When reading a text our understanding of its meaning is influenced by the visual form and material features of the page. The chapters in this volume investigate how visual and material features of early English books, documents, and other artefacts support - or potentially contradict - the linguistic features in communicating the message. In addition to investigating how such communication varies between different media and genres, our contributors propose novel methods for analysing these features, including new digital applications. They map the use of visual and material features - such as layout design or choice of script/typeface - against linguistic features - such as code-switching, lexical variation, or textual labels - to consider how these choices reflect the communicative purposes of the text, for example guiding readers to navigate the text in a certain way or persuading them to arrive at a certain interpretation. The chapters explore texts from the medieval and the early modern periods, including saints’ lives, medical treatises, dictionaries, personal letters, and inscriptions on objects. The thematic threads running through the volume serve to integrate book studies with discourse linguistics, the medieval with the early modern, manuscript with print, and the verbal with the visual.