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The Only One Left (2023) is a gothic thriller by Riley Sager (also detailed on Wikipedia) about Kit McDeere, a home-health aide in 1983 assigned to care for Lenora Hope, an elderly woman suspected of murdering her family 50 years prior. As described in this SuperSummary study guide, Lenora breaks her silence to reveal the truth, leading to a suspenseful tale of hidden secrets, dual timelines, and shocking twists.