A Particularly Nasty Case A Novel

A Particularly Nasty Case by Adam Kay is a debut novel published by Little Brown on September 16, 2025, featuring 336 pages in English. The story follows Eitan Rose, a chaotic young doctor who suspects foul play after the sudden death of his toxic medical director. Despite skepticism from the police and medical examiner, Eitan embarks on a personal quest to uncover the truth, navigating his own troubled past and complex relationships within the hospital.
Readers will find a blend of mystery, medical intrigue, and dark humor as Eitan’s investigation unfolds. The narrative includes a cast of engaging characters, including a hospital porter and a colleague with a penchant for cats, while Eitan grapples with his mental health amidst mounting pressure. The book incorporates various elements such as texts, transcripts, and medical reports, inviting readers to piece together the clues in this twisting tale of suspense and wit.
Official synopsis Publisher
A chaotic young doctor might be the only person who can catch a killer in this “hilarious, macabre, and heartrending” (Lucy Foley) debut mystery from Adam Kay, former doctor and BAFTA-winning author of This is Going to Hurt.
“A thrilling, twisting mystery. . . . Impossibly funny but also deeply moving and often heartbreaking.” ― Chris Whitaker, New York Times bestselling author of All the Colors of the Dark
When his toxic medical director dies of a heart attack, fellow doctor Eitan Rose smells foul play. Nobody else does, though, including some quite crucial players like the police and the medical examiner. So Eitan vows to uncover the truth himself.
But Eitan’s own past and reputation are far from spotless, despite his budding relationship with Cole, a handsome hospital porter, and reluctant camaraderie with his office mate, Margaret-with-the-cats. As his colleagues become increasingly concerned about his mental health, Eitan’s investigation spirals out of control. Could a killer really be stalking the wards? Or is Eitan making a catastrophic mistake?
For lovers of Listen for the Lie and My Sister, the Serial Killer, this fiendishly clever and deathly funny debut is filled with acerbic wit, lovable characters, and plenty of twists–alongside texts, transcripts, medical reports, and all the evidence you’ll need to help solve this particularly nasty case.
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