Short and sweet, this document jumps right into the material after an interesting bit of fiction. The idea of Fleshgrafts is very cool and allows for a different type of enemies. The enemies created using Fleshgrafts are not monsters, but definitely monstrous, which may give the players pause when dealing with them. There are also some great possibilities for PCs with Fleshgrafts.
My only complaint is with the last NPC included. Most of the flavor text for the NPC says it's a girl, the portrait looks like a girl, but a couple times in the fiction it's referenced as a male and in the stats it's listed as a male. Just a minor quibble, and it in no way affects the usability of the NPC.
[5 of 5 Stars!]