I found this entire book to be a bit of a teaser. There is some serious horror in the book, but it failed to scare the way the Lecter books do, even though that is the obvious comparison. There are several storylines going at once and I started to think it was in some way a strange The Bridge of San Luis Rey sort of story only about lives affected by a serial killer. But Saul Black was able to bring it all together in an unbelievable (but not impossible) way. This book failed on many aspects of being a great book, but if you are looking for a book that is fun in a twisted sort of way, this one may do it for you.
This is a sorter review than I think this book deserves, and I know it sounds harsh, but I feel giving away too much would be in poor taste.