It is 1967, in a Viennese hospital. In separate wards: the narrator named Thomas Bernhard, is stricken with a lung ailment; his friend Paul, nephew of Ludwig Wittgenstein, is suffering fom one of his periodic bouts of madness. Bernhard traces the growth of an intense friendship between two eccentric, obsessive men who share a passion for music, a strange sense of humor, brutal honesty, and a disgust for bourgeois Vienna.

"[Wittgenstein's Nephew is] a meditative fugue for mad, brilliant voices on the themes of death, death-in-life and the artist's and thinker's role in society . . . oddly moving and funny at the same time."--Joseph Coates, Chicago Tribune

"Mr. Bernhard's memoir about Paul Wittgenstein is a 'confession and a guilty homage to their friendship; it takes the place of the graveside speech he never delivered. In its obsessive, elegant rhythms and narrative eloquence, it resembles a tragic aria by Richard Strauss. . . . This is a memento mori that approaches genius.'"--Richard Locke, Wall Street Journal