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This books title is true to form and full of extreme horror. Just when you thought it was at its most extreme, you read something worse right up til the very end. This has it all, from brutality and gore, to sexual deviance. It is definitely not for those whom are easily offended or even slightly squeamish. I love the extreme and even I was taken aback at parts. All this said it was a really good read and had you hooked with each page. You are drawn into the sick world of each story and engrossed in each horror, not able to turn away. Each storyline is so captivating with characters old and young from all backgrounds, that you can envision them at their best or worse. A sick read but great read and one of definitely recommend to extreme horror readers.