Carl’s research reveals that the poem in question is actually a “culling song”, which has the magical power to kill anyone it is spoken aloud to. Half mad with grief over recognizing that he killed his family, Carl accidentally memorizes the culling song and becomes an unintentional serial killer.
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The first lines of Choke explain that you won’t love Victor Mancini, and they’re right. Victor is a medical school dropout who may be a sex addict. Anyway, he attends the meetings (and generally winds up in the bathroom, having sex with one of the other twelve-steppers.) His mother is wasting away in an expensive care facility which Victor has to pay for. He does so by supplementing his day job income (he works in a re-enactment museum which forces him to be in character for the 1800’s) by going to fancy restaurants and pretending to choke.
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