The title of the book pretty much says it all, but after you get past the morbidly fascinating gore this really isn't a great novel. It's very repetitive, and doesn't really provide much insight into why the title character does the things he does. And, every time you think you've arrived at a plot twist you end up disappointed. I credit the author with being able to transport the reader into a psychopath's mind, but what are we supposed to do once we're in there? You might as well quit reading after you get to the first murder, because everything after that is just more of the same. Murder, murder, murder, okay we get the point. Now I know why the author made it so bloody - because it's so damn boring! I kept waiting for some kind of startling revelation about the nature of man, or at least an interesting conclusion. But, as the author states in the last line of his book, "this is not an exit."