From one of our most accomplished storytellers, an extraordinary and arresting novel about a nineteenth-century women's asylum, and a terrifying doctor who wants to change the world.

Humiliated by a procedure gone terribly wrong, Dr Silas Weir is forced to take a position at the New Jersey Asylum for Female Lunatics. There, his work focuses on women who have been neglected by the state – women he subjects to grotesque modes of experimentation.

Based on authentic historical documents, Butcher is a nightmare voyage through the darkest regions of the American psyche.