An under-represented area of queer gothic, asexuality may seem at odds with the sweeping romance of Gothic tropes. However, contemporary Gothic texts demonstrate a perverse drawing towards and repulsion from sexual attraction in its asexual and ace-spectrum characters. In Caitlin Starling’s The Death of Jane Lawrence, this repulsion-fascination works in accord with the book’s medical themes, themselves classically Gothic, as the author draws on Victorian surgical and medical techniques, and invoking images of body horror. This paper demonstrates an emerging trope of equating the sexual with the medical in a way that reflects an asexual perspective on sex in Gothic horror texts, firstly by examining the sexuality of Jane Lawrence to establish her as an asexual or ace-spectrum representative. It will then examine the language used as Jane begins to encounter sexual attraction, demonstrating a link between her growing knowledge of surgery and a linguistic crossover with her experience of sexuality. Finally, this paper will suggest further areas for research on asexuality in Gothic American fiction, foregrounding this text’s place in continuing planned research.