I liked this well enough and I get the idea behind the story and the main character and even the series. I had a hard time connecting with Lisa. Maybe it is because I don't have an eating disorder and haven't experienced what she is going through in the book. I liked the overall plot, her suffering aided in her ability to be the role of Famine, but I found myself wanting the novel to be more about the Horsemen of the Apocalypse and Lisa's new job.
Death seemed like an interesting character and I was hoping to get a little more insight into him. But I figure there would be a book about him, since he is a Horseman himself.
I think I will try the next book, but I don't think it will make the top of the list.