How Loathsome is a series of goth, LGBT comics by Ted Naifeh and . Originally published in 2003 in four separate issues, the series was released in a graphic novel format in 2004 by /NBM. The story chronicles the misadventures of several, loosely connected residents of San Francisco, as it addresses issues of gender identity, sexuality, fetishism, drug use, and goth subculture. How Loathsome received the award for "Best New Series" in 2003, and was runner-up for its "Best Bookshelf Comic" award in 2004.