21 Best Thrillers Like The Silent Patient

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Are you desperately searching for a bone-chilling thriller book like The Silent Patient? Then let me help you. Here are 21 psychological thrillers to read after Alex Michaelides’ first novel. 

If you’ve read The Creative Muggle review of The Silent Patient, you know that I absolutely loved reading the novel. With its psychological depth and jaw-dropping surprises, The Silent Patient easily became one of my favorite reads of 2023. 

That book left me hungry for more, so I made a quick stop at the library and grabbed many twisty thrillers that are just like The Silent Patient. And you know sharing is caring so I’ve decided to share the list with you. 

Find the absolute best books that will satisfy your craving for a thriller just like The Silent Patient

The Silent Patient Book Summary 

Alicia Berenson’s life is seemingly perfect. A famous painter married to an in-demand fashion photographer, she lives in a grand house with big windows overlooking a park in one of London’s most desirable areas. One evening her husband Gabriel returns home late from a fashion shoot, and Alicia shoots him five times in the face, and then never speaks another word.

Alicia’s refusal to talk, or give any kind of explanation, turns a domestic tragedy into something far grander, a mystery that captures the public imagination and casts Alicia into notoriety. The price of her art skyrockets, and she, the silent patient, is hidden away from the tabloids and spotlight at the Grove, a secure forensic unit in North London.

Theo Faber is a criminal psychotherapist who has waited a long time for the opportunity to work with Alicia. His determination to get her to talk and unravel the mystery of why she shot her husband takes him down a twisting path into his own motivations—a search for the truth that threatens to consume him. Read my review of The Silent Patient


Best Books Like The Silent Patient 

Explore the best psychological thriller novels that are reminiscent of Alex Michaelides’ The Silent Patient.

Sharp Objects by Gillian Flynn 

Author Gillian Flynn’s known for her popular thriller Gone Girl, but her debut novel Sharp Objects is a clever thriller story that shares similarities with The Silent Patient. The book follows the story of Camille Preaker, a journalist who recently left a psychiatric hospital and is assigned to cover the unsolved murder of a young girl and the disappearance of another in her hometown.

Camille reluctantly returns to her small hometown, where she has a strained relationship with her neurotic and hypochondriac mother, as well as her half-sister, a mysterious thirteen-year-old girl who seems to have a disturbing influence over the town. As Camille investigates the crimes, she becomes disturbingly connected to the young victims, which raises questions about her own past and mental state.

Sharp Objects delves into the psychological complexities of its main character. The book explores the concept of trauma and its impact on the human mind, as well as the search for truth and personal redemption. 

There are many compelling mysteries that will have you on the edge of your seat.


The Maidens by Alex Michaelides

  • 2021 AudioFile Best Audiobooks
  • New York Times Bestseller
  • 2021 Hudson Booksellers Best of the Year
  • A Parade Best Book of 2021
  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2021)

If you’ve read The Silent Patient you know how brilliantly the author, Alex Michaelides, intertwines literature, art, Greek tragedy, and psychology. His writing style is concise, yet powerful, and it has incredibly addictive. With his second novel The Maidens, Michaelides once again delivers a compelling story.

The main character Mariana Andros is a brilliant but troubled group therapist. She becomes obsessed with proving that Edward Fosca, a charismatic Greek Tragedy professor at Cambridge University, is a murderer. Fosca is highly respected and loved by the staff and students, particularly by a secretive group of female students called The Maidens.

When one of the members of the group, who is also a friend of Mariana’s niece Zoe, is found dead, her interest in The Maidens intensifies.  As a former student at the university herself, Mariana begins to suspect that beneath the idyllic facade of the university and its ancient traditions, there is a dark secret. She becomes convinced that Fosca is responsible for the murder, despite his alibi. Yet, she struggles to understand why the professor would target one of his own students. And his bizarre rituals, are associated with Persephone, the maiden of Greek mythology who journeyed to the underworld.

Despite the risks, Mariana is determined to unravel the truth, even if it means sacrificing everything, including her own life.

The Maidens, explores themes of obsession, identity, and the darkness that can lurk beneath seemingly perfect exteriors. Mariana in many ways will remind you of Theo Faber from The Silent Patient


Shutter Island by Dennis Lehane

While reading The Silent Patient , I have to say, it totally gave me some vibes of Shutter Island. Probably you’ve already seen the amazing movie by Martin Scorsese. But of course, reading the book is even better!

Shutter Island is set in the year 1954 and the story follows U.S. Marshal Teddy Daniels and his new partner, Chuck Aule. They arrive at Shutter Island, home to Ashecliffe Hospital, to investigate the mysterious disappearance of a patient, Rachel Solando.

Rachel, a multiple murderer, seemingly vanished from her locked cell under constant surveillance. As Teddy and Chuck delve deeper into the investigation, they find themselves trapped on the remote and desolate island.  

Throughout the journey, Teddy Daniels begins to question his own sanity and identity. The line between reality and illusion becomes blurred, and the true nature of Ashecliffe Hospital and its inhabitants becomes increasingly enigmatic. 

If you enjoyed the mind-bending twists and psychological suspense in The Silent Patient then Shutter Island will definitely be right up your alley. The novel offers a suspenseful and atmospheric narrative, weaving together elements of mystery, horror, and psychological tension. 


The Perfect Marriage by Jeneva Rose

The Perfect Marriage revolves around Sarah Morgan, a successful defense attorney in Washington D.C., who finds herself in a harrowing situation when her husband, Adam, is accused of murdering his mistress, Kelly Summers.

Sarah is faced with the daunting task of defending her own husband. As she delves into the case, she must confront the disintegration of their relationship and the secrets that have been festering beneath the surface.

The novel poses thought-provoking questions about loyalty and the lengths one would go to protect their loved ones. The Perfect Marriage offers a suspenseful and thrilling narrative until the very end. 


The Girl on the Train by Paula Hawkins 

  • The #1 New York Times bestseller
  • USA Today Book of the Year
  • Goodreads Choice Award Winner for Best Mystery & Thriller (2015)
  • A Major Motion Picture Starring Emily Blunt

In The Girl On the Train we meet Rachel, a woman who commutes on the same train every day and becomes fixated on a seemingly perfect couple she observes from the train window.

In her imagination, Rachel creates a life for the couple she calls “Jess and Jason,” imagining their happiness and ideal relationship. However, one day Rachel witnesses something shocking from the train, which shatters her perception of their perfect life. 

Both The Girl on the Train and The Silent Patient feature unreliable narrators, in my opinion. You feel like you are in a psychological puzzle.  So if you love thrilling and suspenseful narratives that examine the depths of the human psyche and the consequences of obsessions and secrets, get this book right away. 


Verity by Colleen Hoover 

  • New York Times Bestseller 
  • USA Today Bestseller 
  • Globe and Mail Bestseller 
  • Publishers Weekly Bestseller
  • Goodreads Choice Award Nominee for Best Romance (2019)

If you’re on Instagram or Tiktok, you know this book is a big deal. Everyone is going absolutely gaga over Colleen Hoover’s mind-bending psychological thriller.

In Verity, the protagonist, Lowen Ashleigh, is a struggling writer who is offered a life-changing opportunity. She is hired by Jeremy Crawford, the husband of bestselling author Verity Crawford, to complete the remaining books in Verity’s successful series. As Lowen delves into Verity’s notes and outlines, she stumbles upon an unfinished autobiography that was never intended to be read by anyone.

Within the manuscript, Lowen discovers bone-chilling admissions and shocking revelations.  Lowen decides to keep this disturbing information hidden from Jeremy, knowing that it would shatter him further. However, as her feelings for Jeremy deepen, she contemplates the ways in which revealing the truth could benefit her.

If you found yourself enthralled by chilling admissions, and incredible twists and turns in The Silent Patient, prepare to be equally captivated by Verity. 

For more, if you’ve read Verity, already, check out books like Verity. 


The Last Time I Lied by Riley Sager

  • An Instant New York Times Bestseller 
  • One of SheReads’s Best Thrillers of 2018
  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2018)

In The Last Time I Lied, fifteen years ago, Emma Davis, a summer camper, witnessed her three cabin mates sneaking out of their cabin in the middle of the night. They vanished without a trace, with Vivian, one of the girls, leaving a lasting image of closing the cabin door and gesturing for Emma to keep quiet. Now a renowned artist in New York City, Emma channels her past experiences into her paintings, catching the attention of Francesca Harris-White, the wealthy owner of Camp Nightingale, where the mysterious disappearance took place. When Francesca asks Emma to return to the camp as an art counselor, Emma seizes the opportunity to seek closure and move forward.

However, upon her arrival, Emma realizes that something is amiss at Camp Nightingale. Troubling memories resurface, and she becomes the target of a surveillance camera pointed directly at her cabin. Emma uncovers cryptic clues left behind by Vivian, hinting at the camp’s dark origins. As history threatens to repeat itself with the disappearance of three more girls, Emma must confront both human threats and the unforgiving wilderness to unveil the buried secrets, including the truth behind the events from years ago.

The Last Time I Lied is a book similar to The Silent Patient as it intricately weaves the past and present. You will find yourself immersed in its psychological suspense, only to be blindsided by the shocking and compelling conclusion.


The Housemaid by Freida McFadden

Goodreads Choice Award Nominee for Best Mystery & Thriller (2022)

Step into the intriguing world of The Housemaid where secrets and danger lurk behind elegant façades. It’s an unbelievably twisty read that will keep you glued to the pages late into the night.

The protagonist Millie, in her desperation for a job, accepts a position as a housemaid in the lavish home of Nina Winchester. Despite some initial concerns, she chooses to overlook the small problems associated with the job. 

But as time passes,  Millie starts to witness certain unusual events that are impossible to ignore. For instance, she discovers that the doors to her room only lock from the outside, raising suspicions. Additionally, Nina’s demands become more outrageous, adding to Millie’s growing unease.


Never Lie by Freida McFadden

In Never Lie, prepare to be captivated as the layers of deception are peeled away, leading to a spine-chilling revelation that will leave you breathless.

Tricia and Ethan, a newlywed couple, are on a search for their dream home. Their quest leads them to a remote manor that once belonged to a renowned psychiatrist  Dr. Adrienne Hale. He vanished without a trace four years prior. Unfortunately, a violent winter storm traps them at the estate, leaving them with no choice but to wait out the blizzard.

In search of a book to keep her entertained, Tricia stumbles upon a hidden room within the manor. Inside, she discovers a collection of cassette tapes containing audio transcripts from Dr. Hale’s interviews with her patients. And it turns out that the recordings include a series of chilling events that culminated in Dr. Hale’s mysterious disappearance.

Never Lie, is a gratifying trailer that you are guaranteed to devour in one sitting. 


The Family Upstairs by Lisa Jewell 

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2019)
  • Instant New York Times Bestseller
  • A Good Morning America Cover-to-Cover Book Club Pick

From the talented author of the #1 New York Times bestseller Then She Was Gone comes another gripping exploration of one family’s hidden past, where buried secrets threaten to resurface and disrupt their lives.

The Family Upstairs is a rich, dark, and intricately twisted whodunit that combines a family saga with a domestic thriller. 

Libby Jones, on the eve of her twenty-fifth birthday, receives a long-awaited letter that will finally unravel the mystery of her identity. Desperate to discover the truth about her birth parents, she not only finds out who her parents were but also becomes the sole inheritor of their abandoned mansion.  But little does she know that others have been eagerly awaiting this day as well, and their paths are destined to collide.


Local Woman Missing by Mary Kubica

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2021)
  • New York Times Best Seller

Prepare yourself for a dark and twisty ride in Local Woman Missing, a dark and twisty thriller by Mary Kubica. With its white-knuckle tension and jaw-dropping surprises, this gripping tale takes domestic secrets to a whole new level, proving that some people will go to any lengths to bury the truth.

In a once-peaceful community, the disappearance of Shelby Tebow sends shockwaves through the neighborhood. Soon after, Meredith Dickey and her young daughter, Delilah, vanish just blocks away from Shelby’s last known location. The community is gripped by fear and uncertainty. Are these disappearances connected? Despite an exhaustive search, the case runs cold, leaving behind a trail of unanswered questions.

Fast forward eleven years and Delilah shockingly reappears, leaving everyone desperate for answers. The community is captivated by her return, hungry to uncover the truth of what happened to her during her absence. But the revelations they uncover are far more chilling than anyone could have anticipated.

If you are craving a psychological thriller like The Silent Patient, Local Woman Missing is the right choice. You would be addicted to the propulsive journey through a winding maze of secrets.  Author Mary Kubica’s style of describing the complexities of the human psyche will definitely remind you of Alex Michaelides’ writing. 


The Turn of the Key by Ruth Ware

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2019)
  • New York Times Bestseller

The Turn of the Key follows the protagonist, Rowan Caine, who stumbles upon a nannying job ad with a staggeringly generous salary.  Intrigued by the opportunity, Rowan decides to take the job. As she arrives at Heatherbrae House, a luxurious “smart” home located in the picturesque Scottish Highlands, her future alters forever. 

Rowan soon discovers that her new job is a nightmare that ends in tragedy. She finds herself accused of murdering one of the children in her care and is subsequently imprisoned, awaiting trial. 

The Turn of the Key is an atmospheric gothic thriller that might make you stay up all night. 


Rock Paper Scissors by Alice Feeney

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2021)
  • Book of the Month Club Selection
  • Publishers Weekly’s Top 10 Mysteries/Thrillers of Fall 2021
  • CrimeReads’ Most Anticipated Crime Books of Summer 2021
  • New York Times bestseller

Rock Paper Scissors is a domestic thriller penned by Alice Feeney, a New York Times bestselling author. The novel revolves around the troubled marriage of Mr. and Mrs. Wright. 

Adam and Amelia, the couple at the center of the story, win a weekend getaway to Scotland, which they hope will serve as a much-needed respite for their struggling relationship. Adam, a workaholic screenwriter, has face blindness, a condition that prevents him from recognizing familiar faces, including those of his own wife and loved ones.

Every anniversary, Adam and his wife exchange traditional gifts such as paper, cotton, pottery, or tin. Each year, Amelia writes him a letter, but she never allows him to read it. However, this year is different. For some undisclosed reason, Amelia finally decides to reveal the contents of the letter to Adam.

As they set about their anniversary trip, they are aware that this weekend will either make or break their marriage. However, they soon discover that their win was not a random stroke of luck.


The Boy from the Woods by Harlan Coben 

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2020)

The Boy From The Woods is a suspenseful novel centered around the character Wilde, a feral child living in the woods three decades ago. With no recollection of his past, Wilde has grown into adulthood still haunted by his unknown origins. When another child, Naomi Pine, goes missing, Wilde becomes entangled in the search for her.

Nobody talks about Naomi’s disappearance, except Hester Crimstein, a television criminal attorney. Hester knows that Naomi was relentlessly bullied at school. So she reaches out to Wilde, with whom Naomi shares a tragic connection. Hester has a personal connection to Wilde, and she believes his unique skills can aid in finding Naomi.

Motivated by his compassion for those who are marginalized, Wilde decides to assist in the search for Naomi. As Wilde delves deeper into the investigation, he unravels a web of deceit and unearths the hidden truths that could have far-reaching consequences. 

The Boy From The Woods promises a suspenseful and thrilling narrative, where the protagonist must navigate a community of influential figures while battling his own personal mysteries. 


The Nanny by Gilly Macmillan

New York Times bestselling author Gilly Macmillan is renowned for her ability to craft dark and suspenseful stories that delve into family secrets. Her 2019 novel, The Nanny is also another masterpiece. It follows Jocelyn Holt, who at the age of seven, experienced heartbreak when her beloved nanny, Hannah, disappeared without a trace in the summer of 1988.

The loss of Hannah haunted Jo throughout her life, causing her to grow bitter and distant. Eventually, she left her parents and their faded aristocratic home, Lake Hall, behind. However, after three decades, Jo is compelled to return to her childhood home and confront her troubled relationship with her mother.

Upon her return, a shocking discovery takes place—a human body is accidentally unearthed in a lake on the estate. This triggers Jo to question everything she thought she knew about her past and the events surrounding Hannah’s disappearance.

In The Nanny Gilly Macmillan explores the dark impulses and desires that reside within the human heart. The novel presents diabolically clever twists that challenge the characters’ perceptions of truth and confront the painful reality that sometimes the truth can be more painful than a comforting lie.


The Woman in the Window by A.J. Finn 

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2018
  • Goodreads Choice Award Nominee for Best Debut Author (2018)

The Woman In The Window is a suspenseful story about Anna Fox, who lives alone in her New York City home and avoids going outside. Her days are filled with wine, old movies, and spying on her neighbors. When the Russells, a seemingly perfect family, move in nearby, Anna’s life takes a dark turn. One night, she witnesses something she shouldn’t have, leading to the unraveling of shocking secrets. As the story unfolds, Anna questions what is real and imagined, who is in danger, and who is in control. 


The 7 1/2 Deaths of Evelyn Hardcastle by Stuart Turton

  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2018)
  • Goodreads Choice Award Nominee for Best Debut Author (2018)
  • The Sunday Times Bestseller
  • Costa First Novel Award Winner
  • Harper’s Bazaar’s 10 Must-Read Books of 2018
  • The Guardian’s Best Books of 2018
  • Buzzfeed’s 17 Mystery Books You Won’t Be Able to Put Down
  • Country Living’s 27 Murder Mystery Books You Won’t Be Able To Put Down
  • Town & Country’s 35 Best Books About Time Travel
  • Distractify’s Best Books Like Knives Out
  • Tor.com’s 7 Thrilling Murder Mysteries With SFF Flair
  • BookRiot’s 10 Mystery and Thriller Authors like Agatha Christie
  • BookRiot’s 10 Best Time Loop Books

The 7 1/2 Deaths of Evelyn Hardcastle by Stuart Turton is a captivating mystery. Evelyn Hardcastle is destined to be murdered at 11:00 p.m., and the protagonist, Aiden Bishop, must solve her murder to break the cycle. He has eight days and eight different witnesses’ bodies to inhabit. Aiden wakes up each day in a new host, facing challenges from some and assistance from others. The story unravels with unexpected creativity, keeping listeners guessing until the thrilling final moments. The 7 1/2 Deaths of Evelyn Hardcastle is a remarkable debut that weaves an intricate and inventive mystery.


The Therapist by B.A. Paris

  •  USA Today Bestseller!
  • A July 2021 Indie Next Pick
  • One of the “Best Summer Reads of All Time” by Reader’s Digest
  • One of “The Most Anticipated Mysteries and Thrillers of 2021″―Goodreads
  • One of the “Best Beach Reads of Summer 2021″―SheReads
  • One of the “Spring and Summer Thriller and Mystery Must-Reads”―Ms. Career Girl
  • One of the “Best Books of 2021, For All Your TBR Needs”―Popsugar
  • One of the “July 2021 Books [That] Will Have You Turning Pages”―Parade

The Therapist is an excellent choice to read after The Silent Patient for its gripping suspense and psychological depth. Both books are equally compelling and satisfying as they delve into the complexities of human relationships 

The story starts with Alice and Leo who are thrilled to move into their dream home in The Circle, an exclusive gated community. However, as Alice gets acquainted with her neighbors, she uncovers a devastating secret about the house’s past, leading her to develop a strong connection with Nina, the previous therapist who lived there.

Driven by curiosity and obsession, Alice becomes determined to unravel the events that transpired two years ago. But the residents of The Circle are reluctant to discuss the truth, and Alice realizes that the picture-perfect facade hides a multitude of secrets and imperfections.


Behind Her Eyes by Sarah Pinborough

Goodreads Choice Award Nominee for Best Mystery & Thriller (2017)

The story revolves around Louise, a single mother stuck in a monotonous routine. One night, she meets a man in a bar and feels a strong connection with him. However, she later discovers that the man, David, is her new boss and is married to Adele.

As Louise becomes entangled in David and Adele’s lives, she starts to unravel the disturbing dynamics of their marriage. David appears controlling, while Adele appears fearful. Louise finds herself drawn deeper into their complex web, facing more questions than answers.

Behind Her Eyes is an exploration of secrets, control, and the consequences of protecting a marriage’s hidden truths. The Main characters David, Adele, and Louise will undoubtedly bring to mind Theo and Kathy, Alicia, and Gabriel from The Silent Patient


56 Days by Catherine Ryan Howard

  • New York Times Best Thriller of 2021
  • Washington Post Best Thriller of 2021
  • A New York Public Library Best Book of the Year
  • An Amazon Editors’ Pick

In the novel 56 Days, Ciara and Oliver meet during the early days of the Covid-19 pandemic in Dublin. As lockdown measures are implemented, Oliver proposes that Ciara move in with him to continue their relationship without outside interference. However, little do they know that this decision will lead to a mysterious and deadly outcome.

When detectives arrive at Oliver’s apartment, they make a grisly discovery—a decomposing body. The question arises: Can the detectives unravel the truth behind what happened, or has the lockdown provided someone with the ideal circumstances to execute the perfect murder?

56 Days is a dark and timely story that explores the possibility of a meticulously planned crime taking advantage of the unique circumstances presented by the pandemic-induced lockdown. 


The Couple Next Door by Shari Lapena

  • New York Times bestseller
  • Goodreads Choice Award Nominee for Best Mystery & Thriller (2016)

The Final book in the list of books like The Silent Patient– In The Couple Next Door,” a chilling story unfolds with a sense of mystery and suspense. The premise revolves around Anne and Marco Conti who attend a dinner party at their neighbor’s house. However, their neighbor makes it clear that she doesn’t want their crying six-month-old daughter to join them. Despite this, Marco insists that everything will be fine since they live next door. They plan to use a baby monitor and take turns checking on the baby every half hour.

When the couple returns home, they discover their worst nightmare: their baby is missing. In a panic, they race through their eerily silent house, desperate to find her. In their distress, they make the difficult decision to call the police, unsure of what they will uncover in their own home.

The Couple Next Door is an utterly riveting psychological thriller that will make you wonder about the truth behind the disappearance and the darkness that may be lurking behind the seemingly normal lives of the characters.



I hope you’ve found enough twisty thriller books to read after The Silent Patient.

Related posts:

The Silent Patient Book Review & Summary

29 The Silent Patient Book Club Questions and Snack Ideas

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Stephy George
Stephy George

Hi I am Stephy ! I became a bookworm in my late twenties. So I created this little corner of books online to share my love of reading with YOU! I want to help you find the best books to read so you won’t ever have to worry about your next read!

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