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The book feels like it was two novelettes stitched together. 40 days of unending rains have come to the world (or at least the eastern United States), flooding most coastal cities, drenching even some of the inland states including West Virginia where the first part of the book is set. An old coot named Teddy is struggling to survive after he ignored warnings to vacate his land; his carport now is covered with layers of earthworms, and gigantic worm monsters seem to be digging their ways out of the earth and hiding in the woods. We follow him and a buddy as they try to stay one step ahead of the man-eating worms and a crazed acquaintance with a gun.
Halfway through the book, a helicopter crashes and we get the story of two young survivors (Kevin and Sarah) from Baltimore, where mermaids are drawing men to their deaths and a group of crazed folks think they know what's going on: some horrific primitive gods have loosed themselves on our world. Lovecraft is name-checked (as is H.G. Wells) and Kevin is pretty sure that the huge monster that is slaughtering people and tearing down skyscrapers might be Cthulhu itself, even though he knows it's a fictional creature. The slightly disappointing finale leaves Teddy barely alive and the fate of the others unclear, though there is an ambiguous (and fitting) sign of hope in the last few sentences. Or not...
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PS--I just found out that there is indeed a collection of stories, Earthworm Gods, set in the Conqueror Worms universe. Maybe a good read for October.
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