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Achy Affects deftly weaves poetics and theory with personal narrative on topics like divorce, ‘coming out,’ and on-the-ground work in harm reduction. CE Mackenzie imagines new ways to be in the pains and pleasures—the aches of life—as a refusal of capitalism’s demands for product, a position which reframes not only what it means to know and how we know, but also what it means to live a meaningful life or to simply live. Achy Affects offers a breath of fresh air and a much-needed intervention into affect studies and recent resedimentations of a binary of ‘good’ and ‘bad’ feeling.