You’ve been so unequivocal and public that this book is about the death of Pinhead — full stop, no spoiler warning. Why?

Why not? If I’d been sly about this and not even mentioned the fact that Pinhead — excuse me, the Hell Priest — was going to die, that would have seemed really dumb. It’s actually a really important element of the book, the element of the book which will draw the most attention. He will not be coming back, by the way. That I promise you. There will be no return, no posthumous Frank Sinatra concerts from him.

In reading, I couldn’t help but think about your own life. You’ve been working on this book for years—

Yes, I have been working on this book for years. But I also had a coma, and lost my mother, my father, and the young man who was almost my son, and a lot of other terrible things in the meantime. Even though it might seem that I’ve been diddly-daddling instead of actually writing, a lot of that daddling has been because I was unconscious. I, uh … I take the Fifth. [Laughs.] I’m making a joke of it, but there have been some pretty damn horrible times of late. I’m only just now, after some many years, priming to leave the house. I’ve only been out of the house five times in the last few years. I am now well enough to, actually, finally leave the house. [Sardonically.] Hey, what about that!

In the midst of all this, you revealed that you supported your writing career in the early days by working as a hustler.

Was that really such a revelation? I was surprised. Maybe I hadn’t talked about it in the past, but I didn’t think I’d hidden it too much.

I got the sense that that was a painful time in your life to revisit.

It was, and yet it wasn’t. It was humiliating many times. It was stultifyingly boring much of the time. And it’s bad sex, mainly. [Laughs.] But you can’t have everything. It kept me in bread and cheese through a bad time in my life, fiscally. But do I want to go back to hustling anytime soon? Nope.

For my Grantland debut I spoke with Hellraiser director Clive Barker about his life, his health, and the death of Pinhead. His new book The Scarlet Gospels, which contains exactly that, is in stores today, and it is furious and empathetic and takes no prisoners.