Better than Pygmy, Snuff, Tell All, Damned, Haunted (except Guts). Worse than Fight Club, Choke and Invisible Monsters. Formulaic? Duh. Awesome? Yes!I have read most of Palahniuk's writing and I think this one, as noted above, is definitely in my top 5 favourites. It is classically Palahniuk in writing and narration but the story is a hilarious and dark satire. Fertility was an amazing character and I hated everything about her (including her name) from the get-go but that was likely the commentary Palahniuk was going for. I laughed out loud at the characters many times. Palahniuk has such a knack for that bone-dry, dark humour that just gets me every time and there are so many key quotes in this book that I cannot even count them. Also, true to Palahniuk style, throw in a little bit of stomach-churning gore and there you have it. Another Palahniuk winner.