Cameron Kelsey is 13 years old. He is not well and needs a new heart. Doctors want to give him a pig's heart. Cameron cannot decide if he wants the pig's heart, and some groups are very angry about doctors using animals in this way. Pig-Heart Boy, a Level 4 Reader, is A2+ in the CEFR framework. The text is made up of sentences with up to three clauses, introducing more complex uses of present perfect simple, passives, phrasal verbs and simple relative clauses. It is well supported by illustrations, which appear regularly. Penguin Readers is an ELT graded reader series for learners of English as a foreign language. With carefully adapted text, new illustrations and language learning exercises, the print edition also includes instructions to access supporting material online.