Of Kesey's other novels, Last Go Round is most closely related to One Flew Over the Cuckoo's Nest. George Fletcher's clowning and desire to be the center of attention recall Randle Patrick McMurphy's behavior, whereas the importance of Jackson Sundown and the portrayal of the Indian camp remind readers of Kesey's continuing interest in Native American culture, which began with his peyote vision of an Indian that inspired his earlier novel.