I'm so torn about reading this book! I know it would be fabulous, given the author, and yet, because I know just how vividly she writes, I'm afraid of ending up with nightmares, which I do so easily. (same reason I haven't read Tanya's Blood books, though I enjoy her fantasy books tremendously).
The gore is in large part off screen, but it also depends on how your nightmare triggers work. If, for example, your nightmare structure puts you in the position of being one of the characters, I can see how that would be triggery.
If your dreamscape just borrows elements and world-building, you should be fine.
It's extremely well written, and I don't know if I would recommend it for you. If you're prone to nightmares, this is likely to give them to you - and while I can't give detail without spoiling, there's one death that I think you might possibly find triggery, at least in how the survivors respond.
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Amen, Child.
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If your dreamscape just borrows elements and world-building, you should be fine.
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