’s only the last few chapters that are remotely interesting with a well held twist. Aside from that, which earned this wretched tome a second star, this was a nasty read I could have done quite well without. Misleading publisher’s blurb, lots of foul language and unnecessary gay groping add to the smarmy feel. Definitely no recommendation from me 📚
Read and Reviewed from a NetGalley eARC via Kindle, with thanks
August 11, 2025
Having thoroughly enjoyed Adam’s writing about his experiences working in the NHS, I was super excited to read his debut novel. I’m a huge fan of a cosy crime and when murder meets humour it makes for a thrilling read. I absolutely loved this book: it had me in stitches. I couldn’t help picturing Ben Whisham in the role of Eitan! His friends, boyfriends and colleagues were great supporting characters, who came out with such hilarious one-liners. The situations Eitan managed to find himself were simply too funny and had me laughing in anticipation. This book is such a page turner and Adam deals so well with serious issues throughout, maintaining a very clever balance between them and comedy. I can already see this on TV and look forward to whatever Adam has up his sleeve for us next.
Thanks to NetGalley and the publisher for an advanced copy in exchange for a review.
Thanks to NetGalley and the publisher for an advanced copy in exchange for a review.
August 4, 2025
Ever since It’s Going To Hurt, I have read everything Adam Kay has written. So when I heard he was turning his hand to fiction, I was already sold.
Spoiler: he absolutely nailed it!!!
From start to finish, A Particularly Nasty Case had me howling. Adam’s razor-sharp wit, perfectly timed one-liners, and his uncanny ability to tackle serious topics (like mental health stigma) with both humour and heart is UNMATCHED!
This isn’t your average crime novel — it’s a laugh-out-loud, tea-through-the-nose (yes this happened to me), twisty, brilliantly bonkers whodunnit with brains and belly laughs. The plot is smart, the characters unforgettable, and the punchlines? Immaculate.
I genuinely loved this book and am already hoping this is the start of a whole new Kay-era.
Spoiler: he absolutely nailed it!!!
From start to finish, A Particularly Nasty Case had me howling. Adam’s razor-sharp wit, perfectly timed one-liners, and his uncanny ability to tackle serious topics (like mental health stigma) with both humour and heart is UNMATCHED!
This isn’t your average crime novel — it’s a laugh-out-loud, tea-through-the-nose (yes this happened to me), twisty, brilliantly bonkers whodunnit with brains and belly laughs. The plot is smart, the characters unforgettable, and the punchlines? Immaculate.
I genuinely loved this book and am already hoping this is the start of a whole new Kay-era.
August 26, 2025
From the current reviews, it's clear that I enjoyed this book more than some others. It presents a challenging review because while there were some excellent moments, I did encounter a few significant issues. In the end, I settled on a three-star rating which seems fair.
Having enjoyed Adam Kay's non-fiction, I was eager to dive into his debut novel. I appreciated the in depth exploration of the NHS and the complexities involved in loving a system that often fails both its patients and staff.
The whodunnit aspect was reasonably clever; I initially guessed the killer, but by the end, I had given up on trying to solve it because it could truly have been anyone.
However, the characters left much to be desired. I found it difficult to root for Eitan. While I acknowledge that he was mistreated in a system that often struggles with mental health issues, some of his actions were inexcusable and unethical. It’s hard to believe he could continue practicing after everything.
While I typically don’t mind bad language, here it sometimes felt unnecessary and used for the sake of it, rather than adding to the story.
Overall, I'm glad I read it. I believe some readers will undoubtedly love it, although I think my expectations were set too high given Adam Kay's reputation..
Thanks to the Author, publishers and Netgalley for the ARC of this book
Having enjoyed Adam Kay's non-fiction, I was eager to dive into his debut novel. I appreciated the in depth exploration of the NHS and the complexities involved in loving a system that often fails both its patients and staff.
The whodunnit aspect was reasonably clever; I initially guessed the killer, but by the end, I had given up on trying to solve it because it could truly have been anyone.
However, the characters left much to be desired. I found it difficult to root for Eitan. While I acknowledge that he was mistreated in a system that often struggles with mental health issues, some of his actions were inexcusable and unethical. It’s hard to believe he could continue practicing after everything.
While I typically don’t mind bad language, here it sometimes felt unnecessary and used for the sake of it, rather than adding to the story.
Overall, I'm glad I read it. I believe some readers will undoubtedly love it, although I think my expectations were set too high given Adam Kay's reputation..
Thanks to the Author, publishers and Netgalley for the ARC of this book
July 25, 2025
Thank you to NetGalley and the publisher for providing me with an ARC of this novel. All my thoughts and opinions are my own.
This book is about a bipolar, drug-addict doctor named Eitan who is his own worst enemy - and has absolutely no business being in hold of an active license.
I don’t think I’ve ever read a book where I felt so indifferent — about /everything/. I wasn’t particularly attached to Eitan. I didn’t wish him well; I didn’t wish him ill. I didn’t hate him; I didn’t like him. There wasn’t a point while reading when I was happy, upset, angry, curious, concerned, scared, amused — nothing.
It tried so incredibly hard to be funny and quirky, that all I could do sometimes was just stare into the invisible camera. The murder mystery is glaringly obvious almost from the moment the person is introduced. I think I lost count on how many times I sighed each time Eitan was playing right into their hands. It was too on the nose.
I’m actually floored about how nothing really intrigued me or completely put me off of the book - although the casual drug use left a sour taste in my mouth. I can recite this book from start to finish, so it wasn’t a matter of not comprehending or paying attention to what I read. But there’s not a single emotion I can attach to any of it. I had half a mind to reread it to see if I felt differently a second time, but the mere idea of doing so was the only point in which I felt /anything/ towards this book other than apathy.
This book is about a bipolar, drug-addict doctor named Eitan who is his own worst enemy - and has absolutely no business being in hold of an active license.
I don’t think I’ve ever read a book where I felt so indifferent — about /everything/. I wasn’t particularly attached to Eitan. I didn’t wish him well; I didn’t wish him ill. I didn’t hate him; I didn’t like him. There wasn’t a point while reading when I was happy, upset, angry, curious, concerned, scared, amused — nothing.
It tried so incredibly hard to be funny and quirky, that all I could do sometimes was just stare into the invisible camera. The murder mystery is glaringly obvious almost from the moment the person is introduced. I think I lost count on how many times I sighed each time Eitan was playing right into their hands. It was too on the nose.
I’m actually floored about how nothing really intrigued me or completely put me off of the book - although the casual drug use left a sour taste in my mouth. I can recite this book from start to finish, so it wasn’t a matter of not comprehending or paying attention to what I read. But there’s not a single emotion I can attach to any of it. I had half a mind to reread it to see if I felt differently a second time, but the mere idea of doing so was the only point in which I felt /anything/ towards this book other than apathy.
September 9, 2025
I enjoyed A Particularly Nasty Case by Adam Kay. Eitan Rose was a fascinatingly flawed protagonist, paranoid, stubborn, and deeply human. I found myself rooting for him even as I wondered if he was losing it. The hospital setting felt vivid and authentic, and the mix of dark humor and suspense had me laughing one moment and holding my breath the next. I particularly appreciated the clever twists and sharp observations that kept the story unpredictable. This was witty, gripping, and genuinely unputdownable.
Multi POV
Not a romance although there is a touch of it
Triggers
Multi POV
Not a romance although there is a touch of it
Triggers
September 7, 2025
This is the rare case of a non-fiction writer producing quality fiction that doesn’t just feel like a roman a clef. A Particularly Nasty Case is rollicking good fun, sharp and funny. Your heart will be in your mouth, and your guts will fall to the floor as the unstable genius desperately tries to convince everyone around him that a wily murderer is on the loose.
My full review of A Particularly Nasty Case is up now on Keeping Up With The Penguins.
My full review of A Particularly Nasty Case is up now on Keeping Up With The Penguins.
August 2, 2025
A big thank you to NetGalley and Orion for the eARC in exchange for an honest review!
Dr Eitan Rose is back at work after some time off. The time off being a manic episode that led to a relationship breakdown, being sectioned, and generally not having a great time. But he’s back, working as a consultant in the NHS, and nothing will ruin his fresh start. Except maybe the sudden and suspicious death of a colleague. Surely he can pass his return to work supervision and solve a murder or two, right?
As someone who deeply loved Adam Kay’s previous work, I was very excited to receive a copy of his debut novel. The writing was full of Kay’s cynical wit and sharp one-liners, and as a doctor, I thoroughly enjoyed the NHS setting (and the jokes at its expense). Eitan himself was an interesting character. Dealing with returning to work following his bipolar relapse, helped along with some nasal spray (which may or may not contain cocaine), and generally being quite the bundle of chaos, Eitan is a complex protagonist whose saving grace is wearing his heart on his sleeve and genuinely - in his own way - trying to do the best he can. Our secondary characters were all pretty strong, with Margaret becoming an absolute favourite of mine in the latter half of the book. The plot was paced well, with enough intrigue to get me hooked, although I did solve the murder mystery pretty early on, but the whole thing was such a romp that I didn’t feel particularly miffed about getting it right. Sometimes, I prefer to guess the twist and it make sense, than be blindsided with something illogical.
I think the strength of this book - like the rest of Kay’s work - lies in the absolute love for the NHS. It’s a complicated thing, really, to have so much emotion tied up in this broken system. As a doctor working in mental health, I appreciated the book highlighting the specific struggles within psychiatry, as well as having a main character who was both a doctor and someone with a mental health condition. Due to all the murdery business, we didn’t get into much of the clinical stuff, but the glimpses we did get showed Eitan as a passionate, knowledgeable, and caring doctor, which I appreciated.
I think overall, I had a fun time. This was a wild romp through the hospital corridors paired a decent murder mystery. For real thriller lovers, this may come as a disappointment, but for those who love a bit of medical drama, you should have a great time with this!
3.5 🌟
Dr Eitan Rose is back at work after some time off. The time off being a manic episode that led to a relationship breakdown, being sectioned, and generally not having a great time. But he’s back, working as a consultant in the NHS, and nothing will ruin his fresh start. Except maybe the sudden and suspicious death of a colleague. Surely he can pass his return to work supervision and solve a murder or two, right?
As someone who deeply loved Adam Kay’s previous work, I was very excited to receive a copy of his debut novel. The writing was full of Kay’s cynical wit and sharp one-liners, and as a doctor, I thoroughly enjoyed the NHS setting (and the jokes at its expense). Eitan himself was an interesting character. Dealing with returning to work following his bipolar relapse, helped along with some nasal spray (which may or may not contain cocaine), and generally being quite the bundle of chaos, Eitan is a complex protagonist whose saving grace is wearing his heart on his sleeve and genuinely - in his own way - trying to do the best he can. Our secondary characters were all pretty strong, with Margaret becoming an absolute favourite of mine in the latter half of the book. The plot was paced well, with enough intrigue to get me hooked, although I did solve the murder mystery pretty early on, but the whole thing was such a romp that I didn’t feel particularly miffed about getting it right. Sometimes, I prefer to guess the twist and it make sense, than be blindsided with something illogical.
I think the strength of this book - like the rest of Kay’s work - lies in the absolute love for the NHS. It’s a complicated thing, really, to have so much emotion tied up in this broken system. As a doctor working in mental health, I appreciated the book highlighting the specific struggles within psychiatry, as well as having a main character who was both a doctor and someone with a mental health condition. Due to all the murdery business, we didn’t get into much of the clinical stuff, but the glimpses we did get showed Eitan as a passionate, knowledgeable, and caring doctor, which I appreciated.
I think overall, I had a fun time. This was a wild romp through the hospital corridors paired a decent murder mystery. For real thriller lovers, this may come as a disappointment, but for those who love a bit of medical drama, you should have a great time with this!
3.5 🌟
September 3, 2025
Personally and professionally troubled doctor, Eitan Rose returns to work - then a couple of Very Important Doctors die suddenly, with a similar apparent cause. Eitan smells a rat, but given he had accessibility and reason, not too many of the professionals (police, coroners, hospital administrators) are listening to him. Add to that his recent extended time off for mental health issues, a long-embedded trauma, and all of a sudden, the reader is along for the very non-linear investigation. Featuring a plethora of puns, this first novel by the noted hospital memoir doctor Adam Kay (This Is Going To Hurt, amongst others) is an amusing and twisting crime read.
July 21, 2025
As readers of This is Going to Hurt: Secret Diaries of a Junior Doctor know, Adam Kay is very funny. There were scenes in A Particularly Nasty Case that had me laughing uncontrollably. He is also witty, with a great ear for what people actually say.
This is more a romp than a mystery. The plot is just an excuse to get his protagonist into scrapes and escapades. Still, I enjoyed this and am glad to have read it.
This is more a romp than a mystery. The plot is just an excuse to get his protagonist into scrapes and escapades. Still, I enjoyed this and am glad to have read it.
August 28, 2025
A Particularly Nasty Case
Adam Kay
‘Had he performed sex-club CPR last night or was that a bus-shelter dream?’
If you haven’t read Adam Kay before, the standout feature of his books is his remarkable wit. His intelligence, banter and prose are immensely impressive. Told so captivatingly and let entirely understandable even with no medical knowledge. He is a storyteller that will have you laughing out loud and shocked in equal measure.
“I'm saying you need to make an appointment with Diana Deluxe,” said Cole.
'To thrash it out?'
'To thrash it out.'
This book was humorous and poignant. With a fun mystery to solve and wild adventures along the way.
‘He fired a quick email off to Nina to sort it out, then briely polished his halo, before it immediately tarnished and flaked.’
I loved it. This Is Going To Hurt is still up there with my all time favourite reads so it’s completely fair to say I’d read anything he writes and rest assured I’ll likely love it.
‘He'd finally told the truth in that toilet cubicle - Cole really was too good for him, and you don't
keep a puppy in the same cage as a wolf.
'Do you want to chat?' asked the puppy.
The wolf resisted the urge to look at his watch. Don't ruin this, he told himself.’
When a toxic hospital consultant dies of a heart attack, fellow doctor Eitan Rose smells foul play. Nobody else does though, including some quite crucial players like the police and the coroner.
'But I reckon I've gone as far as I can with this.'
'But you're so close!' protested Eitan.
'To what? Getting killed or molested?'
Eitan stared incredulously at Cole. 'To a confession!'
As Eitan refuses to let it drop, he launches a chaotic investigation that is of increasing concern to friends and colleagues watching on. Is Eitan spiralling out of control? Is he making a career-ending mistake or could there genuinely be a killer stalking the wards?
'It's the illness that is selfish, not the individual',
Adam Kay
‘Had he performed sex-club CPR last night or was that a bus-shelter dream?’
If you haven’t read Adam Kay before, the standout feature of his books is his remarkable wit. His intelligence, banter and prose are immensely impressive. Told so captivatingly and let entirely understandable even with no medical knowledge. He is a storyteller that will have you laughing out loud and shocked in equal measure.
“I'm saying you need to make an appointment with Diana Deluxe,” said Cole.
'To thrash it out?'
'To thrash it out.'
This book was humorous and poignant. With a fun mystery to solve and wild adventures along the way.
‘He fired a quick email off to Nina to sort it out, then briely polished his halo, before it immediately tarnished and flaked.’
I loved it. This Is Going To Hurt is still up there with my all time favourite reads so it’s completely fair to say I’d read anything he writes and rest assured I’ll likely love it.
‘He'd finally told the truth in that toilet cubicle - Cole really was too good for him, and you don't
keep a puppy in the same cage as a wolf.
'Do you want to chat?' asked the puppy.
The wolf resisted the urge to look at his watch. Don't ruin this, he told himself.’
When a toxic hospital consultant dies of a heart attack, fellow doctor Eitan Rose smells foul play. Nobody else does though, including some quite crucial players like the police and the coroner.
'But I reckon I've gone as far as I can with this.'
'But you're so close!' protested Eitan.
'To what? Getting killed or molested?'
Eitan stared incredulously at Cole. 'To a confession!'
As Eitan refuses to let it drop, he launches a chaotic investigation that is of increasing concern to friends and colleagues watching on. Is Eitan spiralling out of control? Is he making a career-ending mistake or could there genuinely be a killer stalking the wards?
'It's the illness that is selfish, not the individual',
August 31, 2025
I really enjoyed Adam Kay’s other books so was looking forward to reading a novel by the same author with the same trademark humour.
A Particularly Nasty Case starts with a bang, and is entertaining from the off - although I did feel the humour felt a bit too much at the start, like the author was trying to force in loads of quips whether they were needed or not. However, as the book continued I felt that the humour settled in, and this book became what was a genuinely funny novel for me - one that I found myself looking forward to picking back up and continuing.
The storyline follows doctor Eitan, as he discovers a senior doctor at his hospital has a heart attack in what he deems to be suspicious circumstances. He decides to find out more about whether any foul play was involved. Along with his new boyfriend Cole, Eitan gets into all sorts of scrapes and crazy situations in the name of investigating.
A Particularly Nasty Case is great fun, but the storyline is ridiculous. It’s a riotous blend of slapstick scenes, sarcasm and snarky comments. Don’t read this if you’re wanting a realistic, believable storyline - but it’s this is a humorous book, so it’s all in the name of comedy! It’s an easy, entertaining read with a real mix of characters.
I have to say, I still can’t quite decide what I think of Eitan. I wouldn’t say he’s particularly likeable in how he treats people, but he does come out with some funny comments. The book also deals with mental health in a frank and open way - not just how it affects those directly affected but also the person’s friends too.
I’d recommend A Particularly Nasty Case for anyone looking for a fun, humorous read with an element of mystery added in.
A Particularly Nasty Case starts with a bang, and is entertaining from the off - although I did feel the humour felt a bit too much at the start, like the author was trying to force in loads of quips whether they were needed or not. However, as the book continued I felt that the humour settled in, and this book became what was a genuinely funny novel for me - one that I found myself looking forward to picking back up and continuing.
The storyline follows doctor Eitan, as he discovers a senior doctor at his hospital has a heart attack in what he deems to be suspicious circumstances. He decides to find out more about whether any foul play was involved. Along with his new boyfriend Cole, Eitan gets into all sorts of scrapes and crazy situations in the name of investigating.
A Particularly Nasty Case is great fun, but the storyline is ridiculous. It’s a riotous blend of slapstick scenes, sarcasm and snarky comments. Don’t read this if you’re wanting a realistic, believable storyline - but it’s this is a humorous book, so it’s all in the name of comedy! It’s an easy, entertaining read with a real mix of characters.
I have to say, I still can’t quite decide what I think of Eitan. I wouldn’t say he’s particularly likeable in how he treats people, but he does come out with some funny comments. The book also deals with mental health in a frank and open way - not just how it affects those directly affected but also the person’s friends too.
I’d recommend A Particularly Nasty Case for anyone looking for a fun, humorous read with an element of mystery added in.
August 3, 2025
A big thank you to NetGalley and Orion for the eARC in exchange for an honest review!
I loved Adam’s first book - this is going to hurt. It is well worth remembering that this is a fiction book and so very different genre. This focuses on a consultants return to work after a relapse of his mental illness. He then becomes a murder mystery sleuth when 2 shocking deaths occur by a surprising murderer. Adam’s love of the NHS still shines through and I’m sure we can all relate to how he portrays some of the characters. I managed to read it in a day. I wouldn’t say it was gripping but I did want to find out what happened. A dark sense of humour, being aware addiction is mentioned and being unbothered about swearing is required. Which is fine for me, I did chuckle at points in the book. I was concerned that it wasn’t helping the stigma of mental health however it was better towards the end of the book and I understand it was part of the plot.
Overall a good first entry into the fiction world.
I loved Adam’s first book - this is going to hurt. It is well worth remembering that this is a fiction book and so very different genre. This focuses on a consultants return to work after a relapse of his mental illness. He then becomes a murder mystery sleuth when 2 shocking deaths occur by a surprising murderer. Adam’s love of the NHS still shines through and I’m sure we can all relate to how he portrays some of the characters. I managed to read it in a day. I wouldn’t say it was gripping but I did want to find out what happened. A dark sense of humour, being aware addiction is mentioned and being unbothered about swearing is required. Which is fine for me, I did chuckle at points in the book. I was concerned that it wasn’t helping the stigma of mental health however it was better towards the end of the book and I understand it was part of the plot.
Overall a good first entry into the fiction world.
September 4, 2025
3 ⭐
ARC Review
After loving Adams Kay's previous books I was really excited to read this.
While some of the topics around mental illness were a bit close to the mark the overall storyline was entertaining, although I will say the pace of the book should have been quicker to keep you guessing.
I managed to work out who the killer was within the first two chapters which I don't know if it was just because of how obvious it was or because of the amount of crime I read.
Thank you to Netgalley for my advanced copy of this ebook.
ARC Review
After loving Adams Kay's previous books I was really excited to read this.
While some of the topics around mental illness were a bit close to the mark the overall storyline was entertaining, although I will say the pace of the book should have been quicker to keep you guessing.
I managed to work out who the killer was within the first two chapters which I don't know if it was just because of how obvious it was or because of the amount of crime I read.
Thank you to Netgalley for my advanced copy of this ebook.
This entire review has been hidden because of spoilers.
August 27, 2025
We've had the cases from the delivery rooms, now we have the fictional word of a doctor with bi-polar.
The night before Eitan Rose is going back to work after having a breakdown, he visits a gay club and ends up saving the life of one of the other guests. Flippatlny he gives his bosses name when asked his name.
Fast forward a few days, Eitan has a new love interest and a dead boss. He comes convinced that his boss didn't die from a heart attack as he was wearing loafers when he was supposed to be out jogging. Unfortunately his methods of trying to get to the truth lead him to another suspension.
When his new boss also dies, he is really convinced something is going on, assisted by boyfriend Cole, he has several suspects and investigates in his own way eventually getting arrested himself.
This book will make you smile, but also get annoyed in the way his bi-polar is dismissed by people.
The night before Eitan Rose is going back to work after having a breakdown, he visits a gay club and ends up saving the life of one of the other guests. Flippatlny he gives his bosses name when asked his name.
Fast forward a few days, Eitan has a new love interest and a dead boss. He comes convinced that his boss didn't die from a heart attack as he was wearing loafers when he was supposed to be out jogging. Unfortunately his methods of trying to get to the truth lead him to another suspension.
When his new boss also dies, he is really convinced something is going on, assisted by boyfriend Cole, he has several suspects and investigates in his own way eventually getting arrested himself.
This book will make you smile, but also get annoyed in the way his bi-polar is dismissed by people.
July 29, 2025
I received a free copy of this book through NatGalley.
This book had me smiling from the dedication and then the first line had me hooked.
The author has written a witty and very thoughtful book. From the laugh out loud bits to the observations on how we as a society treat mental illness especially those who are bipolar and to how we all deal with the loss of a loved one.
It has medical terms but these are used as plot points and as humorous interludes (and you don’t even need any knowledge of biology to follow the plot.)
I highly recommend this book if you like a crime book that is a bit different.
This book had me smiling from the dedication and then the first line had me hooked.
The author has written a witty and very thoughtful book. From the laugh out loud bits to the observations on how we as a society treat mental illness especially those who are bipolar and to how we all deal with the loss of a loved one.
It has medical terms but these are used as plot points and as humorous interludes (and you don’t even need any knowledge of biology to follow the plot.)
I highly recommend this book if you like a crime book that is a bit different.
August 24, 2025
I enjoyed the previous books written by the author, which are amusing insights to his job as a doctor, I was keen to read his first foray into fiction. I was highly entertained and can honestly say that it was amusing, wryly written and joy of a book to read, full of intrigue and a central character who you would not find in most novels.
Etian is a rheumatologist who struggles with his bipolar disorder and even more with feelings of guilt about the death of his sister some years ago. As deaths occur at the hospital he works at and Etian himself is unsure as to who ( including maybe himself) are responsible, the hunt is on for the perpetrator.
I very enjoyable read with some witty characters and a great entertaining plot. I would thoroughly recommend this for those who enjoy a good mystery and a healthy dose of wit and humour.
Thanks to Netgalley, the author and the publisher for the opportunity to read this book in exchange for an honest review.
Etian is a rheumatologist who struggles with his bipolar disorder and even more with feelings of guilt about the death of his sister some years ago. As deaths occur at the hospital he works at and Etian himself is unsure as to who ( including maybe himself) are responsible, the hunt is on for the perpetrator.
I very enjoyable read with some witty characters and a great entertaining plot. I would thoroughly recommend this for those who enjoy a good mystery and a healthy dose of wit and humour.
Thanks to Netgalley, the author and the publisher for the opportunity to read this book in exchange for an honest review.
July 26, 2025
I was hoping for something that was far removed from what I got. Worst main character I’ve encountered in a long time and reading some other reviews made me decide not to waste my time.
Love this author’s nonfiction but this was not for me.
Love this author’s nonfiction but this was not for me.
July 6, 2025
As a student in the medical field, I adored this book. The nerd in me loved the little golden nuggets of medical references (I mean a dermatologist named Stephen St. Johnson?? Was I reading too much into it thinking that this was a reference to Stevens-Johnson Syndrome? Maybe. Also, maybe not!).
I really enjoyed reading Dr. Eitan Rose somewhat blunder through his own version of a murder investigation utilizing his doctor approach (e.g. "The first step in reaching a diagnosis was taking a careful patient history" as he tries to glean information from one of his potential murder suspects) even as it got progressively more unhinged. I especially enjoyed it when Dr. Rose's cheeky side would come through the evidence excerpts.
It was a fun and easy to read although sometimes (maybe twice) my mind did wander from the text. I did really appreciate the point being made about the stigma surrounding mental health issues in the healthcare profession and the resulting lack of proper psychiatric help. My favorite line on this topic was this: *talking about lack of research and development in psychiatry* "Ultimately, it stemmed from a deep-rooted stigma that she'd always felt was one of medicine's greatest cruelties" (I sent the paragraph to my future-psychiatrist friend and she loved it.).
Thank you to Hachette Book Group/Little, Brown and Company for the opportunity to read and review this book!
Also, a disclaimer like this one that was in the beginning of the book: "Any resemblance to actual persons, living or dead, is completely intentional." always warrants a read in my opinion :D This was the first book by Adam Kay that I've read and I have heard great things about This is Going to Hurt so I will be checking that out as well!
Here's what I said on TikTok about it: https://www.tiktok.com/@sbuggymoo/vid...
I really enjoyed reading Dr. Eitan Rose somewhat blunder through his own version of a murder investigation utilizing his doctor approach (e.g. "The first step in reaching a diagnosis was taking a careful patient history" as he tries to glean information from one of his potential murder suspects) even as it got progressively more unhinged. I especially enjoyed it when Dr. Rose's cheeky side would come through the evidence excerpts.
It was a fun and easy to read although sometimes (maybe twice) my mind did wander from the text. I did really appreciate the point being made about the stigma surrounding mental health issues in the healthcare profession and the resulting lack of proper psychiatric help. My favorite line on this topic was this: *talking about lack of research and development in psychiatry* "Ultimately, it stemmed from a deep-rooted stigma that she'd always felt was one of medicine's greatest cruelties" (I sent the paragraph to my future-psychiatrist friend and she loved it.).
Thank you to Hachette Book Group/Little, Brown and Company for the opportunity to read and review this book!
Also, a disclaimer like this one that was in the beginning of the book: "Any resemblance to actual persons, living or dead, is completely intentional." always warrants a read in my opinion :D This was the first book by Adam Kay that I've read and I have heard great things about This is Going to Hurt so I will be checking that out as well!
Here's what I said on TikTok about it: https://www.tiktok.com/@sbuggymoo/vid...
July 31, 2025
When a hospital consultant suddenly drops dead of a heart attack, fellow doctor Eitan is the only one to suspect foul play. Juggling his return to work, relationships with friends and colleagues, and his mental health, he decides to conduct an investigation of his own. Is there really a killer on the loose?
This was a fun thriller read, set within an NHS hospital. As someone who has previously worked for the NHS, I enjoyed the jokes and realities of working in this environment, and it made the story more enjoyable for me. I think this is one of the funniest thrillers I’ve read, and the medical additions made it a perfect read for me.
I appreciate the spotlight being shone onto the state of psychiatric help within the UK, and even the discrimination that staff members in any workplace can feel, in regard to mental illness. It added a lot to the story without feeling like the sole focus of the story, which is a difficult and impressive thing to achieve.
The plot was perfectly paced, I finished this very quickly. I enjoyed the extra “documents”, such as copies of the emails, and occupational health reports. I feel like it gives the reader insider information and provides a lot of backstory to Eitan’s character.
Towards the end, I started to guess the direction the story was going in but I wasn’t disappointed with the ending. I do think the motives could’ve been better or more fully explained, but it did make sense.
I will absolutely be reading other works by this author because I think this is an excellent book, and I am absolutely the target audience!
If you enjoy comedy thrillers or medical settings then you will definitely enjoy this book.
Thank you NetGalley, Orion Publishing Group and Adam Kay for a copy of this book in exchange for my honest opinion. All opinions are my own.
This was a fun thriller read, set within an NHS hospital. As someone who has previously worked for the NHS, I enjoyed the jokes and realities of working in this environment, and it made the story more enjoyable for me. I think this is one of the funniest thrillers I’ve read, and the medical additions made it a perfect read for me.
I appreciate the spotlight being shone onto the state of psychiatric help within the UK, and even the discrimination that staff members in any workplace can feel, in regard to mental illness. It added a lot to the story without feeling like the sole focus of the story, which is a difficult and impressive thing to achieve.
The plot was perfectly paced, I finished this very quickly. I enjoyed the extra “documents”, such as copies of the emails, and occupational health reports. I feel like it gives the reader insider information and provides a lot of backstory to Eitan’s character.
Towards the end, I started to guess the direction the story was going in but I wasn’t disappointed with the ending. I do think the motives could’ve been better or more fully explained, but it did make sense.
I will absolutely be reading other works by this author because I think this is an excellent book, and I am absolutely the target audience!
If you enjoy comedy thrillers or medical settings then you will definitely enjoy this book.
Thank you NetGalley, Orion Publishing Group and Adam Kay for a copy of this book in exchange for my honest opinion. All opinions are my own.
August 25, 2025
✨ARC Review✨
A funny, witty suspenseful book about murder, mystery and mayhem. 👀
I really enjoyed this! Some parts had me giggling, others had me going 'oh no, do not do THAT!' and making me cringe. Plenty of funny banter, lots of medical words to digest, and of course a murder mystery. Was a fun rainy day read. 😇
A funny, witty suspenseful book about murder, mystery and mayhem. 👀
I really enjoyed this! Some parts had me giggling, others had me going 'oh no, do not do THAT!' and making me cringe. Plenty of funny banter, lots of medical words to digest, and of course a murder mystery. Was a fun rainy day read. 😇
August 3, 2025
Dr Eitan (rhymes with spray tan) Rose is having a very troubling time. Newly back at work after a period of extended leave (euphemism for breakdown), he finds himself subject to Management supervision, in this case St Jude's Medical Director, Douglas Moran, a man who doesn't particularly like Eitan and isn't afraid to show it. The feeling is somewhat mutual and, following a series of missteps - including Eitan being caught in a somewhat compromising situation in Moran's office, there is every likelihood that Eitan's return to work will be depressingly short lived. Until fate intervenes and Moran suffers an unexpected, and ultimately fatal, cardiac arrest. You'd think that in his shoes, Eitan would just thank his lucky stars and move on. But Eitan is not like most other people, and begins to suspect foul play. Cue a rather garbled investigation as Eitan, and his new paramour, Cole seek to prove there was more to Moran's death than meets the eye.
Now, I'm going to be honest, I wasn't at the time of reading, and am still not quite now, sure what I make of Eitan. I wasn't not engaged in his life and his fate, and his actions and comments were not without humour. The more we learn about him, the more the reasons for that become clear and his behaviour makes a strange kind of sense. As his general good demeanour and endearing bedside manner, at least for most patients, gives way to a more frantic kind of mania, his erratic thought processes and actions do make it hard to always be on his side. There is something almost slapstick about some of the situations he finds himself in - compromised at both work and during a view of Moran's open casket - that has an air of Carry On Doctor, and all I was waiting for was someone to shout 'Ooh Matron' from the wings. Not that I have a problem with that. I really rather enjoyed the Carry on films of yore.
This is a comedic crime novel, if, indeed, a crime has actually been committed. It's hard to necessarily know how much of this mystery is a crime, and how much a result of Eitan's particularly active, and unusual, imagination. It's not cosy crime - too much swearing, (non graphic) sex, and casual drug use for the book to fall into that sub-genre, and I wouldn't be expecting anything of that kind from this author. But it is a very clever look at how a particular medical condition could cloud Eitan's judgment, as well as make people around Eitan, doubt how much he could be trusted. And, in that respect, Eitan's long suffering friends, newly suffering partner, and various assorted colleagues, really do represent the way in which society as a whole might prejudge, and dismiss, someone with Eitan's concerns. But, and I like what Adam kay has done here, in highlighting Eitan's long suffering friends, including his former partner, Mo, he has shown that there are decent people out there. Those who stick by Eitan through thick and thin, believing him where most rational thinking people might not, even if they don't buy all of his theories.
I'd say that the pacing of this book is just abut right, a good amount of time spent in setting up Eitan's history and establishing all of the main players in his life. Did I trust everyone in Eitan's circle of friends? No. Did the author employ a few misdirection techniques to throw us off the scent? Absolutely. Did they work ...? Well, yes and no. I was always suspicious of a certain character in this story for perhaps the very reason I would always champion his friends Mo and Fiona, who accept Eitan for who he is. I really kind of liked the pair of them, and as a threesome they do make for a very entertaining team. But Eitan's true saviour comes from a very unexpected place, and I like what the author did there. With all that happens in this book, they way in which they get to the truth, saving more than just Eitan's reputation, worked really well, leading to an ending that brought a smile to my face, in spite of the actual tragedy that precipitates it. Just about forgivable from the list of fiction no-nos given how it comes about.
A little bit manic and more comedy than mystery, this book entertained to the last page, even if I wasn't always in tune with the central character.
Now, I'm going to be honest, I wasn't at the time of reading, and am still not quite now, sure what I make of Eitan. I wasn't not engaged in his life and his fate, and his actions and comments were not without humour. The more we learn about him, the more the reasons for that become clear and his behaviour makes a strange kind of sense. As his general good demeanour and endearing bedside manner, at least for most patients, gives way to a more frantic kind of mania, his erratic thought processes and actions do make it hard to always be on his side. There is something almost slapstick about some of the situations he finds himself in - compromised at both work and during a view of Moran's open casket - that has an air of Carry On Doctor, and all I was waiting for was someone to shout 'Ooh Matron' from the wings. Not that I have a problem with that. I really rather enjoyed the Carry on films of yore.
This is a comedic crime novel, if, indeed, a crime has actually been committed. It's hard to necessarily know how much of this mystery is a crime, and how much a result of Eitan's particularly active, and unusual, imagination. It's not cosy crime - too much swearing, (non graphic) sex, and casual drug use for the book to fall into that sub-genre, and I wouldn't be expecting anything of that kind from this author. But it is a very clever look at how a particular medical condition could cloud Eitan's judgment, as well as make people around Eitan, doubt how much he could be trusted. And, in that respect, Eitan's long suffering friends, newly suffering partner, and various assorted colleagues, really do represent the way in which society as a whole might prejudge, and dismiss, someone with Eitan's concerns. But, and I like what Adam kay has done here, in highlighting Eitan's long suffering friends, including his former partner, Mo, he has shown that there are decent people out there. Those who stick by Eitan through thick and thin, believing him where most rational thinking people might not, even if they don't buy all of his theories.
I'd say that the pacing of this book is just abut right, a good amount of time spent in setting up Eitan's history and establishing all of the main players in his life. Did I trust everyone in Eitan's circle of friends? No. Did the author employ a few misdirection techniques to throw us off the scent? Absolutely. Did they work ...? Well, yes and no. I was always suspicious of a certain character in this story for perhaps the very reason I would always champion his friends Mo and Fiona, who accept Eitan for who he is. I really kind of liked the pair of them, and as a threesome they do make for a very entertaining team. But Eitan's true saviour comes from a very unexpected place, and I like what the author did there. With all that happens in this book, they way in which they get to the truth, saving more than just Eitan's reputation, worked really well, leading to an ending that brought a smile to my face, in spite of the actual tragedy that precipitates it. Just about forgivable from the list of fiction no-nos given how it comes about.
A little bit manic and more comedy than mystery, this book entertained to the last page, even if I wasn't always in tune with the central character.
September 5, 2025
At about 20% in the book, I was on the verge of abandoning it. It was not the “foul language” (as many snowflakes, all women or “assigned women at birth,” commented here), but the overall story and the writing style.
But then, only 2-3% more in the book, it started to become interesting. Then I became a victim of the author's manipulation.
The book has three parts. Part One is told by the main character, Eitan Rose. At the end of it, I thought that I knew who the murderer was. I was wrong.
Part Two is told by another character. It was written so that the reader now has a different suspect, but at the same time it's carefully crafted to hide other crucial facts.
Part Three is told by a third character and is a bit rushed in my opinion. The denouement needed a bit more detail and realism.
Either way, I had my (strong!) suspicions, and I was right. I couldn't possibly know all the details, and I'm still not satisfied with the motivation. But the thing is that all the red herrings couldn't hide the fact that, given the scarcity of the characters, there was only one possible explanation. And, indeed, that was it.
Now, what bothered me, beyond the clumsy start, is that I'm not aware how amorous relationships work in masculine gay couples. I avoid movies that are centered around gay love stories, simply because this isn't interesting to me. I also skipped gay romance novels. But this is a crime novel, and the sexual aspects are secondary, so I wanted to give it a try. Fortunately, the author himself is gay, so I trust him that the behavior of the gay characters was natural and believable. I still could not tell, because I don't know how this works, except that I don't want anything turgid anywhere near my anus.
What really pissed me off, however, was that Eitan was such a complete idiot. There were countless occasions where he literally was a dumb fuck. OK, once, twice… but that many times?! Bipolar disorders aren't a universal excuse, you know.
The medical terms (again, look up the author's background) and the horror of the NHS (I don't know why, but to me the British society is a horror movie in itself) are definite positives for me.
I won't mention any acronyms, medicines, or medical conditions, but here's an excerpt that's quite unique:
Eitan Rose is a stupid cunt (the term shows up six times in the book as a qualifier for males). But the book was not bad.
But then, only 2-3% more in the book, it started to become interesting. Then I became a victim of the author's manipulation.
The book has three parts. Part One is told by the main character, Eitan Rose. At the end of it, I thought that I knew who the murderer was. I was wrong.
Part Two is told by another character. It was written so that the reader now has a different suspect, but at the same time it's carefully crafted to hide other crucial facts.
Part Three is told by a third character and is a bit rushed in my opinion. The denouement needed a bit more detail and realism.
Either way, I had my (strong!) suspicions, and I was right. I couldn't possibly know all the details, and I'm still not satisfied with the motivation. But the thing is that all the red herrings couldn't hide the fact that, given the scarcity of the characters, there was only one possible explanation. And, indeed, that was it.
Now, what bothered me, beyond the clumsy start, is that I'm not aware how amorous relationships work in masculine gay couples. I avoid movies that are centered around gay love stories, simply because this isn't interesting to me. I also skipped gay romance novels. But this is a crime novel, and the sexual aspects are secondary, so I wanted to give it a try. Fortunately, the author himself is gay, so I trust him that the behavior of the gay characters was natural and believable. I still could not tell, because I don't know how this works, except that I don't want anything turgid anywhere near my anus.
What really pissed me off, however, was that Eitan was such a complete idiot. There were countless occasions where he literally was a dumb fuck. OK, once, twice… but that many times?! Bipolar disorders aren't a universal excuse, you know.
The medical terms (again, look up the author's background) and the horror of the NHS (I don't know why, but to me the British society is a horror movie in itself) are definite positives for me.
I won't mention any acronyms, medicines, or medical conditions, but here's an excerpt that's quite unique:
– Entered my office, 4th floor admin corridor, at 1840.
– Dr Rose and one other individual present.
– Other individual – male, approximately 6ft in height, approx age 25, muscular build, blond hair, blue eyes, clean shaven, trousers and undergarments removed.
– Dr Rose was stood behind my desk wearing a shirt. Trousers and undergarments around his ankles.
– Other individual bent forward over my desk in front of Dr Rose, hips flexed to 90 degrees.
– Dr Rose and other individual seemingly engaged in anopenetrative sexual intercourse, with other individual the anoreceptive partner.
– Dr Rose disengaged from apparent coitus immediately after I entered the room.
– Both parties reconstituted their clothing.
– The other individual exited the room, penis tumescent.
– Left office at 1842.
Eitan Rose is a stupid cunt (the term shows up six times in the book as a qualifier for males). But the book was not bad.
July 12, 2025
Eitan Rose was given a suspension of his license that was rescinded after a medical tribunal heard his case. A consulting rheumatologist at one of London's National Health Service hospitals, Rose's bipolar syndrome kicked in when a patient of his died, even though he wasn't responsible for the death. In his manic states, Rosen would go off his meds and off the rails. His antics would notch up to eleven, much to the displeasure of Dr. Morgan, his medical director, who couldn't stand him (the feeling was mutual.) After he returned from his enforced rest period, Rose went back to seeing patients, which he loved to do, but was shadowed by the medical director who made sure to continue to beat him down. After losing his live-in boyfriend, his spirits were raised when Cole, a hospital porter, put the make on him and encouraged some truly bad behavior after hours in the medical director's office Unfortunately the director returned and caught them at it, and he vowed to report Rose and end his career for good. After a sleepless night, he showed up at the hospital ready to be disgraced, but it wasn't to be. Amazingly, Dr. Morgan died of a massive heart attack that night, even though he had a normal EKG and stress test just the week before. Instead of wallowing in happiness and gratitude for his reprieve, Rose suspected something was not right and began his own investigation when no one would listen to his concerns.
With Rose as a wired Sherlock and Cole as his long suffering Watson, the pair delve into the many ways Morgan could be killed and the many suspects who wouldn't mind him dead. But as his manic behavior became more and more unhinged, the medical staff and police started believing that Morgan might have been murdered-and Rose was beginning to look more like the prime suspect. What is even worse, Morgan's replacement for medical director is next on the hit list and Rose still can't solve this particularly nasty case.
This is a book that does it all-it's hysterically laugh-out-loud funny while, at the same time very sad. Rose is a young doctor with multiple problems; beside his bipolar syndrome he is gay, his family can't accept it,and his beloved sister's death might have been partly his fault. His interactions with his best friends keep him anchored to a degree but he can't help making bad decisions and regretting them later. This is Adam Kay's debut mystery novel but he certainly knows his way around writing. When he was a doctor, he kept a secret diary of his trials as a young resident, which was published as This is Going to Hurt, and subsequently made into an award winning AMC TV series. Like Serge Storms in Tim Dorsey's Florida novels, Eitan Rose is a very flawed but darkly humorous character who makes a very interesting detective. Hope to read more of Kay's mysteries soon.
With Rose as a wired Sherlock and Cole as his long suffering Watson, the pair delve into the many ways Morgan could be killed and the many suspects who wouldn't mind him dead. But as his manic behavior became more and more unhinged, the medical staff and police started believing that Morgan might have been murdered-and Rose was beginning to look more like the prime suspect. What is even worse, Morgan's replacement for medical director is next on the hit list and Rose still can't solve this particularly nasty case.
This is a book that does it all-it's hysterically laugh-out-loud funny while, at the same time very sad. Rose is a young doctor with multiple problems; beside his bipolar syndrome he is gay, his family can't accept it,and his beloved sister's death might have been partly his fault. His interactions with his best friends keep him anchored to a degree but he can't help making bad decisions and regretting them later. This is Adam Kay's debut mystery novel but he certainly knows his way around writing. When he was a doctor, he kept a secret diary of his trials as a young resident, which was published as This is Going to Hurt, and subsequently made into an award winning AMC TV series. Like Serge Storms in Tim Dorsey's Florida novels, Eitan Rose is a very flawed but darkly humorous character who makes a very interesting detective. Hope to read more of Kay's mysteries soon.
June 21, 2025
This book follows Eitan Rose, a doctor that is returning to work after an unspecified medical leave, related to his mental health. We soon learn that in addition to whatever is wrong clinically, Eitan is still grieving the loss of his beloved sister, Elodie, nearly 20yrs ago. He blames current supervising doctor, Douglas Moran, but also blames himself to the extent that he remains perpetually in the head space of a troubled college student - living in a windowless basement, showing up to work hungover, and repeatedly using a medical inhaler that is filled with cocaine rather than antihistamines, sold to him by the on staff pharmacist. That being said, he actually enjoys helping his patients and looks forward to getting back to work.
First sign that he might not be returning to everything normal, is that cat loving Margaret has been moved into his office, along with her desk and cat posters. 2nd sign, Dr Moran will be sitting in on all of his patient visits, looking for signs that he isn't ready to be back at work. The same Moran that failed at saving Elodie all those years ago. Needless to say things don't go well. But before Moran can report Eitan, thus ruining his career, Moran turns up dead. Even better, Eitan meets the very attractive, Cole. Maybe things are finally going his way. They are not.
The book is told from Eitan's confused point of view, alternating from manic ranting to paranoia; then from Margaret's calmer point of view, having already been revealed as a bit of a dark horse, she still somewhat unexpectedly believes Eitan when he says Moran was murdered, despite a lack of evidence. And finally we get Cole's point of view. The sweet, simple, guy that's in over his head, dealing with a man in the throes of some sort of mental breakdown....or is he?
Much like books where a woman is dismissed because she's a woman, until it is proven that she was right all along, this book hinges a great deal on the prejudices society has against those who suffer from mental illnesses, even those in the medical field are quick to write Eitan off as a degenerate loser, rather than someone suffering from a medical crisis. The more he struggles, the more they take his actions to be deliberate and wanton. There is also a fair amount of classism in the hospital hierarchy which also comes to into play.
In the end, the who done it was less surprising than the why they done it. I did appreciate that the author gave us an Epilogue where we learn that Eitan is finally in a better place and actually dealing with his mental health issues.
First sign that he might not be returning to everything normal, is that cat loving Margaret has been moved into his office, along with her desk and cat posters. 2nd sign, Dr Moran will be sitting in on all of his patient visits, looking for signs that he isn't ready to be back at work. The same Moran that failed at saving Elodie all those years ago. Needless to say things don't go well. But before Moran can report Eitan, thus ruining his career, Moran turns up dead. Even better, Eitan meets the very attractive, Cole. Maybe things are finally going his way. They are not.
The book is told from Eitan's confused point of view, alternating from manic ranting to paranoia; then from Margaret's calmer point of view, having already been revealed as a bit of a dark horse, she still somewhat unexpectedly believes Eitan when he says Moran was murdered, despite a lack of evidence. And finally we get Cole's point of view. The sweet, simple, guy that's in over his head, dealing with a man in the throes of some sort of mental breakdown....or is he?
Much like books where a woman is dismissed because she's a woman, until it is proven that she was right all along, this book hinges a great deal on the prejudices society has against those who suffer from mental illnesses, even those in the medical field are quick to write Eitan off as a degenerate loser, rather than someone suffering from a medical crisis. The more he struggles, the more they take his actions to be deliberate and wanton. There is also a fair amount of classism in the hospital hierarchy which also comes to into play.
In the end, the who done it was less surprising than the why they done it. I did appreciate that the author gave us an Epilogue where we learn that Eitan is finally in a better place and actually dealing with his mental health issues.
August 28, 2025
⭐⭐⭐⭐ | Twisted, wicked, and laugh out loud funny... with a touch of "what the actual f*ck?"
I received a free copy from Hachette Australia, thank you so much for sending it my way!
This was not your average murder mystery. This was a deranged, darkly comic, and oddly cathartic read that had me cackling in one moment and shouting WHAT THE ACTUAL FCK* in the next.
Mental health meets murder... and mayhem
At the centre of the chaos is Dr Eitan Rose, a consultant returning to work after a mental health relapse, only to stumble into a series of suspicious deaths that no one else seems to take seriously. Is he spiraling, or is there a killer on the loose?
That’s the question driving this book, and it’s delivered with Adam Kay’s signature cocktail of sharp satire, irreverent humour, and razor-edged insight. Think This is Going to Hurt meets Knives Out, but with more NHS burnout and existential dread.
What I loved:
- Adam Kay’s voice is immaculate. His one-liners land like scalpels, cutting through the tension with perfect timing.
- The tone straddles the line between comedy and tragedy so well. It’s tongue-in-cheek, but never disrespectful.
- Eitan is a riot. Vindictive, petty, brutally honest and yet deeply human. As someone who also enjoys a bit of passive-aggressive sass when irritated, I felt seen.
- The commentary on mental health stigma and the absurdity of underfunded healthcare is brilliantly woven in. It never feels preachy, just pointed.
- The plot twists? Unhinged. In the best way.
But just a heads-up... This is not your typical cozy mystery or neatly-plotted procedural. It’s messy. It’s chaotic. It thrives in the grey areas. If you're looking for classic detective fiction, this might throw you, but if you're open to a sharp and slightly unhinged ride, you’ll be rewarded.
Final thoughts: This was a wild, weird, and wonderful debut. Adam Kay proves he’s just as masterful at fiction as he is with memoirs. A Particularly Nasty Case is equal parts mental health reflection, NHS critique, murder mystery, and chaotic gay energy, and I loved (almost) every minute of it.
Verdict: 4 stars
Read it if you like: Dry humour, sarcastic narrators, This is Going to Hurt, unreliable sleuths, and murder with a side of mental breakdowns.
I received a free copy from Hachette Australia, thank you so much for sending it my way!
This was not your average murder mystery. This was a deranged, darkly comic, and oddly cathartic read that had me cackling in one moment and shouting WHAT THE ACTUAL FCK* in the next.
Mental health meets murder... and mayhem
At the centre of the chaos is Dr Eitan Rose, a consultant returning to work after a mental health relapse, only to stumble into a series of suspicious deaths that no one else seems to take seriously. Is he spiraling, or is there a killer on the loose?
That’s the question driving this book, and it’s delivered with Adam Kay’s signature cocktail of sharp satire, irreverent humour, and razor-edged insight. Think This is Going to Hurt meets Knives Out, but with more NHS burnout and existential dread.
What I loved:
- Adam Kay’s voice is immaculate. His one-liners land like scalpels, cutting through the tension with perfect timing.
- The tone straddles the line between comedy and tragedy so well. It’s tongue-in-cheek, but never disrespectful.
- Eitan is a riot. Vindictive, petty, brutally honest and yet deeply human. As someone who also enjoys a bit of passive-aggressive sass when irritated, I felt seen.
- The commentary on mental health stigma and the absurdity of underfunded healthcare is brilliantly woven in. It never feels preachy, just pointed.
- The plot twists? Unhinged. In the best way.
But just a heads-up... This is not your typical cozy mystery or neatly-plotted procedural. It’s messy. It’s chaotic. It thrives in the grey areas. If you're looking for classic detective fiction, this might throw you, but if you're open to a sharp and slightly unhinged ride, you’ll be rewarded.
Final thoughts: This was a wild, weird, and wonderful debut. Adam Kay proves he’s just as masterful at fiction as he is with memoirs. A Particularly Nasty Case is equal parts mental health reflection, NHS critique, murder mystery, and chaotic gay energy, and I loved (almost) every minute of it.
Verdict: 4 stars
Read it if you like: Dry humour, sarcastic narrators, This is Going to Hurt, unreliable sleuths, and murder with a side of mental breakdowns.
June 27, 2025
Did I or did I not enjoy A Pecularly Nasty Case? I’m still ambivalent. There is no doubt that Adam Kay knows how to pen a novel. He is an excellent author. The book is witty throughout, sad at times, full of great dialogue, but generally too scattershot for my taste. I found it difficult to accept the outrageous behavior of so many of the characters; particularly those working in a hospital. We are offered a main character who is a bipolar gay doctor with mental, drinking, and drug problems. He is basically a recovering everything and not much good at any of it. Does he deserves our support and empathy as he faces life’s challenges? No. To me there wasn’t much to like about our anti-hero, Eitan Rose, other than the few sections where it was clear he cared about his patients. Most of the other characters weren’t particularly likeable either. But the prose and snappy dialogue did keep me reading on.
The death of two senior doctors at the hospital, St Jude’s, turns Eitan and new friend, Cole, into screwball detectives of sorts as Eitan is convinced their deaths were not from natural causes. He steps over the line on numerous occasions along with Cole (now his lover) to prove both doctors were murdered. Eitan and Cole’s amateurish sleuthing efforts leave them in hot water time after time. Some of the scenes are laugh out funny, others fall flat. Eitan once again ends up suspended, and a prime suspect. Eventually the murderer, to no one’s surprise, is unmasked. Eitan seems to understand his erratic behavior is hurtful to himself and those close to him and plans to chart a new course. This madcap adventure was enjoyable if I suspended my thoughts about the medical profession, hospitals, and inept law enforcement. Fortunately I was able to.
My thanks to Little, Brown and Company/Mulholland Books and NetGalley for the opportunity to read and review this entertaining work.
The death of two senior doctors at the hospital, St Jude’s, turns Eitan and new friend, Cole, into screwball detectives of sorts as Eitan is convinced their deaths were not from natural causes. He steps over the line on numerous occasions along with Cole (now his lover) to prove both doctors were murdered. Eitan and Cole’s amateurish sleuthing efforts leave them in hot water time after time. Some of the scenes are laugh out funny, others fall flat. Eitan once again ends up suspended, and a prime suspect. Eventually the murderer, to no one’s surprise, is unmasked. Eitan seems to understand his erratic behavior is hurtful to himself and those close to him and plans to chart a new course. This madcap adventure was enjoyable if I suspended my thoughts about the medical profession, hospitals, and inept law enforcement. Fortunately I was able to.
My thanks to Little, Brown and Company/Mulholland Books and NetGalley for the opportunity to read and review this entertaining work.
September 10, 2025
Thank you to NetGalley for an ARC of
A Particularly Nasty Case.
The premise sounded intriguing and I was pleased my request was approved.
I thought this was going to be a mystery with shades of Grey's Anatomy or ER.
Instead, this was about a self-loathing character who can't stand himself or anyone else.
He's not a rebel. He just hates himself. And so do I.
1. Eitan is an unpleasant, unlikable character. He's detestable, actually.
I understand he's still grieving the loss of his sister, wracked with guilt over her unexpected death, and struggling with his mental health.
But that's no excuse for the poor choices he makes; self medicating, bed hopping, the rude way he speaks to colleagues, his potty mouth, impersonating a cop, and conducting illegal searches of corpses.
Seriously?
If the author wanted to craft an anti-hero, a rebel who doesn't play by the rules, Eitan isn't it.
2. He's convinced two doctors at his hospital met with foul play but has no evidence to back up his suspicions.
He immediately points his finger to a number of suspects even though he has no evidence, other than the suspects didn't like the deceased.
What a shock.
The deceased was no saint and most of the hospital staff bore a grudge against him.
3. Apparently, the hospital system, infrastructure and staff is even worse than the American healthcare system.
Eitan spends a good portion of the narrative either boinking strangers and having one night stands and the other half bitching about the incompetent doctors he works with (like him).
4. It was so obvious who the murderer was; I clocked the perp right from the start.
5. The writing was good, but wordy, packed with filler and extraneous details and unnecessary descriptions.
If the mystery measured up, I might have given two stars. MIGHT.
The premise sounded intriguing and I was pleased my request was approved.
I thought this was going to be a mystery with shades of Grey's Anatomy or ER.
Instead, this was about a self-loathing character who can't stand himself or anyone else.
He's not a rebel. He just hates himself. And so do I.
1. Eitan is an unpleasant, unlikable character. He's detestable, actually.
I understand he's still grieving the loss of his sister, wracked with guilt over her unexpected death, and struggling with his mental health.
But that's no excuse for the poor choices he makes; self medicating, bed hopping, the rude way he speaks to colleagues, his potty mouth, impersonating a cop, and conducting illegal searches of corpses.
Seriously?
If the author wanted to craft an anti-hero, a rebel who doesn't play by the rules, Eitan isn't it.
2. He's convinced two doctors at his hospital met with foul play but has no evidence to back up his suspicions.
He immediately points his finger to a number of suspects even though he has no evidence, other than the suspects didn't like the deceased.
What a shock.
The deceased was no saint and most of the hospital staff bore a grudge against him.
3. Apparently, the hospital system, infrastructure and staff is even worse than the American healthcare system.
Eitan spends a good portion of the narrative either boinking strangers and having one night stands and the other half bitching about the incompetent doctors he works with (like him).
4. It was so obvious who the murderer was; I clocked the perp right from the start.
5. The writing was good, but wordy, packed with filler and extraneous details and unnecessary descriptions.
If the mystery measured up, I might have given two stars. MIGHT.
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