Review || Milkteeth by Caitlin Starling

Published October 20, 2026, by St. Martin's Press

From the bestselling author of The Death of Jane Lawrence comes a new, genre-bending supernatural horror about a vampire broodmother fighting against her own monstrous descent.

Beatrice is a broodmother: a vampire responsible for nursing newly made fledglings through the first years of their unlife. She nests in an abandoned, isolated warren of office space beneath her patron's skyscraper, raising two fractious fledglings: Gorgeous—once a heartthrob, now to all appearances a living corpse—who longs for the return of the lover who made him immortal with all the fervor of a rebellious teen, and Fortunata, the scion of Beatrice's mistress, alien and ambitious in her desires.

But when Beatrice decides to take on a third fledgling, the product of an attempted siring gone wrong, teetering between vampiric purity and ghoulish depravity, Beatrice finds herself strained to breaking between the societal and physical demands of her position, her own ravenous hunger, and an obsessive need to discover what’s happening to her—because her body is changing too, transforming her into something even more monstrous. She begins to crave the taste of flesh, something anathema to all vampires, and to swing between desperate hunger and vicious power.

Desperate to master herself once more, Beatrice courts a mortal OBGYN who might be able to unravel the secrets of her unnatural anatomy. But soon their connection threatens the secrecy of her vampiric coven as well as the safety and development of her dependent nurslings… and the humans they stand to slaughter if left to their own devices.

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Motherhood in horror seems to be all the rage these days, but Milkteeth takes it in a brand new direction. Who knew vampires need mommy too?

Most vampire stories are focused on the change to vampire. Someone gets bitten by a vampire, dies, wakes up again, and bam, new vampire. Milkteeth takes it a different direction and questions what happens in between life and undeath and life again. What steps have to be taken for a newly turned vampire to become a productive member of vampire society? What does feeding look like as a hungry newly undead? How does a fledgling learn to control its hunger so the world isn't littered with dead bodies? 

As a broodmother, Beatrice does all that and more for newly turned vampires or "fledgings". However, while she's trying to keep her fledglings fed, teach them to control their hunger, and generally trying to keep them from becoming a menance, strange things start happening to her too. The changes become more and more concerning and her hunger is getting worse, her body is changing, and none of it makes sense. Beatrice turns to a mortal doctor for help, which brings a whole other set of problems. 

Instead of treating the fledgling as a finished vampire the second they rise from the transformation, Starling gives us the messy, prolonged, very physical process of becoming one. It made me look at the vampire as an entirely different creature instead of just a human with fangs. The broodmother angle brought something new and different too, but I think what I liked most about Milkteeth is that it made vampires feel weird again. Not sexy and brooding. Not tragic and moody. Just weird and very unhuman. I guess what I'm saying is that mothering made vampires less human instead of more. See? Weird.