1. The English patient “whispers again, dragging the listening heart of the young nurse beside him to wherever his mind is, into that well of memory he kept plunging into during those months before he died” [this page]. Why does the patient consider himself to have “died”? Does he undergo any kind of rebirth during the course of the story?
2. What can you deduce from the novel about Hana’s relationship with her father? Has her father’s death, and the manner of it, caused her to retreat from the war and devote herself to the English patient? What influence do her feelings for her father have upon her relationship with Caravaggio?
3. Why did Hana decide to have an abortion during the war? How has that decision affected her, and how much influence has it had on her life at the villa?
4. How does the landscape of the novel–the Villa San Girolamo, the country around it, and the boundary between the two–reflect the inner lives of its inhabitants? Why do you think that Ondaatje has chosen Tuscany as the setting for his story? What significance do other landscapes, like the desert and the English countryside, hold for the story and its characters?
5. The English patient says, “I believe in such cartography—to be marked by nature, not just to label ourselves on a map like the names of rich men and women on buildings. We are communal histories, communal books” [this page]. How does Ondaatje use maps and cartography as a metaphor for people and history? What does geography mean to the English patient and to Ondaatje’s other characters?
6. Why has Ondaatje made Caravaggio a thief by profession? What is it in his character that makes such an occupation appropriate? “All his life he has avoided permanent intimacy” [this page]. Does Caravaggio change during the course of the novel? Does he ever come to accept intimacy, and if so, what type of intimacy and intimacy with whom?
7. The imagery at the beginning of the novel likens the patient to Christ. Later, Caravaggio says to Hana, “You don’t love him, you adore him,” to which she answers, “He is a saint” [this page]. Who else is likened to a saint, and why? Where else in the novel can you find religious imagery, and what is its purpose? The night before the Hiroshima explosion Kip sleeps in a church. What is the subject of the painting he sees there, and what is its thematic relation to the imminent atomic explosion?
8. “I came to hate nations,” says the English patient. “We are deformed by nation-states” [this page]. How does the desert negate the idea of nations? What sort of supra-national unity is experienced by the Europeans drawn to the desert, and how does each of them respond to the beginning of war? What alternate view of geography and history does the desert offer?