Ripping Someone Open Only Makes Them Bleed novel was written by Yoru Sumino, the author of I Want to Eat Your Pancreas.

Seventeen-year-old Akane has everything she could ever want: friends, a boyfriend, and an all-round perfect life. No one knows that her every move is a calculated performance, dictated by a compulsive need to be liked. Her flawless act is disrupted when she meets a man named Ai, who looks and sounds exactly like the protagonist of Akane's favorite novel. Can this be a coincidence? And if not, what does it mean?