In Nick Hornby's book "How to Be Good," the protagonist experiences overwhelming emotions that lead to a profound outburst of grief. This moment illustrates the intensity of her feelings, suggesting that her pain runs so deep that it feels like she's shedding blood instead of tears. It emphasizes how suffering can manifest physically, showcasing the struggle with personal turmoil and the quest for resolution.

This powerful quote captures the essence of Hornby's exploration of emotional depth and the fragility of human experience. It conveys a sense of vulnerability and the challenges of confronting one's inner demons, reflecting a longing for understanding and comfort in the midst of despair. The imagery of tears transforming into blood speaks to the heart-wrenching nature of the character's journey towards enlightenment and healing.