Book Review: The Sanatorium by Sarah Pearse – a gripping mystery-thriller set in the Swiss Alps

I like a good thriller set in an environment which hampers the investigation. There are plenty set in Scotland, but The Sanatorium might be the first I’ve read set in the Swiss Alps.

It’s January, so winter is well established, when Elin and her boyfriend, Will, arrive at a swanky hotel that was a former sanatorium for tuberculosis patients. They are there to help her brother celebrate his engagement to Laure, who works at the hotel, but before the other invitees arrive, the weather worsens, with avalanche warnings threatening the only road out.

Which is one problem. When Laure goes missing Elin starts digging. She’s a cop on extended leave after losing her mother to cancer and a particularly horrific case that left her traumatised. Elin’s also worried about her brother Isaac and has a score to settle. He was there when their young brother died, and because of their constant rivalry, of Isaac’s endless need to prove himself, Elin has often wondered if Isaac was being honest in his account of what happened all those years ago. So there’s that.

When weather conditions deteriorate to such an extent, the call goes out to evacuate the hotel, a body is found in the pool. Now that the last bus out has gone, the police can’t get in, so Elin is asked by the hotel owner, Lucas, to help. Despite her ongoing anxiety – she has panic attacks and flashbacks – Elin has to step up. She has been ignoring her boss’s frequent emails asking when she’s coming back to work, and trying not to think about Will’s wanting to make their relationship more permanent. So she’s got a lot going on in her personal life, too.

But the reader knows this is going to be Elin’s chance to prove her worth, without the support of her team, with a killer somewhere in the hotel, a missing woman and a dead body. The weather batters and threatens and the remaining guests and staff are unsettled. There’s also the mystery hovering in the background of what happened to Daniel, the hotel’s architect, who disappeared a couple of years before.

And then there’s the hotel itself. An austere architectural monstrosity, ground-breaking to some, like Will, who being an architect, is impressed. But Elin finds it unnerving. So much glass, and windows that don’t let you ignore the weather outside. But it’s the building’s former purpose that is really chilling. Laure shows Elin a storeroom before she disappears, which still houses some grim-looking equipment. Even the artwork that graces the hotel walls is a stark reminder that many people came here with incurable illnesses.

Bending, she gathers the fallen papers into a pile. She realises it’s not only papers but photographs. The image on top is haunting – a row of women sitting outside on the verandah. They’re thin, sickly looking, their eyes turned to the camera. Looking right into hers.
Patients, Elin thinks, shivering at this tangible intrusion of the hotel’s past into its present,, suddenly acutely aware of how little separates her from what came before.
All at once she feels a tightening in her throat. One breath is not following the other as it should, instead hiding, elusive, impossible to grasp. Her chest is heaving, her lungs feel like they’re filled with something liquid.
Don’t panic. Don’t let it take over. Not here. Not in front of Laure.
Laure looks at her closely. ‘Is something wrong?’
Elin fumbles in her pocket, clamping her hand around her inhaler. ‘I’m fine.’

So there’s an awful lot here to build tension, inside the hotel and out, with Elin’s inner struggles and the case to worry about. I started this novel as an audiobook which is really well-performed by Gemma Whelan, who has to do French and German accents and pulls off the characterisation with aplomb. But it was such an engrossing story, I wanted to get my hands on a physical copy as well. I galloped through it all and found it overall a pretty good escapist read – four stars – with the promise of two more mysteries in the Elin Warner series to look forward to.