Book excerpt: Engaging systematically with severe forms of poverty in Europe, this important book stimulates academic, public and policy debate by shedding light on aspects of deprivation and exclusion of people in absolute poverty in affluent societies. It examines issues such as access to health care, housing and nutrition, poverty related shame, and violence. The book investigates different policy and civic responses to extreme poverty, ranging from food donations to penalisation and “social cleansing” of highly visible poor and how it is related to concerns of ethics, justice and human dignity.