Our present understanding of the structure of the Hoyle state in $^{12}$C and other near-threshold states in $alpha$-conjugate nuclei is reviewed in the framework of the $alpha$-condensate model. The $^{12}$C Hoyle state, in particular, is a candidate for $alpha$-condensation, due to its large radius and $alpha$-cluster structure. The predicted features of nuclear $alpha$-particle condensates are reviewed along with a discussion of their experimental indicators, with a focus on precision break-up measurements. Two experiments are discussed in detail, firstly concerning the break-up of $^{12}$C and then the decays of heavier nuclei. With more theoretical input, and increasingly complex detector setups, precision break-up measurements can, in principle, provide insight into the structures of states in $alpha$-conjugate nuclei. However, the commonly-held belief that the decay of a condensate state will result in $N$ $alpha$-particles is challenged. We further conclude that unambiguously characterising excited states built on $alpha$-condensates is difficult, despite improvements in detector technology.
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