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.

'I loved every page of this gorgeous, grotesque, heartbreaking novel.' Carmen Maria Machado, author of Her 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 of Death 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 of Bad Feminist

'Insightful and incisive, this book cuts deep into the failing heart of the feminine mystique.' Amelia Gray, author of Isadora

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