This is the second book in Charles Burns' Tintin-inspired "Nitnit" trilogy.

Publishers Weekly review:

" Burns's oeuvre is frequently cited as 'strange,' but that's perhaps oversimplifying a world more thought-provokingly described as recognizably like our own, except for when it's not — and it's the difference between the two where Burns's power to shine a light on the darker side of human nature lies. This is the second volume of a trilogy begun in X'ed Out, and as such has an unfinished feeling. We return to Doug, the protagonist, whose recounting of his relationship with a young woman shifts back and forth between the less surreal of the book's two environments and another where his apparent alter ego works in a dreary factory/hospital providing books to its monster patients. Both scenarios occur in an eerie alternate reality whose visuals exude a sense of uncomfortable, riveting silence that fixes the reader's attention to the tale's odd events. Burns's stark work operates on its own nightmare logic and as a result, flesh-crawling events spew forth in the most mundane of settings. Romance comics, misshapen mutants, reptile men, a nightmare of disembowelment that yields a fetal pig, photographic obsessions and more stake out their territory — the result will stick with readers long after being absorbed. "