When his fiance breaks off their engagement, Patrick Oxtoby leaves home and moves into a boarding house in a remote seaside town. But in spite of his hopes and determination to build a better life, nothing goes to plan and Patrick is soon driven to take a desperate and chilling course of action. This is How is a mesmerising and meticulously drawn portrait of a man whose unease in the world leads to his tragic undoing. With breathtaking wisdom and an astute insight into the human mind, award-winning M.J. Hyland's new book is a masterpiece that inspires horror and sympathy in equal measure.