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"A beautifully observed and thrillingly honest novel about the dark corners of family life and the long, complicated search for understanding and grace." - Jenny Offill, author of Dept. of Speculation and Weather"The Fourth Child is keen and beautiful and heartbreaking - an exploration of private guilt and unexpected obligation, of the intimate losses of power embedded in female adolescence, and of the fraught moments of glancing divinity that come with shouldering the burden of love." - Jia Tolentino, New York Times bestselling author of Trick Mirror"A remarkable family saga . . . The Fourth Child is a balm - a reminder that it is possible for art to provide a nuanced exploration of life itself." - Rumaan Alam, author of That Kind of Mother and Rich and PrettyThe author of Break in Case of Emergency follows up her the "extraordinary debut" (The Guardian) with a moving novel about motherhood and marriage, adolescence and bodily autonomy, family and love, religion and sexuality, and the delicate balance between the purity of faith and the messy reality of life.