Novels like The Silent Patient by Alex Michaelides

  1. 1
    Gone Girl by Gillian Flynn

    Gone Girl takes readers into the messy marriage of Nick and Amy Dunne. Amy vanishes without a trace, placing Nick under immediate suspicion. Much of the story unfolds in alternating viewpoints, and nothing appears quite as it seems.

    Flynn crafts a dark, twisting narrative built partly on Amy's diary entries, making readers question every word. It features incredibly unreliable narrators who challenge your expectations right up until the last chilling moment.

    Like The Silent Patient, it excels in mind-bending twists that redefine everything you've just read.

  2. 2
    The Girl on the Train by Paula Hawkins

    Rachel narrates much of The Girl on the Train, and she struggles with alcoholism and gaps in her memory. Every day, she passes a seemingly perfect couple with an idyllic life.

    But after spotting something unsettling, Rachel gets entangled in their world, unsure of her own recollections. Similar to Michaelides' novel, Hawkins builds tension through unreliable perspectives, damaged characters, and intricate psychological dynamics.

    Mystery hinges more on motives and secrets than simply finding a culprit, making readers eager to piece together what actually happened.

  3. 3
    Before I Go to Sleep by S.J. Watson

    Christine wakes up with no memories each morning, forced to rebuild her identity through a diary she keeps hidden. Her husband Ben helps her daily, but as she reads her past entries, unsettling discrepancies emerge.

    Christine slowly questions everything about the life she has accepted. Watson, like Michaelides, relies heavily on the unknown aspects of characters' histories and the potentially dangerous secrets that linger beneath familiar faces.

    The suspense here hinges intensely on trust, memory, and unraveling hidden pasts.

  4. 4
    Shutter Island by Dennis Lehane

    Lehane's Shutter Island brings U.S. Marshal Teddy Daniels and his partner Chuck to Ashecliffe Hospital, an isolated mental institution. They're investigating the disappearance of a patient, but from the start, something feels off.

    Teddy faces surreal twists, cryptic clues, and paranoia inside the walls of the asylum.

    Fans of Michaelides will find strong parallels here—an unsettling therapist-patient dynamic, deep psychological intrigue, and complex mysteries that build steadily toward a shocking revelation.

  5. 5
    The Woman in Cabin 10 by Ruth Ware

    Lo Blacklock boards an exclusive luxury cruise, hoping for rest and relaxation. Instead, her trip becomes a nightmare when she witnesses what seems to be a murder next door. But no passengers or crew members believe her—there is no record of the missing woman.

    Ware employs suspense through isolation and uncertainty, making readers wonder throughout if Lo's concerns are real or imagined. Readers drawn to The Silent Patient will appreciate this unsettling blend of mystery, doubt, and psychological turmoil.

  6. 6
    Verity by Colleen Hoover

    In Verity, struggling writer Lowen Ashleigh accepts a job to complete a popular author's unfinished series following an accident. While researching at Verity Crawford's home, Lowen discovers a hidden manuscript revealing dark, disturbing truths about Verity's family life.

    Hoover's novel echoes Michaelides' work in terms of psychological tension, shocking revelations, and unsettling secrets lodged within intimate relationships. The manuscript device heightens suspense, leaving readers guessing about what's truth versus sinister fiction.

  7. 7
    The Guest List by Lucy Foley

    On a remote Irish island, a lavish wedding ends in tragedy when one guest is murdered. The Guest List offers multiple perspectives from wedding attendees, each of whom carries hidden secrets and motives.

    Foley crafts an atmosphere heavy with tension, mistrust, and hidden histories waiting to surface. Like The Silent Patient, the intrigue intensifies through layered unreliable perspectives and secret pasts that eventually erupt in surprising twists.

  8. 8
    Sometimes I Lie by Alice Feeney

    Amber Reynolds is in a coma—she can't move or speak, but she can hear everything around her. In fragmented thoughts, memories resurface as Amber tries desperately to piece together how she ended up injured.

    We quickly realize Amber is not only trapped physically but also within the web of her own secrets and lies.

    Feeney draws readers deep into psychological suspense by withholding important details, reminiscent of the complicated, secretive patient-therapist dynamic in Michaelides' novel.

  9. 9
    The Turn of the Key by Ruth Ware

    Rowan is jailed, suspected of causing a child's death. She writes letters desperately explaining her side of the horrific events at the Scottish mansion where she worked as a nanny.

    Through her letters, readers discover a house filled with disturbing mysteries and unexpected technology.

    Ware employs the tense format of first-person narration filled with slowly uncovered secrets, mirroring the confessional and psychologically tense elements Michaelides captures in The Silent Patient.

  10. 10
    We Were Liars by E. Lockhart

    Cadence recounts fragmented summers spent with family on their private island, centered particularly around one traumatic event she can't fully remember. Cadence is an unreliable storyteller; readers must carefully navigate clues she gradually provides.

    Lockhart lets this tension simmer, revealing secrets about family dynamics and hidden resentments. Readers who enjoy the psychological ambiguity and surprising revelations in The Silent Patient will appreciate this YA thriller’s intense, emotionally-charged puzzle.

  11. 11
    Rock Paper Scissors by Alice Feeney

    Adam and Amelia Wright head to a remote, snowy Scottish getaway, hoping to repair their rocky marriage. But the isolation quickly reveals troubling secrets, aided by old letters exchanged over the years.

    Characters conceal motivations and hidden agendas, pulling readers into a spiral of suspicion. Feeney cleverly employs alternating viewpoints and epistolary elements, similar to Michaelides' approach of slowly peeling back truths layer by layer.

  12. 12
    The Last Thing He Told Me by Laura Dave

    Hannah's husband Owen disappears, leaving behind a cryptic note and entrusting her to protect his daughter. With little to go on, Hannah and her stepdaughter piece together clues to Owen's past, uncovering surprising truths.

    Dave creates suspense rooted deeply in secrets and pasts that won't remain hidden—qualities readers who appreciated the similar investigative drive and personal mystery of The Silent Patient will find intriguing.

  13. 13
    Big Little Lies by Liane Moriarty

    Set in an affluent beachside community, Big Little Lies follows multiple mothers whose everyday dramas slowly escalate to murder. Moriarty masterfully reveals everyone's private issues, slowly intertwining them into the central mystery.

    Readers experience a whirlwind of community secrets, childhood trauma, and unexpected connections. Similar to Michaelides, Moriarty builds suspense through deeply buried secrets gradually resurfacing into a tense climax.

  14. 14
    The Maidens by Alex Michaelides

    Michaelides' second novel transports readers to Cambridge, where group therapist Mariana investigates the murder of a student. She becomes fixated on a Greek tragedies professor and his secretive clique of favorite female students—the Maidens.

    The narrative explores vulnerability, grief, and hidden obsessions. Readers of The Silent Patient will appreciate Michaelides' characteristic use of Greek myth, therapy dynamics, and twisty plotting that keeps readers utterly absorbed.

  15. 15
    The Plot by Jean Hanff Korelitz

    Jacob Finch Bonner, a struggling writer, steals a deceased student's brilliant story idea, and his career skyrockets. However, someone soon accuses Jacob of theft, kicking off a suspenseful cat-and-mouse game filled with paranoia.

    Korelitz weaves psychological suspense and moral ambiguities into the storyline, raising questions about deception, guilt, and creative ownership.

    Like The Silent Patient, this novel explores personal boundaries crossed for success, leaving readers shocked by surprising revelations.