Cirque Du Freaks by Darren Shan
This is the first book in the 12 book Living Nightmare series. I have a hard time saying whether this is YA or mid-grade. I think all the content and language are very acceptable for middle grade but I also found it an intensely scary story. I would not read it after dark, so if you are middle grade and like really scary stuff this might be okay for you. If you are middle grade and like fun stories that make you feel good, maybe not so much. The story is told in first person past tense by ninth grade Darren Shan. It asks several questions. Is stealing from a bad person as bad as stealing from a good person? And the ultimate question of the story is what would you do if dying was the only way to save the life of your best friend whose illness you caused?