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Welcome to World State No. 4. It is a global totalitarian regime where uniformity is the highest virtue, and the drug "Kallocain" has just been perfected by the state chemist, Leo Kall. This revolutionary truth serum forces every citizen to confess their innermost thoughts—dreams, disloyalties, and desires—directly to the authorities.

Written in 1940 during the height of the Second World War, the novel draws heavily from Boye's observations of National Socialism in Germany and Stalinism in the Soviet Union. It predates George Orwell’s kallocain ljudbok