The Book of X tells the tale of Cassie, a girl born with her stomach twisted in the shape of a knot. From childhood with her parents on the family meat farm, to a desk job in the city, to finally experiencing love, she grapples with her body, men, and society, all the while imagining a softer world than the one she is in.

Twining the drama of the everyday - school-age crushes, paying bills, the sickness of parents - with the surreal - rivers of thighs, men for sale, and fields of throats - Cassie's realities alternate to create a blurred, fantastic world of haunting beauty.

From the authorRipe comes a surreal exploration of one woman's life and death against a landscape of meat, office desks and bad men.

Perfect for fans ofRouge by Mona Awad,Nightbitch by Rachel Yoder andOur Wives Under the Sea by Julia Armfield.

'I loved every page of this gorgeous, grotesque, heartbreaking novel' -Carmen Maria Machado, author ofHer Body and Other Parties

'The Book of X traverses the mundane and the surreal - from grocery lists to blooming meat, menstrual blood to a jealousy removal shop - laying bare the absurdities of womanhood. A truly original writer, Etter continues to push the boundaries of her imagination... and ours' -Melissa Broder, author ofDeath Valley

'Utterly unique and remarkable... Sarah Rose Etter takes the surreal and expertly shapes it into a portrait that is as beautiful and compelling as it is horrifying and unbearable... Etter brilliantly, viciously lays bare what it means to be a woman in the world, what it means to hurt, to need, to want, so much it consumes everything' -Roxane Gay, author ofBad Feminist

'Sarah Rose Etter is a visionary. Perfectly paced, structurally audacious, and endlessly inventive,The Book of X is our new Revelation' -Scott McCLanahan, author ofThe Sarah Book