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I Know This Much is True Steaminess Rating

Exactly how steamy is this story?

NC-17

I Know This Much is True covers every "-ality" and "-philia" that Wally Lamb could dream up. Dominick can't seem to fall asleep without having a sex dream, and when he's actually awake to have sex, he counts his pelvis thrusts ("Thrust three or four times and came" (14.33)) like he's interviewing for a job with the MPAA.

Characters masturbate. There's child pornography and rape. And there are rumors of bestiality, incest, and sexual abuse, which, although rarely proven true, are described in graphic detail. If Oprah ever produces a movie version for her OWN network, it's gonna have to be pay-per-view.