Jaw. On. Floor.
There's that moment in The Silent Patient. The "Wait, what? What??" moment that you're so often promised on the jacket copy, or in blurbs stamped on the front, or--well, you know.
You get promised it, but you don't really expect it. And as I was reading The Silent Patient, which takes a while to really start firing on all cylinders (which is not a plus for a shorter novel like this), I thought, "Ok. It's a little sluggish, and if X happens, then Y will and then will get Z and--"
And then R happened and I was stunned. No Z! And out of the blue, although, thinking back....damnnnnnnn! R works, and that's the beauty of it.
So yes, jaw. on. floor.
The twist is that good, seriously.
The Silent Patient does take a while to get going, and every female character is either maternal and older or crazy, kinda crazy, narcissistic, shrewish, etc. I would have liked to see at least one female character be a little more nuanced. This is especially true in the case of the female mc, Allison.
But overall (and especially because of that twist!) The Silent Patient is definitely interesting, especially for fans of psychological thrillers.