Audiobooks Like The Silent Patient

Jack Hawkins and Louise Brealey trade the narration of The Silent Patient in a way that mirrors the book's structure — a therapist's clinical perspective and a patient's silence held against it — and Hawkins brings a dry, slightly unreliable quality to Theo that pays off. At nine hours, it's a compact listen. Seven of the recommendations share a narrator, and the list pulls toward the same vein of psychological suspense where the reveal hinges on voices you've been trusting.

10 audiobooks for fans of The Silent Patient

  1. 1
    The Maidens by Michaelides, Alex cover

    The Maidens by Michaelides, Alex

    by Alex Michaelides, Unknown Author

    Narrated by Kobna Holdbrook-Smith, Louise Brealey

    4.15 ABR Score (459.1K ratings)
    ★ 3.61 Goodreads (449.2K) ★ 4.33 Audible (9.9K)
    9h 19m listening time • Released 2021

    Holdbrook-Smith and Brealey's dual narration transforms this psychological thriller into a cat-and-mouse game that'll have you second-guessing every character's motive until the final twist lands.

  2. 2
    The Fury cover

    The Fury

    by Alex Michaelides

    Narrated by Alex Jennings

    3.64 ABR Score (242.3K ratings)
    ★ 3.36 Goodreads (240.1K) ★ 3.81 Audible (2.2K)
    8h 8m listening time • Released 2024
  3. 3
    Him cover

    Him

    Him • Book 1

    by J.D. Kirk

    Narrated by David Tennant, Louise Brealey

    4.23 ABR Score (7.6K ratings)
    ★ 3.85 Goodreads (4.3K) ★ 4.54 Audible (3.3K)
    9h 28m listening time • Released 2025

    Tennant and Brealey's dual narration transforms this AI thriller into something genuinely unsettling—their voices blur the line between human and digital so seamlessly that you'll second-guess what's real.

  4. 4
    Lie Beside Me cover

    Lie Beside Me

    DCI Jonah Sheens • Book 3

    by Gytha Lodge

    Narrated by Louise Brealey, John Hopkins

    3.99 ABR Score (3.7K ratings)
    ★ 3.9 Goodreads (3.5K) ★ 4.38 Audible (160)
    10h 4m listening time • Released 2021

    Louise Brealey and John Hopkins create a claustrophobic dual perspective that makes this unreliable-narrator mystery feel like eavesdropping on a confession. Lodge's third Sheens novel finally lets the detective breathe, and the audiobook's split narration makes you question everything you just heard.

  5. 5
    The Day I Lost You cover

    The Day I Lost You

    by Ruth Mancini

    Narrated by Rebecca Mancini, George Blagdon, Olivia Poulet, Louise Brealey, Roy McMillan

    3.72 ABR Score (1.4K ratings)
    ★ 3.59 Goodreads (1.4K) ★ 3.88 Audible (8)
    7h 55m listening time • Released 2025

    The ensemble cast transforms this missing-child thriller into something genuinely unsettling—each narrator embodies their character's unreliability so completely that you'll second-guess everyone's motives by the final twist.

  6. 6
    Sixteen Horses cover

    Sixteen Horses

    Dr. Cooper Allen • Book 1

    by Greg Buchanan

    Narrated by Louise Brealey

    3.48 ABR Score (3.3K ratings)
    ★ 2.98 Goodreads (3.3K) ★ 3.17 Audible (24)
    9h 42m listening time • Released 2021

    Louise Brealey's brittle, unsettling performance transforms this claustrophobic mystery into something genuinely haunting—she makes you feel the paranoia seeping through Ilmarsh as thoroughly as the pathogen infecting its soil.

  7. 7
    None of This is True cover

    None of This is True

    by Lisa Jewell

    Narrated by Kristin Atherton, Ayesha Antoine, Louise Brealey, Alix Dunmore, Elliot Fitzpatrick, Lisa Jewell, Thomas Judd, Dominic Thorburn, Nicola Walker, Jenny Walser

    4.53 ABR Score (1.1M ratings)
    ★ 4.07 Goodreads (1.1M) ★ 4.53 Audible (15.4K)
    10h 31m listening time • Released 2023

    Jewell's latest is a true-crime-podcast thriller — a woman who befriends a podcaster becomes the subject of the story, with terrifying consequences.

  8. 8
    The Girl on the Train cover

    The Girl on the Train

    by Paula Hawkins

    Narrated by Clare Corbett, Louise Brealey, India Fisher

    4.49 ABR Score (3.5M ratings)
    ★ 3.96 Goodreads (3.3M) ★ 4.36 Audible (140.9K)
    10h 58m listening time • Released 2015

    Hawkins's debut rode the Gone Girl wave and deserved every bit of it — three unreliable female narrators, a missing woman, and a twist that genuinely lands.

  9. 9
    Verity cover

    Verity

    by Colleen Hoover

    Narrated by Vanessa Johansson, Amy Landon

    4.74 ABR Score (4.0M ratings)
    ★ 4.29 Goodreads (3.9M) ★ 4.51 Audible (137.0K)
    8h 10m listening time • Released 2019

    The dual narration transforms this psychological thriller into something genuinely unnerving—each narrator pulls you deeper into a twisted conspiracy that rewires everything you thought you knew.

  10. 10
    Oath of Loyalty cover

    Oath of Loyalty

    Mitch Rapp • Book 21

    by Kyle Mills, Vince Flynn

    Narrated by George Guidall

    4.71 ABR Score (31.6K ratings)
    ★ 4.48 Goodreads (24.5K) ★ 4.75 Audible (7.1K)
    9h 35m listening time • Released 2022

    George Guidall's gravelly intensity elevates this Mitch Rapp thriller beyond typical spy fiction—he makes every threat feel personal and every betrayal cut deep.

How We Rank Audiobooks

Rankings are driven by listener ratings and review counts from Audible and Goodreads. Books with high ratings across a large number of listeners rank higher — a 4.5 with 50,000 ratings says more than a 4.8 with 200.

Unlike most book lists, we weight audiobook-specific factors: narrator performance, production quality, and how well a story translates to audio. A great book with a poor narration isn't a great audiobook.

We don't accept paid placements or prioritize new releases. These rankings reflect what listeners actually enjoy, not what's being promoted.

Rankings update periodically as new ratings come in and new titles are added to the collection.

Read our full ranking methodology →