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In the book Bateman is told by many people, including gay men, that said he could be a model/actor in talking with them. He kills atleast one or two gay men, but the reason he doesn't kill Caruthers is because he was not what he seemed like on the surface - no one in his group realized Caruthers was gay. Combine that with Bateman's homophobia and he let him get away, as Caruthers - in the book - tranfers to Arizona because Bateman doesn't love him.
ABout the murders being real or not, they could be but they could also not be - or some of them are real and some are not. For example, Paul Allen may have not been killed at all and really could have just been in London. I think he did kill most of them though, and the forgotten names - which shows up again in Glamorama a lot - reinforces that he was killing them, that everyone was just too shallow to be able to know who was who. Or maybe they just didn't know who Bateman was because they didn't notice him. Very ambigious atmosphere =P
THe satire of the book and movie itself is meant to be absurd, which is why it's so obvious and darkly funny in both.
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