The Conspiracy Against the Human Race by Thomas Ligotti
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Diverging from fiction but not from horror, "The Conspiracy Against the Human Race" is Ligotti's philosophical treatise that could make even Nietzsche look like an optimist. It is an exploration—or perhaps excavation—of the darker corners of human existence, the painful truths we'd rather not acknowledge. While not a novel or short story, it's an engrossing read that exposes the horrifying underbelly of existence itself. Definitely not for the faint-hearted, but then again, SFcrowsnest readers have never been known to shy away from intellectual rigour, especially when it comes with a side of existential dread.