This book has a ton of good ideas, but the presentation of those ideas was not in a style that I enjoyed reading.
The artwork was also a let-down, it has a very raw 'punk' aesthetic that just didn't appeal to me.
It just wasn't to my taste. I felt like it was trying a bit too hard to be 'edgy' and 'adult'.
It is a pity that the writing and artwork let down the ideas propelling the work; with a little more effort this could have been something truly great.
Still, if you are a fan of random tables and like the particular style of art in the book then the ideas here make it worth the price of admission.
Any one of the pages in this book has enough ideas to become the seed of a memorable session, and it would have been nice to see those ideas expanded upon.
If you are a fan of the anarchic tongue-in-cheek style of books like 'HOL' or 'The Munchkin's Guide to Power Gaming' then you might like this book too, though a lot of the humor is darker.
If you are looking for a similar work but presented in a more readable and enjoyable way I'd suggest 'Your Whispering Homunculus' by Richard Pett (published by Open Design / Kobold Publishing).
In short: fantastic ideas, but the very unpolished raw style of the writing and art doesn't fit my personal tastes.
I didn't enjoy this book, but you might. This one is very much a matter of taste.