A sinister psychiatrist who tells his patients the exact dates of their deaths - and always seems to get it right; a little boy with a unique gift that makes his older brother increasingly jealous; and a detective already battling his own demons, tormented after being told the date of his own death.
With such dark and compelling elements, this book grabbed my attention from the very first paragraph. At first I was a bit confused by the different timelines concerning the detective’s past and present cases, but it became clearer as I kept reading and began to see the bigger picture of the puzzle.
I was particularly immersed in the chapters featuring the letters a man wrote to his brother, recounting several events in their lives since childhood. As we read these chapters, the tension and darkness steadily build, and we try to make sense of how they connect to the cases in the present timeline.
I can’t say I was surprised by any jaw-dropping twists, but I was nevertheless impressed by this very gripping dark thriller, which raises a chilling premise: what if people knew the date of their death in advance?

A dark, high-concept psychological thriller that hooks you with its chilling premise.... a psychiatrist who can predict death. Fast-paced and unsettling, it blends crime investigation with a creeping sense of inevitability, as DI Silas Hart races against a fate that may already be decided. Twisty, tense, and slightly eerie, it’s one of those reads that plays with your head long after you’ve put it down.

Totally immersive reading. When, on the occasion of his 57th birthday, two men in entirely different circumstances apparently commit suicide - one right in front of him - it surely signalled that something is afoot. Both have suffered from mental issues and both have been treated by the same psychiatrist and so begins a long and frightening investigation into the effects that therapy combined with drugs can have when administered by a madman. Gripping reading.

A tense and compelling read that becomes increasingly uncertain once the true relationship between the two boys - and later as adults - is understood. Strong characters with a loving family at the centre help to counter the darkness.

I really enjoyed this one I liked the 3 different time lines I found the characters interesting and well written. Such a roll coaster ride that I didn’t want to get off the twists were soooo good

A good story with lots of twists and thrills. A real page turner of a read. My thanks to netgalley and the publisher's for giving me the opportunity to read this book in return for an honest review.

His Final Patient is a dark psychological thriller built around a wonderfully unnerving premise : what if a psychiatrist could accurately predict the date of your death? DI Silas Hart witnesses a man kill himself after calmly announcing it is his "death day" .the victim had been treated by the same psychiatrist linked to earlier suspicious deaths. Soon Hart himself becomes a target and the story turns into both a murder investigation and a race against psychological manipulation .I feel I have met Silas before ,I really enjoyed the book with its impossible twists and turns and the ending has a very surprising twist .Thank you to NetGalley for my ARC .

Can someone see into the future and predict a ‘death day’? This is the question facing DI Hart who is told that he will die on a specific date. Are the Garstan brothers gifted, or are they charlatans. This is a clever and well written psychological thriller with a twist. The relationship between Hart and his subordinate Strover is well portrayed as is his family dynamic. This is the first book I have read by this author and I will check out his other works.

What a crazy world wind of a ride!!
This had so many twists going on I couldn't kept them straight don't want to say too much
I definitely would not want to know the date I would die.
Great concept of a book.

Thanks to the author the publisher and Netgalley for a early release of this book.

Another really good read from J S Monroe, whose previous books I have also very much enjoyed. Well drawn characters and locations – and excellent research too on precognition and thanatophobia. I was drawn in very quickly to the story about a psychiatrist who says he can predict precisely when someone is going to die – and we meet the detective who sees it happen. He is then drawn in with a forecast date of his own death, leading to believable personal issues, disruption to family, and his own issues. The story races along, unfolding as it goes, right up to the last page. I wasn’t keen on the flashbacks, but some might be; for me, they added little and temporarily broke the “hold” the story had on me. Some excellent side-issues with a very real basis in fact and a good police investigation team. I will certainly keep Mr Monroe on my reading list and look forward to his next novel.
Thanks to Head of Zeus / Bloomsbury and NetGalley for the early review opportunity – the views expressed herein are solely my own.

This was my first novel by J.S. Monroe, and it certainly won’t be my last.

His Final Patient is a cleverly constructed thriller, packed with great twists and believable characters. I was especially drawn to the way the story unfolds across multiple timelines—present day, three years earlier, and a mysterious parallel narrative—which kept me interested and keen to find out more.

The pacing felt just right, gradually revealing key details while still leaving plenty to question, and I found myself second-guessing everything right up to the end. A thoroughly engaging and well-executed read.

Many thanks to NetGalley and the publisher for the ARC.

we are back with the very capable DI Hart and team and i couldn't be more pleased to see him. what he sees though is kind of awful.because someone shoots themselves right in front of him. but they do so because they believe it is their death day. they have been told and predicted the exact date of their death. and this is becoming self fulfilling prophecy. like the worst kind of reverse placebo effect!
this doesn't just feel all wrong because of these events but also how it reminds him of another case that has stuck with him from years ago. when that left the victims in the same way with the same calling card. the Hourglass. its now up to him to figure this out before the timer is tipped and the sands run out for someone else.
their is a link. and that comes in the form of a psychiatrist who appears to be the one telling his patients these dates they will die on?
oooooo chills yet? yeh, me too!
this hit all the right notes on my favourite kind of thriller. the psychological injected ones. i could feel the unease all the way through. it never let up and builds in places that had me genuinely gripping the book harder.
when DI Hart then gets his own ticking time bomb of a prediction it becomes so much more. hes not only trying to save more lives of the public. but what if he is needing to save his own now too. you can feel like there is a tick tick ticking away. this is a genius way of wrapping the tension up even more.
this book had the ability to keep me guessing but also giving me enough to be excitedly figuring some bits out myself too. the pieces as they fit together make you just need to know more. i couldn't get my head around someone treating poorly people and then doing this to his victims. but there is so much more to it than that and the reveals are so clever along the way.
another brilliant read from Monroe one which really plays into our vulnerabilities and vulnerable people. that makes the feeling of it even more chilling and even more of a page turner to see how it will all play out,