‘Lapvona dirt is good dirt,’ say the inhabitants of the titular medieval fiefdom in which Ottessa Moshfegh’s fourth novel, Lapvona, takes place. While the description refers to Lapvona’s rich soil, it could easily be an artistic statement. Moshfegh has long been an author concerned with physical and existential waste, and a vector for protagonists who alternately wallow in and renounce their own muck – from the virginal twenty-four-year-old narrator of Eileen (2015), who abuses laxatives and can’t bear to contemplate her own genitals, to the acerbic sleeping beauty at the heart of her most renowned work, My Year of Rest and Relaxation (2018), to Vesta Gul of Death in Her Hands (2020), a hermetic widow obsessively investigating an imaginary murder. The post-plague abjection of Lapvona is therefore fertile ground for Moshfegh to explore the horrors of embodiment that have previously defined her work.