This article describes a 4-level pulse amplitude modulation (PAM4) receiver incorporating continuous time linear equalizers (CTLEs) and a 2-tap direct decision feedback equalizer (DFE) for applications in wireline communication. A CMOS track-and-regenerate slicer is proposed and employed in the PAM4 receiver. The proposed slicer is designed for the purposes of improving the clock-to-Q delay as well as the output signal swing. A direct DFE in a PAM4 receiver is made possible with the proposed slicer by having rail-to-rail digital feedback signals available with reduced delay, and accordingly relaxing the settling time constraint of the summer. With the 2-tap direct DFE enabled by the proposed slicer, loop-unrolling and inductor-based bandwidth enhancement techniques, which can be area/power intensive, are not necessary at high data rates. The PAM4 receiver fabricated in 28-nm CMOS technology achieves bit-error-rate (BER) better than 1E-12, and energy efficiency of 1.1 pJ/b at 60 Gb/s, measured over a channel with 8.2-dB loss at Nyquist.