Choke by Chuck Palahniuk (writer of Fight Club)
Meh. It had its moments.
I went through a phase of him some time ago. I read Survivor, which was a fantastic story, literally, and also one of his non fiction collections, Fugitives and Refugees: A Walk in Portland, Oregon, which was lovely in places.
I read some stuff about him one time, the critics class him as outsider fiction, in a Bukowski vein. He is certainly not short of ideas, some of them mildly disturbing, and he writes well enough. Having said all that (getting eventually to the point) Choke has been sitting on the shelf beside my bed for months and I'm only about 40 pages in. Just haven't picked it up again, and have gone through many books since.