51 pages 1 hour read

I Regret Almost Everything

Nonfiction | Autobiography / Memoir | Adult | Published in 2025

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Chapters 1-10Chapter Summaries & Analyses

Content Warning: This section of the guide includes discussion of suicidal ideation, mental illness, death by suicide, bullying, sexual content, and illness.

Chapter 1 Summary

Keith McNally reflects on his attempt to die by suicide in 2018. He was staying at his Martha’s Vineyard house with his second wife Alina and their two children Alice and George. He’d planned to take a large dosage of sleeping pills but discovered them missing the night before his planned attempt. After finding and taking the pills, McNally felt prepared to die.


A year and a half earlier, McNally’s life had felt happy and stable. He was living in Manhattan’s SoHo neighborhood and running eight successful restaurants Downtown. In 2016, he returned to London to see his family. One day, he took the kids to the museum and had a stroke shortly afterward. The stroke rendered his “right side unusable” and made talking nearly impossible (3). Alina did her best to support him but it was most difficult for the kids. After they visited him in Charing Cross Hospital, McNally cried for the first time in decades.

Chapter 2 Summary

McNally considers how his stroke changed his work. His restaurants were earning $80 million a year but he didn’t care about the money.

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