An American fiction writer and journalist, he is most famous for novels such as Southern Fried and Doctor Golf. Bruce Springsteen based the song "Darlington County" on Dixiana Moon, another novel by Fox.
He studied with Caroline Gordon at the University of South Carolina. Later, he taught creative writing at the Iowa Writers' Workshop.
He wrote for publications such as Sports Illustrated, the Los Angeles Times, USA Today, and Atlantic Monthly.
He was born in Illinois and raised in South Carolina. With his wife, Sarah Gilbert, he had a daughter.
He and John Irving both studied at the Iowa Writers' Workshop.