In this trilogy-ender, brothers David and Will reunite Outside, helping parents rebuild society, starting with a small farm near McKinley High. Alone, pregnant, and still quarantined inside the school, Lucy turns to the only gang that will take her in: the Burnouts. Thomas's graphic scenes of violence and homemade drug addictions are stomach-turning, and the somewhat abrupt conclusion may leave followers unsatisfied. (c) Copyright 2015. The Horn Book, Inc., a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

*Starred Review* Even if someone tried to put a parental guidance sticker on this title, it would blister right off from the toxic rot inside. Two years after the escaped virus that got McKinley High sealed off from the world in Quarantine: The Loners (2012), the school has become a thunderdome of thuggery, violence, prostitution, and drugs. Having escaped the hell in Quarantine: The Saints (2013), Will is reunited with brother David in the relative peace of outside before they are both dragged back in to rescue the pregnant Lucy. Meanwhile, Lucy is ejected from the Sluts and falls into the hands of the Burnouts, lesion-covered creeps getting high on stinkers fermented-feces fumes inhaled through a rubber glove. Yes, it's disgusting. Really disgusting. In fact, this is so far outside most readers' comfort zones that it feels like outsider art, a surreal attempt to extract meaning and purpose from the sickest of scenarios. The plot, such as it is, is powered by unbalanced ex-mean-girl Hilary, obsessed with finding new teeth to plug her tooth hole and determined to hold a demented prom. This trilogy-ender is the hastiest of the three important moments are rushed through with regularity but as a capper to this undersung psycho soap opera, it sure does its dirty job. One character's last words sum up the whole mad series: Peace, fuck, barf, love. --Kraus, Daniel Copyright 2014 Booklist

The final installment of Thomas' gross-out Quarantine series.Will has escaped the school and reunited with his brother, David. After a short, solitary quarantine, Will's pronounced virus-free and brought into the parent-run operation that feeds and protects the school. Back inside the school, Lucy's clique, the Sluts, blames her for the disastrous fight between the Sluts and Saints. They kick her out, and once again, the plot centers on the difficulties faced by a character who is clique-less, at the social ladder's bottom rung. Lucy's complication, however, is an unplanned pregnancy. When word about Lucy's hardships comes to Will and David, Will sneaks back in to rescue her, equipped with a gas mask whose filter is nearly used up. David chases after to save him from the virus, and the love triangle is re-established. Their race against clogged filters keeps the plot moving quickly. Meanwhile, Lucy's found a new clique, the Burnouts. Seeking a renewable drug source, Burnouts ferment their own waste to get high on the fumes and masturbate. So shocking it's funny, poop's refreshing for readers numbed by the edgy-for-the-sake-of-edgy previous violence and rampant prostitution. Meanwhile, David's ex, Hilary (a cardboard evil-lunatic villain), finds a gun. The ending, of course, offers enough death to appease the fan base.By far, the fastest and funniest of the series. (Science fiction. 16-18) Copyright Kirkus Reviews, used with permission.