I haven’t read Blood Meridian specifically, but I also have ADHD and find myself needing to reread pages in some books. I still remember sitting on the train and repeatedly rereading paragraphs in Midnight’s Children. Absolutely beautiful book, but it definitely required some close attention!

What I’ve found is that audiobooks often help. When I first started out with audiobooks I was worried that I would miss details or constantly get distracted, but I’ve found that many books are actually easier to follow in audio. I mean, I still get distracted periodically and have to rewind by a few minutes, but it happens less than with physical books. I listened to The Satanic Verses as an audiobook and I’m pretty sure I would not have gotten through it otherwise.

With Gravity’s Rainbow, I actually ended up doing both: listening to the audiobook while following along with a physical copy. Sounds a bit silly, but it worked pretty well. I absolutely loved the writing but it required almost physically painful amounts of focus to follow along :P

Now, the audio version isn’t always easier, but it happens often enough that I default to audiobooks over physical books when I can. (It also helps that I can listen while walking outside!) I’m not sure how well it would work for Blood Meridian specifically, but it could be worth a try.