@Tsukinotaku I didn't know amputation was not considered guro.
As for the realism, she did experience hardcore bullying according to herself, it may hit too close to home for a lot of people.
@Tsukinotaku For an author you're supposed to hate, you sure know a lot about her works.
The culture part was either sarcasm or a reference to the fact guro culture do exist and is not something everyone can enjoy.