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This is an annotated edition and English translation of Jaume Roig’s Spill, a vast, mid-15th-century Iberian narrative poem composed in Valencian Catalan. The work is considered to be one of the most significant pieces of literature in that dialect, but it is usually overlooked because of the difficulties of the language despite its serving as a major touchstone for knowledge of late medieval medicine (Roig was a physician), misogyny, Marian theology, and a huge array of cultural practices such as midwifery, wet nursing, marriage, and civil law.