Review of Digital Galley

On his first day back at St. Jude’s, Eitan Rose is feeling less than prepared, thanks to an impressive hangover. His office has been turned upside down and a co-worker has been moved in . . . along with her cat posters. Then he learns that the supervising doctor, Douglas Moran, will be sitting in on his patient visits.

However, his hoped-for quiet sojourn on the roof resulted in a rather pleasant meeting with Cole.

But Eitan has no idea what is waiting for him.

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There are many laugh-out-loud moments sprinkled throughout this dark comedic mystery tale. The characters, mostly unlikeable, are prone to outrageous behaviors, leaving readers wondering exactly what is going on in the hospital. But when two doctors at the hospital die, Eitan and Cole turn into amateur detectives, often with hilarious results. In spite of it, though, the murderer is ultimately identified.

Sadly, many used Eitan’s bipolar disorder to justify their decision to ignore him when they’d decided that was easier than dealing with what he was saying.

Unfortunately, the unnecessary overuse of a particularly offensive expletive is likely to offend many readers and lowers the rating for this book.

I received a free copy of this eBook from Little, Brown and Company / Mulholland Books and NetGalley and am voluntarily leaving this review.
#AParticularlyNastyCase #NetGalley

A Particularly Nasty Case by Adam Kay was very hard to get interested in..
The character development was all over the place most of the time..
The plot was interesting in certain places, and I did enjoy the humor the author used periodically..
All in all this is probably not a book I would recommend my customers

This was a very goofy story — the things Eitan says and does and the situations he finds himself in. However, it also has a serious message. Eitan has bipolar disorder, and while this condition is an explanation for some of his strange behavior, it is also used an excuse by others to dismiss his opinions when they are unconventional or unwelcome.

Thank you to NetGalley and the publisher for providing this book in exchange for an honest review.
I've read Adam Kay's nonfiction books and loved his sense of humor. This book was lol funny too. It's somewhat unrealistic but the humor makes up for that.
I am glad he wrote the mental health aspects and shows that not all mentally ill people are dangerous.

3.5 stars. A day in the life of Eitan Rose seems incredibly difficult. I enjoyed how this book shed light on people around us suffering sometimes in silence. There were definitely a few suspects throughout the book, but I ultimately came to the conclusion who was the bad guy. It was a light, easy read. I would definitely recommend it for people who can take a good amount of humor.

Nurses on either side of the Atlantic will be rolling on floor laughing their sox off. Like me! It's a sidewise look at mental health issues, a snoop into sleuthing, and a total laugh riot.
I requested and received a temporary uncorrected advance digital galley from Little, Brown and Company | Mulholland Books via NetGalley. Pub Date Sep 16, 2025
#AParticularlyNastyCase by AdamKay @amateuradam @littlebrown @mulhollandbooks
#hilarious #satire #murders #amateursleuth #investigations #snarkfest #mentalhealth #substanceabuse #friendship

I really enjoyed the witty writing with many laugh-out-loud moments. I don't think this book would appeal to Americans as you have to be familiar with British politics, the NHS, British tv and British humour to appreciate the dialogue and witty comments. A slightly silly story-line, a funny whodunnit which will certainly appeal to certain audiences.

Thank you to NetGalley for providing a copy of this novel. I found it fun and entertaining. It did take awhile to get to the first murder. I had the thought that I was confused because it seemed more like a rom com for about the first third of the book. Eitan was not particularly likable person but yet i found myself rooting for him all the way through. I did know who did it early on, but not for the right reasons. Overall enjoyable and I would recommend.

A clever novel that asks the reader to consider mental health but told with great humor and wit. I don’t typically read satire but this one was a delight.

Did I or did I not enjoy A Pecularly Nasty Case? I’m still ambivalent. There is no doubt that Adam Kay knows how to pen a novel. He is an excellent author. The book is witty throughout, sad at times, full of great dialogue, but generally too scattershot for my taste. I found it difficult to accept the outrageous behavior of so many of the characters; particularly those working in a hospital. We are offered a main character who is a bipolar gay doctor with mental, drinking, and drug problems. He is basically a recovering everything and not much good at any of it. Does he deserves our support and empathy as he faces life’s challenges? No. To me there wasn’t much to like about our anti-hero, Eitan Rose, other than the few sections where it was clear he cared about his patients. Most of the other characters weren’t particularly likeable either. But the prose and snappy dialogue did keep me reading on.

The death of two senior doctors at the hospital, St Jude’s, turns Eitan and new friend, Cole, into screwball detectives of sorts as Eitan is convinced their deaths were not from natural causes. He steps over the line on numerous occasions along with Cole (now his lover) to prove both doctors were murdered. Eitan and Cole’s amateurish sleuthing efforts leave them in hot water time after time. Some of the scenes are laugh out funny, others fall flat. Eitan once again ends up suspended, and a prime suspect. Eventually the murderer, to no one’s surprise, is unmasked. Eitan seems to understand his erratic behavior is hurtful to himself and those close to him and plans to chart a new course. This madcap adventure was enjoyable if I suspended my thoughts about the medical profession, hospitals, and inept law enforcement. Fortunately I was able to.

My thanks to Little, Brown and Company/Mulholland Books and NetGalley for the opportunity to read and review this entertaining work.

An extremely witty and hilarious novel with mystery tied in to the romantic escapades of the characters. It was not a favorite read as I am a quite old school thinker.

Quite predictable, the story doesn’t keep you on the edge of your seat. But the writing is clever, it reads well, and the book skillfully advocates for mental health within the hospital and outside its walls.

The first part was truly funny, although Eitan is so similar to Kay’s portrayal of himself in his non-fiction works it was honestly a confusing reading experience. That’s probably the reason why I preferred the narrative style when we followed Cole and Margaret; it felt more like an actual novel. The ending is good.

This was such a good book. I loved the story and the writing so much. The characters were great and the story flowed smoothly. Will definitely read more books by this author in the future.

Adam Kay’s A Particularly Nasty Case introduces Eitan Rose: a flawed but fascinating underdog you won’t forget. A rheumatologist freshly back from a bipolar episode, Eitan is doing everything he can to regain stability. Unfortunately, “everything” includes making a mess of his professional life. With chaos trailing him and a supervisor eager to see him fired, Eitan is barely hanging on.

Then the medical director drops dead.

What begins as a lucky break quickly spirals. Did Eitan have anything to do with it? Is he cursed with misfortune, or is he an unreliable narrator in his own life?

What follows is a perfectly plotted, dark comic thriller that keeps you guessing to the very end. Kay masterfully blends humor, pathos, and suspense, giving readers a narrator who’s equal parts maddening and magnetic. You won’t see the ending coming, but by then, you’ll be hoping this isn’t the last we see of Eitan Rose.

#LittleBrown #AdamKay #AParticularlyNastyCase

This book follows Eitan Rose, a doctor that is returning to work after an unspecified medical leave, related to his mental health. We soon learn that in addition to whatever is wrong clinically, Eitan is still grieving the loss of his beloved sister, Elodie, nearly 20yrs ago. He blames current supervising doctor, Douglas Moran, but also blames himself to the extent that he remains perpetually in the head space of a troubled college student - living in a windowless basement, showing up to work hungover, and repeatedly using a medical inhaler that is filled with cocaine rather than antihistamines, sold to him by the on staff pharmacist. That being said, he actually enjoys helping his patients and looks forward to getting back to work.

First sign that he might not be returning to everything normal, is that cat loving Margaret has been moved into his office, along with her desk and cat posters. 2nd sign, Dr Moran will be sitting in on all of his patient visits, looking for signs that he isn't ready to be back at work. The same Moran that failed at saving Elodie all those years ago. Needless to say things don't go well. But before Moran can report Eitan, thus ruining his career, Moran turns up dead. Even better, Eitan meets the very attractive, Cole. Maybe things are finally going his way. They are not.

The book is told from Eitan's confused point of view, alternating from manic ranting to paranoia; then from Margaret's calmer point of view, having already been revealed as a bit of a dark horse, she still somewhat unexpectedly believes Eitan when he says Moran was murdered, despite a lack of evidence. And finally we get Cole's point of view. The sweet, simple, guy that's in over his head, dealing with a man in the throes of some sort of mental breakdown....or is he?

Much like books where a woman is dismissed because she's a woman, until it is proven that she was right all along, this book hinges a great deal on the prejudices society has against those who suffer from mental illnesses, even those in the medical field are quick to write Eitan off as a degenerate loser, rather than someone suffering from a medical crisis. The more he struggles, the more they take his actions to be deliberate and wanton. There is also a fair amount of classism in the hospital hierarchy which also comes to into play.

In the end, the who done it was less surprising than the why they done it. I did appreciate that the author gave us an Epilogue where we learn that Eitan is finally in a better place and actually dealing with his mental health issues.

Thank you to NetGalley for an ARC of A Particularly Nasty Case.

The premise sounded intriguing and I was pleased my request was approved.

Unfortunately, this was a huge disappointment for a number of reasons:

1. Eitan is an unpleasant, unlikable character.

I understand he's still grieving the loss of his sister, wracked with guilt over her unexpected death, and struggling with his mental health but that's no excuse for the poor choices he makes; self medicating, bed hopping, the rude way he speaks to colleagues, his potty mouth, impersonating a cop, and conducting illegal searches of corpses.

Seriously?

If the author wanted to craft an anti-hero, a rebel who doesn't play by the rules Eitan isn't it.

2. He's convinced two doctors at his hospital met with foul play but has no evidence to back up his suspicions.

He immediately points his finger to a number of suspects even though he has no evidence to back up his claims, other than the suspects didn't like the deceased.

What a shock. The deceased was no saint and most of the hospital staff bore a grudge against him.

3. Apparently, the hospital system, infrastructure and staff is even worse than the American healthcare system. Eitan spends a good portion of the narrative either boinking strangers and having one night stands and the other half bitching about the incompetent doctors he works with (like him).

4. It was so obvious who the murderer was; I clocked the perp right from the start.

5. The writing was good, but wordy, packed with filler and extraneous details and unnecessary descriptions.

Adam Kay, a former medical professional, has written some excellent books based on his background. I’ve thoroughly enjoyed reading “This Is Going to Hurt,” “Twas the Nightshift Before Christmas,” and “Undoctored.” However his new novel didn’t quite resonate with me. The British humor style didn’t appeal to me, and the sexual references felt unnecessary to the plot.

I'm surprised how much I liked this. It's just so well written! I could do without the "edgy" crudeness, especially at the beginning, but somehow.. it ended up kinda working?! 🤯🤔 I knew from the beginning who the murderer was - yet somehow I was still questioning that until the end?? Idk. Something about this was unique and really special. I read so many mysteries and this one really stands out.

In A PARTICULARLY NASTY CASE, written by Adam Kay, Etien Rose is a bipolar consultant rheumatologist. I think the author was trying to present a humorous main character when creating Etien Rose. Unfortunately, I do not connect with this person. I also prefer a dialogue tag that includes the name of a character rather than the description of a person. (This seems to get better as the book progresses.) There are too many curse words in my opinion. While I appreciate the humor, this book is not for me. Thank you, Little, Brown and Company and NetGalley, for the chance to read and review an advance reader copy of A PARTICULARLY NASTY CASE.

The chaos promised in the blurb summary was definitely delivered. It felt even a little too chaotic in the start for me, but after I pushed through, it felt more appropriate for the state of the main character’s life, Dr. Eitan Rose. Overall, the plot and character development were decently well-paced, regardless of the confusing aspects. Thank you to Little, Brown and Company, Mulholland Books, and NetGalley for the e-ARC!