This is a brilliant adventure with a fantastic and grotesque central theme. The body-horror premise of an empress using skin and leech magic to prolong her life feels like a story straight out of Clark Ashton Smith, capturing the Appendix N spirit perfectly. The writing is clear and evocative, efficiently painting a grim picture of the Palaestra and its strange inhabitants, like the tragic spider-Primus and the determined former levy, Igrit. From a playability standpoint, the design is excellent; the wandering NPCs and the various clues, such as the way of bread, make the location feel like a dynamic and solvable puzzle. The entire adventure is also presented beautifully; the layout is clean, the art is evocative, and the map is both stylish and easy to read at the table. A very creative and elegantly designed module.