Author Nick Mamatas uses Ylem as multiple realities or fates in the novel Bullettime, ChiZine Publications, 2012.
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Nick Mamatas's 2004 novel Move Under Ground, set in a world where Cthulhu has taken power and only the Beats oppose him, the power of the Great Old Ones twists the constellations into new shapes, using them as vessels for his surrogates; among them, Jack Kerouac observes the "red stars of Azathoth".