Empire of Pain
A family dynasty spanning generations replaces a single startup.
Patrick Radden Keefe's Empire of Pain traces three generations of the Sackler family, from their early pharmaceutical marketing innovations through the creation and aggressive promotion of OxyContin, the drug at the center of the opioid epidemic. Like Carreyrou, Keefe follows the money and the relationships that allowed a family to profit from mass suffering while maintaining a reputation as cultural philanthropists.
The reporting is exhaustive, drawing on lawsuits, internal documents, and interviews with former employees, and Keefe's writing has a controlled fury that builds as the body count rises. Where Bad Blood exposed a startup that faked its technology, Empire of Pain exposes a family that knew its product was addictive and pushed it anyway.
Both books share a structure that moves between the boardroom decisions and the human consequences, showing how insulation, legal teams, and public relations can delay accountability for decades. Readers who appreciated Carreyrou's ability to make corporate malfeasance feel personal will find Keefe does the same on a larger scale.





