Specifically ones in which one or more of the characters are unreliable as narrators and do highly unethical things, bonus points if they're crazy and it's supernatural horror. Sorry if the request is odd, but I read The Spirit Bares Its Teeth a while back and wanted more of that vibe. Oh and extra bonus if it's queer in some way shape or form.
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[Orpheus Builds a Girl](https://app.thestorygraph.com/books/1fd8b78c-4734-4c27-8caf-1f85c17f2133), by Heather Parry. Weird as bat shit.
You might like [Havoc](https://app.thestorygraph.com/books/db502a0b-7325-4563-8f72-98b121c17c46), by Christopher Bollen but there’s no medical horror or supernatural, but unreliable narrators, unethical, crazy, check check check