Top critical review
Extreme Horror -- Maybe For A 10 Year Old.
Reviewed in the United States on July 15, 2020
I guess that I might be jaded in my old age. After reading classic horror when I was much younger, I now prefer mysteries/crime/thrillers that incorporate current reality, making the stories that much more believable and not requiring any "suspension of disbelief". For those interested in this genre and/or those locked into the Lovecraftian mythos, this might be up your alley. Just don't expect too much.
There is certainly gore and torture as would be expected in a story about an old broken down asylum run by disgraced doctors and abusive orderlies. And old procedural experimentation on the patients such as transorbital lobotomies and electroshock. But the character development of the patients and their afflictions are both lacking enough detail and depth to make them interesting.
So for me this novel did not offer anything new or exciting. My guess is that with the current abilities of movie special effects artists this story could be turned into a pretty convincing gorefest. In fact, the material is here to make it a cult classic if done properly. But even then I wouldn't go to see it.