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The fictional protagonist of the Lionel Shriver novel, We need to talk about Kevin, massacred nine classmates, his father and his sister with a bow and arrow. He murdered them just before he turned 16, to avoid being prosecuted as an adult. He spared the life of his mother, a kindred spirit, cold, arrogant, who would recognize the depth of his hatred and nihilism. Kevin's maternal grandfather was born in a concentration camp during the Armenian genocide. His mother, Eva, a tough, independent woman, loathed being pregnant and the process of giving birth. Kevin was a demanding baby and then a cruel child. Eva kept telling her husband that she found Kevin's malignity troubling, but he only wanted to see the charming, vulnerable side of the boy. Was Kevin born a sociopath or did he become one due to his experiences in utero and beyond? In this paper, I elucidate how temperamental features, inadequate parenting, transgenerational trauma, and oppressive gender relations created the perfect storm from which Kevin's personality developed. Finally, I will discuss how Eva and Kevin struggled to repair their relationship after the murders, and consider whether forgiveness and reconciliation are even possible after such a heinous act.