A Particularly Nasty Case

In this darkly funny and brilliantly original mystery from Adam Kay, former doctor and BAFTA-winning author of This is Going to Hurt, a chaotic young doctor might be the only one who can catch a killer targeting hospital officials--if his investigation doesn't cost him his career first.

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 when another senior doctor dies, Eitan vows to uncover the truth himself.

But having recently returned to work after time off for his mental health, Eitan's personal file is far from spotless. Despite his budding relationship with Cole, a handsome hospital porter, and reluctant comradery with his office mate, Margaret-with-the-cats, Eitan is quickly in over his head. And as his investigation spirals into pandemonium, his colleagues begin to question his judgement. Could a killer really be roaming the halls? Or is Eitan making a catastrophic mistake?

For lovers of Listen for the Lie and My Sister, the Serial Killer, this 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.

Author: Adam Kay
Binding Type: Hardcover
Publisher: Mulholland Books
Published: 09/16/2025
Pages: 336
ISBN: 9780316597548


Review Citation(s):
Library Journal 05/01/2025 pg. 5
Publishers Weekly 07/14/2025

About the Author
Adam Kay is an award-winning writer and former non-award-winning doctor. He is the author of the international bestseller and AMC+ hit show This Is Going to Hurt. His books have sold more than five million copies globally and been translated into thirty-seven languages. He lives in Oxfordshire with his two children, dog, husband, and beloved BAFTA.