The romantic novelist Ethel M. Dell was a recluse, and actively avoided marketing herself as a personality in any way, but her formula was successful. She reached a very large audience publishing 98 titles and earning, at the height of her career, about £4M annually in today's values. Her plots included a popular and heady mix of heterosexual, implicit same-sex relationships, sexual deviances, gratuitous violence, death and exoticised notions of Empire and masculinity. Although being publishing alongside literary giants she was vilified by the establishment no doubt jealous of her substantial earnings. With an escapist and non-literary appeal to a lower middle class reader universe Ethel used a very successful multi-media marketing strategy with magazine serialisation, hard copy books, film, theatre and radio to reach this audience in the UK, the United States, Europe and the British colonies. A forerunner to Mills and Boom's success Ethel was very influential in setting the scene for mass market romantic fiction. Barbara Cartland stated that Ethel was her greatest influence.