* CrossesTheLineTwice: The Model U.N. scene, with its racist costumes, underage sex and drug use, and the [[spoiler:mass shooting]] would be appalling if every element of it hadn't been so over the top.
* {{Squick}}:
** The main character for whom the book is named [[spoiler:anally rapes his foster brother's bully]].
** But it goes a step further when [[spoiler:Trevor discovers his repressed homosexuality. Pygmy insists it is just Stockholm Syndrome, and that he has no feelings for the bully. Distraught, Trevor engages in a school shooting at the Model U.N]].
** And then there's [[spoiler:Pygmy "borrowing" the batteries from his host-mother's sex toy. At that particular moment, the sex toy happens to be in her vagina, necessitating his reaching in and pulling it out.]]
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