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** Required in Karl Puccino's surgery in the first game (specifically, once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (meaning ''any'' unnecessary damage) will kill Karl. He will also die if you let his heart rate get to 200. Add that to the fact that every surgery is a TimedMission anyway, and you've got yourself a NintendoHard level.

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** Required in Karl Puccino's surgery in the first game (specifically, once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (meaning ''any'' unnecessary damage) will kill Karl. He will also die if you let his heart rate get to 200. Add that to the fact that every surgery is a TimedMission anyway, and you've got yourself a NintendoHard level.doesn't help.
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''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by [=MediaTonic=] (plus Burke & Best for its most recent installment) and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza delivery boy Alan Probe and his life after entering his dream job world of surgery, with later installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with a unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.

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''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by the British studio [=MediaTonic=] (plus Burke & Best for its most recent installment) and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza delivery boy Alan Probe and his life after entering his dream job world of surgery, with later installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with a unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.
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''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by [=MediaTonic=] and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza delivery boy Alan Probe and his life after entering his dream job world of surgery, with later installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with a unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.

to:

''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by [=MediaTonic=] (plus Burke & Best for its most recent installment) and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza delivery boy Alan Probe and his life after entering his dream job world of surgery, with later installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with a unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.
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-->'''Alan:''' Ha! Listen... [[spoiler:grandson]]. [[BellisariosMaxim We could sit here and poke holes in the plot all night]]...

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-->'''Alan:''' Ha! Listen... [[spoiler:grandson]]. [[BellisariosMaxim [[invoked]][[BellisariosMaxim We could sit here and poke holes in the plot all night]]...
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* SharedUniverse: With SpiritualSuccessor games ''VideoGame/AmateurNinja'' and ''Gigolo Assassin''.

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* SharedUniverse: With SpiritualSuccessor [[invoked]]SpiritualSuccessor games ''VideoGame/AmateurNinja'' and ''Gigolo Assassin''.

Added: 2452

Changed: 6098

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added spoilers to a reveal that happens in late act 3 in the first game, added some tropes, wording


''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by [=MediaTonic=] and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza deliverer Alan Probe and his life after entering his dream job world of surgery, with latter installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with an unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.

The first game, ''Amateur Surgeon'' (available on Flash [[http://armorgames.com/play/3775/amateur-surgeon here]]), was released in May 4, 2008, and involves Alan starting his surgeon career after treating his later mentor Dr. Ignacious Bleed, whom he accidentally ran over in a pizza delivery van, with household objects as surgery tools. With Bleed's help, he treats a number of other people (mostly criminals) on the streets, many of whom were injured in rather unusual traumatic events.

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''Amateur Surgeon'' is a series of medical-based action puzzle video games developed by [=MediaTonic=] and published by Creator/{{AdultSwim}} for Flash and mobile ports (or to put it simply, ''Videogame/TraumaCenter'' with idiots). The series is mainly centered around former pizza deliverer delivery boy Alan Probe and his life after entering his dream job world of surgery, with latter later installments introducing his disciples and successors. The games provide plenty of examples of BlackComedy and gross-out humor with an a unique difficulty curve, easily seen with Alan's arsenal of improvised medical tools. The most iconic of these is a pizza cutter, which he and other playable characters in the games use as a scalpel.

The first game, ''Amateur Surgeon'' (available on Flash [[http://armorgames.com/play/3775/amateur-surgeon here]]), Surgeon'', was released in on May 4, 2008, and involves Alan starting his surgeon career after treating his later mentor Dr. Ignacious Bleed, whom he accidentally ran over in a pizza delivery van, with household objects as surgery tools. With Bleed's help, he treats a number of other people (mostly criminals) on the streets, many of whom were injured in rather unusual traumatic events.



* ''Amateur Surgeon 4: Regenerations'' (December 1, 2016): In this game, you play as Dr. Ignacious Bleed II, a clone of Bleed created after the events of ''Amateur Surgeon 2'' who has to reintroduce Improvised Surgery to the rest of the world and cure "Clone Disease".
* There's also a Facebook spin-off game titled ''Amateur Surgeon Hospital'', which focuses on running one of Alan's "Bleed Everywhere" clinics.

The series has only focused on ''Amateur Surgeon 4: Regenerations'' since 2016. Said game has been constantly updated with the addition of several side storylines to play alongside the main one and the hosting of in-game events (including a {{crossover}} event with the ''Franchise/RickAndMorty'' game ''VideoGame/PocketMortys'').

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* ''Amateur Surgeon 4: Regenerations'' (December 1, 2016): In this game, you play as Dr. Ignacious Bleed II, a clone of Bleed created after shortly before the events of ''Amateur Surgeon 2'' who has to reintroduce Improvised Surgery to the rest of the world and cure "Clone Disease".
* There's also a Facebook spin-off
Disease". The game titled features almost every procedure from the preceding games (yes, including ''Amateur Surgeon Hospital'', which focuses on running one of Alan's "Bleed Everywhere" clinics.

The series has only focused on ''Amateur Surgeon 4: Regenerations'' since 2016. Said game has been constantly updated
2''), along with the addition of several side storylines to play alongside the main one and the hosting of in-game events (including a {{crossover}} event with the ''Franchise/RickAndMorty'' game ''VideoGame/PocketMortys'').''VideoGame/PocketMortys'').
* ''Amateur Surgeon Hospital'': A Facebook spinoff game that focuses on running one of Alan's "Bleed Everywhere" clinics.

Most (if not all) mentions of the games have been removed from Adult Swim's website, and the servers for ''Tag-Team Trauma'', ''Hospital'', and ''Regenerations'' have since been shut down, putting the current state of the series into question.



** Just ''somehow'' the patient will always survive your MeatGrinderSurgery (if you beat the stage that is), and always turn out completely healthy and good-as-new afterwards, no matter how serious their injuries were.
** There are two levels in the series where you give patients "body modifications". The first one is Donny Debonair from the first game (act 2, patient 5), where you saw off a large piece of flesh tissue from him and insert a golden plaque there, among other things. The second is Miss Distress from the second game (act 1, patient 6), which involves sticking large piercings into her lungs and heart. Neither cases harm them in the slightest.
* ArtisticLicenseMedicine: Let's see... you use a pizza cutter to cut into organs, a stapler to stitch cuts and similar open wounds together, a chainsaw to cut out bones and organs, and a syringe to suck out poison. You can also perform transplants on vital organs such as hearts, brains, and stomachs and fasten bones together using nothing but the chainsaw, a lighter, and some healing gel. Some surgeries even involve using a car battery, and it won't harm the patient at all as long as you aim it correctly. Basically, any injury that would otherwise require more serious medical attention in real life can be fixed in this game with simple household objects with no ill-effects. Granted, [[RuleOfFun if the games were realistic, then they wouldn't be fun]].
* AssistCharacter: The third game onward features Tag Team Partners, who can grant various abilities, such as healing the patient for a set amount of health, stopping time and even bringing the patient back to life with voodoo magic.
* BackAlleyDoctor: The premise for the whole shebang. And we should also mention Back Warehouse Doctor, Back North Pole Doctor, Back Old Folks Home Bathroom Doctor, Back Chicken Coop Doctor... the one time Alan performs onscreen in a hospital, it's in an ''{{Abandoned Hospital}}!'' After the events of the first game, Alan started opening back alley clinics.

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** Just If you're able to beat the stage, the patient will ''somehow'' the patient will always survive your MeatGrinderSurgery (if you beat the stage that is), and always turn out completely healthy and good-as-new afterwards, good-as-new, no matter how serious their injuries were.
were or what their final heart rate was.
** There are two levels in the series where you give patients "body modifications". The first one is Donny Debonair from the first game (act 2, patient 5), where (among other things) you saw off a large piece of flesh tissue from him and insert a golden plaque there, among other things. there. The second is Miss Distress from the second game (act 1, patient 6), which involves sticking where you stick large piercings into her lungs and heart. Neither cases harm them in the slightest.
* ArtisticLicenseMedicine: Let's see... you use a pizza cutter to cut into organs, a stapler to stitch cuts and similar open wounds together, a chainsaw to cut out bones and organs, and a syringe to suck out poison. You can also perform transplants on vital organs such as hearts, brains, and stomachs and fasten bones together using nothing but the chainsaw, a lighter, and some healing gel. Some surgeries even involve using a car battery, and it won't harm the patient at all as long as you aim it correctly. Basically, any injury that would otherwise require more serious medical attention in real life can be completely fixed in this game the games with simple household objects with no ill-effects.objects. Granted, [[RuleOfFun if the games were realistic, then they wouldn't be fun]].
* AnachronicOrder: ''Regenerations'' shows the Acts from the other 3 games in non-chronological order, switching between the first, second, and third game's storylines each time. To make things even more confusing, it's all but stated that the game takes place ''before'' Amateur Surgeon 2 (or at least before that game's act 3, since you perform a surgery that ends up causing it), and the fact that you perform surgeries in that game is {{Hand Wave}}d as the device you use being able to have you perform surgeries from the future.
* AssistCharacter: The third game onward features and fourth games feature Tag Team Partners, who can grant Partners with various abilities, such as healing the patient for a set amount of health, stopping time time, and even bringing the patient back to life with voodoo magic.
* BackAlleyDoctor: The premise for the whole shebang. And we should also mention Back Warehouse Doctor, Back Alan's performed surgery in a warehouse, the North Pole Doctor, Back Old Folks Home Bathroom Doctor, Back Chicken Coop Doctor... Pole, the bathroom at an old folks' home, a chicken coop... heck, the one time Alan performs onscreen in a hospital, it's in an ''{{Abandoned Hospital}}!'' ''AbandonedHospital''! After the events of the first game, Alan started opening even opened back alley clinics.



** In the first two games, [[spoiler:Dwayne Pipe, Horace D'Obscene's true identity]]. He's responsible, directly or indirectly, for most of the bad things that happen to Bleed, Alan and their allies.

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** In the first two games, [[spoiler:Dwayne Pipe, Horace D'Obscene's true identity]]. He's responsible, directly or indirectly, for most of the bad things that happen to Bleed, Alan Alan, and their allies.



** Averted in the fourth game, where there is NoAntagonist.
* BodyHorror: A lot of the injuries are this. Anthills, barnacles, and boils filled with poison formed on the body, animals and bugs burrowing into organs (including one Partner Special in ''Regenerations'' that has earthworms protruding from the patient’s ''heart''), and large foreign objects puncturing the flesh including some hidden beneath the skin that you have to cut to get out.
* BonusBoss: The first two games have bonus patients that you have to unlock by fulfilling certain conditions. Their surgeries are also extremely unorthodox, playing out in ways that make them stand out from the main patients.
** The first game has Stuporman (unlocked by filling Donny Debonair's "pimp meter" to its maximum level in Act 2), the B.U.M. (unlocked by amassing a total score of 1 million points throughout your high scores in the game), and the [=DeLerium=] (unlocked after finishing the main game).
** The second game dials back on the GuideDangIt unlock requirements, but does still require you to achieve a perfect "A" rating for all surgeries in both acts, a challenge in-and-of itself. For Act 1, you unlock Vladimir Ampire, and for Act 2, you unlock [[spoiler:Dr. Bleed's corpse]]. The mobile-exclusive Act 3 doesn't give you a bonus patient.
** The patients' remastered surgeries in the fourth game are easier to unlock, since they have the game's typical unlocking requirements (such as the amount of stars obtained across all patients) instead.
* BornAsAnAdult: As seen in the intro of the fourth game with Bleed II, the clones are processed and created like adult humans. Although, they're able to age just as normally, making them YoungerThanTheyLook.
* BungledSuicide: Bleed's first surgery is eventually revealed to have been due to this. Crosses over with MidSuicideRegret, as he called Alan for help immediately after the latter ran him over.

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** Averted in While the main story of the fourth game, where there is NoAntagonist.
game has NoAntagonist, the epilogue has one in the form of [[spoiler: Faker Hubris]].
* BodyHorror: A lot of the injuries are this. Anthills, barnacles, and boils filled with poison formed on the body, animals and bugs burrowing into organs (including one Partner Special in ''Regenerations'' that has earthworms protruding from the patient’s patient's ''heart''), and large foreign objects in the flesh that are either clearly puncturing the flesh including some hidden beneath the skin that you it or have to be cut to get out.
* BonusBoss: The first two games have bonus patients that you have to unlock by fulfilling certain conditions. Their surgeries are also extremely unorthodox, playing out in ways that make them stand out from the main patients.
** The first game has Stuporman (unlocked by filling Donny Debonair's "pimp meter" to its maximum level in Act 2), the B.U.M. (unlocked by amassing a total score of 1 million points throughout your high scores in the game), and the [=DeLerium=] (unlocked after finishing the main game).
** The second game dials back on the GuideDangIt unlock requirements, but does still require you to achieve a perfect "A" rating for all surgeries in both acts, a challenge in-and-of itself. For Act 1, you unlock Vladimir Ampire, and for Act 2, you unlock [[spoiler:Dr. Bleed's corpse]]. The mobile-exclusive Act 3 doesn't give you a bonus patient.
** The patients' remastered surgeries in the fourth game are easier to unlock, since they have the game's typical unlocking requirements (such as the amount of stars obtained across all patients) instead.
* BornAsAnAdult: As seen in the intro of the fourth game with Bleed II, the clones are processed and created like adult humans. Although, However, as seen with [[spoiler:Hubris D'Obscene]], they're able to age just as normally, making them YoungerThanTheyLook.
* BungledSuicide: Bleed's [[spoiler:Bleed's first surgery surgery]] is eventually revealed to have been due to this. Crosses over with MidSuicideRegret, as he called Alan for help immediately after the latter ran him over.attempt.



* CerebusRetcon: The first game's intro, featuring a drunk Bleed getting run over by Alan because the latter was reading a magazine while driving a pizza van? [[BungledSuicide That was actually a suicide attempt on Bleed's part.]] [[spoiler:Believing himself to be wholly responsible for the [[MyGreatestFaliure Old Hospital Fiasco]]]] and high off his ass on cough syrup, Bleed threw himself in front of the pizza van. It's a good thing the magazine Alan had in hand was tangentially related to surgery, at least.
* ChainsawGood: Good for getting past that pesky rib cage, anyway. And removing organs for transplants.

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* CerebusRetcon: The first game's intro, featuring where a drunk Bleed getting gets run over by Alan because the latter was reading a magazine while driving a pizza van? [[BungledSuicide driving? [[spoiler:[[BungledSuicide That was actually a suicide attempt on Bleed's part.]] [[spoiler:Believing part]]. Believing himself to be wholly responsible for the [[MyGreatestFaliure Old Hospital Fiasco]]]] Fiasco]] and high off his ass on cough syrup, Bleed threw himself in front of the pizza van. It's a good thing the magazine Alan had in hand was tangentially related to surgery, at least.
least]].
* ChainsawGood: Good All games have the protagonists use a chainsaw to perform life-saving surgeries on some patients. It's good for getting past that pesky rib cage, anyway. And removing organs for transplants.



** In the final level of the first game's first act, Alan removes a bug infestation from Horace without Bleed there to overlook the surgery. Later in the third act, Alan finds out that [[spoiler:he accidentally overlooked Dwayne's worst one... which ends up incapacitating the guy when he tries to make his escape during the climax]].

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** In the final level of the first game's first act, Alan removes a bug infestation from Horace without Bleed there to overlook the surgery. Later in the third act, Alan finds out discovers that [[spoiler:he accidentally overlooked Dwayne's worst one... which ends up incapacitating the guy when he tries to make his escape during the climax]].



* TheComicallySerious: Dr. Bleed's notes in the first game tend to veer into this, [[JustifiedTrope since he's pretty much the only person in the entire cast with a doctorate.]]
-->'''Alan''': ''[refering to the procedure he did on Tommy Gracefuls, who crashed through a window]'' Multiple extractions were required to fix the [[{{Pun}} pain in the glass.]]

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* TheComicallySerious: Dr. Bleed's notes in the first game tend to veer into this, [[JustifiedTrope since he's pretty much the only person in the entire cast with a doctorate.]]
doctorate]].
-->'''Alan''': ''[refering to the procedure he did on Tommy Gracefuls, who crashed through a window]'' Multiple extractions were required to fix the [[{{Pun}} pain in the glass.]]glass]].



* CompilationRerelease: The fourth game contains most surgeries from the previous games (except the ones from ''Christmas Edition''), with the [[JustifiedTrope justification]] that you're a clone of Dr. Bleed viewing Alan's memories so that you can get yourself back up to speed.

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* CompilationRerelease: The fourth game contains most surgeries from the previous games (except the ones from ''Christmas Edition''), Edition'' and the bonus ones from ''Tag-Team Trauma''), with the [[JustifiedTrope justification]] that you're a clone of Dr. Bleed viewing Alan's memories so that you can get yourself back up to speed.speed.
* CoolAndUnusualPunishment: ''Christmas Edition'' reveals that [[spoiler:Dwayne Pipe's punishment for attempting to murder everyone was... helping Officer Brutality with his cooking classes]]. This was so torturous for him, in fact, that he ''willingly chose'' exile to the North Pole over it.
* DemotedToExtra:
** After the first game, Dr. Bleed is relegated to just brief cameos or mentions throughout the series. The closest he gets to a "prominent" role is [[spoiler:being a bonus patient in ''Amateur Surgeon 2'']].
** Alan, who was featured in a major role throughout most of the series, isn't shown in the story of ''Regenerations'' until the last two surgeries of the main plot (though he does have a prominent role in the game's epilogue).



* EasilyElected: [[LampshadeHanging Lampshaded]] in the cutscene after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted murderer]] was able to win the US presidential election [[spoiler: while disguised, despite having already been arrested once and become one of the most wanted criminals after he escaped prison]]. In response, Alan tells Bradley not to think much about such a "PlotHole".
-->'''Bradley:''' I had no idea the president [[spoiler:was the bad guy]]! I mean, how does [[spoiler:a criminal imprisoned for MURDER manage to get out of jail, disguise his identity]], and then run for, and become, president of the United States?
-->'''Alan:''' Ha! Listen... [[spoiler:grandson]]. [[BellisariosMaxim We could sit here and poke holes in the plot all night...]]

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* EasilyElected: [[LampshadeHanging Lampshaded]] in the cutscene after [[spoiler:Dwayne]]'s the final surgery in the second game. Bradley questions how [[spoiler: [[spoiler:Dwayne Pipe, a convicted murderer]] was able to win the US presidential election [[spoiler: while [[spoiler:in disguised, despite having already been arrested once and become being one of the most wanted criminals after he escaped prison]]. In response, Alan tells Bradley not to think much about such a "PlotHole".
-->'''Bradley:''' I had no idea the president [[spoiler:was the was [[spoiler:the bad guy]]! I mean, how does [[spoiler:a criminal imprisoned for MURDER manage to get out of jail, disguise his identity]], and then run for, and become, president of the United States?
-->'''Alan:''' Ha! Listen... [[spoiler:grandson]]. [[BellisariosMaxim We could sit here and poke holes in the plot all night...]]night]]...



* ExactTimeToFailure: [[TimedMission If the clock hits 0:00, the patient dies immediately. Doesn't matter what their vitals looked like at 0:01.]]
** [[JustifiedTrope Somewhat justified]], in that the longer it takes an operation to finish, particularly to fix a life-threatening problem, the less chance of survival. (Complications setting in, and all that.) But this justification is partly [[SubvertedTrope subverted]], because in RealLife, there is no exact PointOfNoReturn. Not time-based, anyhow.
* ExtremeOmnivore: Junkyard Guts from the first game. You have to remove a ''magnet'' from his stomach. ''And it draws out screws as well.'' [[spoiler: In the last act, he even eats a ''bomb'' that was [[PaperThinDisguise disguised as a sandwich using two pieces of bread.]]]]
* TheFaceless: One of the partners in the fourth game, Ted Rando, has never been seen without a mask and is reported to not know what his own face looks like.
* FirstNameBasis: In the fourth game, to distinguish him from the original Bleed (who had a LastNameBasis in contrast), Bleed II is mainly referred to as "Ignacious" by himself, other characters and the game itself.

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* EvilIsPetty: In the fourth game's epilogue, it's revealed that [[spoiler:Faker Hubris' plan was to use a rare blue coffee bean to... turn everyone's skin blue]]. That's it. In fact, he had no idea that his scheme would cause everyone affected by it to get severely ill, and is shocked once he finds out.
* ExactTimeToFailure: [[TimedMission If the clock hits 0:00, the patient dies immediately. Doesn't matter immediately]], regardless of what their vitals looked like at 0:01.]]
** [[JustifiedTrope Somewhat justified]], in that
[[note]]While this is somewhat TruthInTelevision, since there is less chance of survival the longer it takes an a real-life operation to finish, particularly to fix a life-threatening problem, the less chance of survival. (Complications setting in, and all that.) But this justification is partly [[SubvertedTrope subverted]], because in RealLife, there is no exact PointOfNoReturn. Not time-based, anyhow.
time-based PointOfNoReturn.[[/note]]
* ExtremeOmnivore: Junkyard Guts from the first game. You have to remove a ''magnet'' magnet from his stomach. ''And stomach, and it draws ''draws out screws as well.'' screws''. [[spoiler: In the last act, he even eats a ''bomb'' bomb that was [[PaperThinDisguise disguised as a sandwich using two pieces of bread.]]]]
bread]].]]
* TheFaceless: One of the partners in the fourth game, Ted Rando, has never been seen without a mask and is reported to not know what his own face looks like.
like. During the surgery on him, you have to look under his mask to get all the bullets out... [[spoiler: but all that's under there is just a smaller mask covering his face]].
* FirstNameBasis: In the fourth game, to distinguish him from the original Bleed (who had a LastNameBasis in contrast), Bleed II is mainly referred to as "Ignacious" by himself, other characters characters, and the game itself.



** Bug-Eater Peter's pet komodo dragon is known as "Mister Caruthers."

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** Bug-Eater Peter's pet komodo dragon Komodo Dragon is known as "Mister Caruthers."



* GiantSpaceFleaOutOfNowhere: In the final mission of the fourth game's main storyline, where you perform brain surgery on [[spoiler: Alan himself]], you must extract a weird tentacled one-eyed psychic EldritchAbomination from his head. It's never quite explained what is it, how it got inside his head, nor there is any comment by anyone about it once it's destroyed.

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* GiantSpaceFleaOutOfNowhere: In the final mission of the fourth game's main storyline, where you perform brain surgery on [[spoiler: Alan himself]], you must extract a weird tentacled one-eyed psychic EldritchAbomination from his head. It's never quite explained what is it, how it got inside his head, head or even what is it beyond [[spoiler: memory-monster]], nor there is any comment by anyone about it once it's destroyed.



*** Unless you know that you can shock the tapeworm more than once each time he pops his head out (and you have to shock it like five times), you are ''not'' going to beat Bleed's second surgery (the penultimate one overall), because the tapeworm's going to make just too many little bleeding cuts that will drop his heart rate really fast. You need to be careful, though, lest you miss and stop Bleed's heart instead. If that happens, you're basically screwed, unless you react quickly enough.[[note]]It's not so much a problem with the previous tapeworm in Stinkin' Joe Garbage's surgery, because it only has to be zapped three times.[[/note]]

to:

*** Unless you know that you can shock the tapeworm more than once each time he pops his head out (and you have to shock it like five times), you are ''not'' going to beat Bleed's second surgery (the penultimate one overall), because the tapeworm's going to make just too many little bleeding cuts that will drop his heart rate really fast. You need to be careful, though, lest you miss and stop Bleed's heart instead. If that happens, you're basically screwed, unless you react quickly enough.[[note]]It's not so that much of a problem with the previous tapeworm in Stinkin' Joe Garbage's surgery, because it only has to be zapped three times.[[/note]]



*** The Bio-Utility Mechanoid, or B.U.M., is [[BonusBoss one of the bonus patients that you can unlock]]. To even get inside it, you have to apply gel to its red button.

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*** The Bio-Utility Mechanoid, or B.U.M., is [[BonusBoss [[OptionalBoss one of the bonus patients that you can unlock]]. To even get inside it, you have to apply gel to its red button.



** One of the tools in most games is a lighter, a respectable cauterization method. Yet this also repairs bones, cuts in vital organs, and metal. Alan is a frickin' genius.

to:

** One of the tools in most games is a lighter, which is a respectable cauterization method. Yet Yet, this somehow also repairs bones, cuts in vital organs, and metal. Alan is a frickin' genius.



** ''Amateur Surgeon 4'' has the partners Chad Burnem and Iron Wang, who respectively use a flamethrower and a clothes iron.

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** ''Amateur Surgeon 4'' has the partners Chad Burnem and Iron Wang, who respectively use a flamethrower and a clothes iron.iron respectively.



** In the first game, the penultimate patient from the second act is Animal the Cannibal. He gets another surgery in the fourth game.

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** In the first game, the penultimate patient from the second act is Animal the Cannibal.Cannibal, who quite clearly has human remains in his stomach. He gets another surgery in the fourth game.



* LateArrivalSpoiler: The fourth game casually says early on that [[spoiler:Dwayne and Hubris]] were the [[BigBad Big Bads]] of the previous games.

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* LateArrivalSpoiler: The fourth game casually says early on that [[spoiler:Dwayne and Hubris]] were the [[BigBad Big Bads]] {{Big Bad}}s of the previous games.



* MeatGrinderSurgery: Given that the improvised tools Alan used went on to become the essential equipment for a new form of surgery, it goes without saying that the series is based all around this. Why use a scalpel when you have a pizza cutter? Lighters can cauterize pretty well, can't they? Surely a chainsaw would make for a perfect bonesaw, right? Who needs a syringe when you've got a corkscrew? Poison can be cured with a few nicks to the area and a vacuum cleaner just fine, see? Who cares if the patient's heart stops, we can just shock them back with this car battery I found!

to:

* MeatGrinderSurgery: Given that the improvised tools Alan used went on to become the essential equipment for a new form of surgery, it goes without saying that the series is based all around this. Why use a scalpel when you have a pizza cutter? Lighters can cauterize pretty well, can't they? Surely and a chainsaw would make makes for a perfect bonesaw, right? Who needs a syringe when you've got a corkscrew? bonesaw. Poison can be cured with a few nicks to the area and a vacuum cleaner just fine, see? Who cares and if the patient's heart stops, we can just shock them back to life with this a car battery I found!battery!



* MustHaveCaffeine: Karl Puccino, a patient in the first and third games, suffers from this, which makes the requirements for beating his stages to NintendoHard levels. See NoDamageRun.
* MyGreatestFailure: [[spoiler: The Old Hospital fiasco, in which many, many people died]] for Dr. Bleed. [[spoiler: Turns out it wasn't his fault after all.]]

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* MustHaveCaffeine: Karl Puccino, a patient in the first first, third, and third fourth games, suffers from this, which makes the requirements for beating his stages to NintendoHard levels. See surgeries require a NoDamageRun.
* MyGreatestFailure: Dr. Bleed considers [[spoiler: The Old Hospital fiasco, in which many, many people died]] for Dr. Bleed. [[spoiler: Turns to be this. [[spoiler:It turns out that it wasn't his fault after all.]]



** Required in Karl Puccino's surgery in the first game (specifically, once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and drain (and suction out) the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (that means ''any'' unnecessary damage) will kill Karl. He will also die if you let his heart rate get to 200. Add that to the fact that every surgery is a TimedMission anyway, and you've got yourself a NintendoHard level.
** The later games feature "Sudden Death" versions of surgeries, where you must complete the stages without any mistakes whatsoever.
* NoNameGiven: For whatever reason, [[spoiler:the fake identity Dwayne used for his presidency]] in the second game isn't given an actual name, instead being simply referred as "The President."

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** Required in Karl Puccino's surgery in the first game (specifically, once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and drain (and suction out) the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (that means (meaning ''any'' unnecessary damage) will kill Karl. He will also die if you let his heart rate get to 200. Add that to the fact that every surgery is a TimedMission anyway, and you've got yourself a NintendoHard level.
** The later games ''Tag-Team Trauma'' and ''Regenerations'' feature "Sudden Death" versions of surgeries, where you must complete the stages without any mistakes whatsoever.
* NoNameGiven: For whatever reason, [[spoiler:the fake identity Dwayne used for his presidency]] in the second game isn't given an actual name, instead being simply referred as "The President."[[spoiler:"The President"]].



* NoSmoking: In the fourth game, Horace's trademark cigarette was edited out of his remastered cutscene sprites and hidden behind the leaderboard in his pre-op screens, in an effort to keep the game's age rating at M.

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* NoSmoking: In the fourth game, Horace's trademark cigarette was edited out of his remastered cutscene sprites and hidden behind the leaderboard in his pre-op screens, in an effort to keep the game's age rating at below an M.



* OpenHeartDentistry: Alan is the only source for criminals to get medical care, ranging from lacerations to poisonings. With the occasional extreme body piercing and mechanical restoration.

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* OpenHeartDentistry: Alan is the only source for criminals to get medical care, ranging from lacerations to poisonings. With poisonings... with the occasional extreme body piercing and mechanical restoration.restoration.
* OptionalBoss: The first two games have bonus patients that you have to unlock by fulfilling certain conditions. Their surgeries are also extremely unorthodox, playing out in ways that make them stand out from the main patients.
** The first game has Stuporman (unlocked by filling Donny Debonair's "pimp meter" to its maximum level in Act 2), the B.U.M. (unlocked by amassing a total score of 1 million points throughout your high scores in the game), and the [=DeLerium=] (unlocked after finishing the main game).
** The second game dials back on the GuideDangIt unlock requirements, but does still require you to achieve a perfect "A" rating for all surgeries in both acts, a challenge in-and-of itself. For Act 1, you unlock Vladimir Ampire, and for Act 2, you unlock [[spoiler:Dr. Bleed's corpse]]. The mobile-exclusive Act 3 doesn't give you a bonus patient.
** ''Regenerations'' does have all the bonus surgeries from the first two games, in addition to some new exclusive ones. Thankfully, the surgeries are easier to unlock, since they have the game's typical amount-of-stars requirement instead.



* PunnyName: Alan Probe, Ignacious Bleed, Lumbar Jack, Ophelia Payne... The list goes on with tons and tons of them. Not surprising, considering [=MediaTonic=]'s track record.

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* PunnyName: Alan Probe, Probe (anagram for "anal probe"), Ignacious Bleed, Bleed ("I bleed"), Lumbar Jack, Jack ("lumberjack"), Ophelia Payne...Payne ("I feel ya' pain")... The list goes on with tons and tons of them. Not surprising, considering [=MediaTonic=]'s track record.



** [[spoiler: However, the actual reveal happens in the second act, where he finally reveals himself to be none other than Dwayne Pipe]].

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** [[spoiler: However, the actual The ''actual'' reveal happens in the second act, where he [[spoiler:the president finally reveals himself to be none other than Dwayne Pipe]].



* RunningGag: Alan and his allies/successors seem to always have problems when it comes to dealing with exterminating bugs. [[spoiler:Especially Dwayne's bugs.]]
* {{Sampling}}: The fourth game's current menu theme since the update following the ''VideoGame/PocketMortys'' event samples various sound effects from the latter game.

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* RunningGag: Alan and his allies/successors seem to always have problems when it comes to dealing with exterminating bugs. [[spoiler:Especially Dwayne's bugs.]]
bugs, especially when it comes to [[spoiler:Dwayne's bugs]].
* {{Sampling}}: The fourth game's current menu theme since the update following After the ''VideoGame/PocketMortys'' event samples event, the fourth game's menu theme sampled various sound effects from the latter former game.



* SavingChristmas: The plot of ''Christmas Edition'', wherein Alan goes to save Christmas after ''he utterly annihilated it!''
* ScreamsLikeALittleGirl: Alan does this in the intros to the first game and ''Christmas Edition''. Ironically, both situations happen to involve him driving a vehicle and running someone over while he's distracted reading a surgery magazine.

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* SavingChristmas: The Parodied in the plot of ''Christmas Edition'', wherein where Alan goes decides to save Christmas by finding and performing surgery on Santa... after ''he utterly annihilated it!''
he ''ran over Santa in the first place''.
* ScreamsLikeALittleGirl: Alan does this in the intros to the first game and ''Christmas Edition''. Ironically, Amusingly, both situations happen to involve him driving a vehicle and running someone over while he's distracted reading a surgery magazine.



** The [[BonusBoss Bonus Bosses]] in the first game are pretty much walking Shout-Outs, the referenced works including ''Franchise/BackToTheFuture'', ''Franchise/{{Superman}}'' and ''Film/ShortCircuit''.

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** The [[BonusBoss Bonus Bosses]] {{Optional Boss}}es in the first game are pretty much walking Shout-Outs, the referenced works including ''Franchise/BackToTheFuture'', ''Franchise/{{Superman}}'' and ''Film/ShortCircuit''.



** In the fourth game, you get rid of ghosts by [[VideoGame/LuigisMansion sucking them up with your vacuum]].



* SuckOutThePoison: You do this with syringes, and it will automatically cure the person of their poisoning [[ArtisticLicenseMedicine for some reason]].
* ThatCameOutWrong: When Ophelia and Alan [[MakesJustAsMuchSenseInContext deal with a woman that's stuck wearing a cursed chastity belt her overprotective dad forced her to wear]]:

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* SuckOutThePoison: You do this with syringes, and it will automatically cure the person of their poisoning poisoning... [[ArtisticLicenseMedicine for some reason]].
* ThatCameOutWrong: When In the third game, when Ophelia and Alan [[MakesJustAsMuchSenseInContext deal with a woman that's stuck wearing a cursed chastity belt her overprotective dad forced her to wear]]:



* TimeyWimeyBall: The emotron in the fourth game is stated to be able to have user relive memories that happen in the past and ''future''. Don't question how it works.



* TurbineBlender: In the intro sequence of ''Christmas Edition'' (a send-up of the intro to the first game), Alan, flying his private jet distractedly while reading an article about his rise to fame, collides with Santa's sleigh. One of the reindeer is sucked into the jet's turbines and shredded, causing it to crash into Santa's workshop.
* TwoDonorClone: As the former explains on their first meeting in the fourth game, [[spoiler:Hubris and Bleed II were created from a combination of Bleed and Dwayne's DNA]], a fact that Ophelia had been trying to hide from [[spoiler:Ignacious]] via making him think that [[spoiler:he was just a pure clone of Bleed]]. For this reason, [[spoiler:both share Bleed's surgical talent and Dwayne's bug infestations]]. [[spoiler:Hubris also treats Ignacious as if he was his brother, much like how he refers to Dwayne as his father.]]
-->[[spoiler:'''Hubris:''' ''(to Ignacious)'' I was my father's child, with a touch of Bleed... And you were almost pure Ignacious - but with a touch of the obscene!]]

to:

* TurbineBlender: In the intro sequence of ''Christmas Edition'' (a send-up recreation of the intro to the first game), Alan, flying his private jet distractedly while reading an article about his rise to fame, collides with Santa's sleigh. One of the reindeer is sucked into the jet's turbines and shredded, causing it to crash into Santa's workshop.
* TwoDonorClone: As the former explains on during their first meeting in the fourth game, [[spoiler:Hubris and Bleed II II]] were created from a combination of Bleed [[spoiler:Bleed and Dwayne's DNA]], a fact Dwayne's]] DNA, which was being hidden from the latter as he was told that Ophelia had been trying to hide from [[spoiler:Ignacious]] via making him think that [[spoiler:he he was just a pure clone of Bleed]]. [[spoiler:Bleed]]. For this reason, [[spoiler:both both share Bleed's [[spoiler:Bleed's surgical talent and Dwayne's bug infestations]]. [[spoiler:Hubris infestations. Hubris also treats Ignacious as if he was his brother, much like how he refers to Dwayne as his father.]]
-->[[spoiler:'''Hubris:'''
father]].
-->[[spoiler:'''Hubris'''
''(to Ignacious)'' Ignacious)'']]: I was my father's child, with a touch of Bleed... [[spoiler:Bleed]]... And you were almost pure Ignacious [[spoiler:Ignacious]] - but with a touch of the obscene!]][[spoiler:the obscene]]!



* VigilanteMan: Across the late second act and most of the third act in the first game, Alan patches up returning patients from earlier in the game, who this time are the victims of a rampaging vigilante [[spoiler: whose parents turn out to be among the people who died in the Old Hospital fiasco, and was actually blackmailed by Dwayne.]]
* WalkingSpoiler: '''Insects'''. Any time they appear in a mystery character, it's guaranteed to be [[spoiler: Dwayne or Hubris]].

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* VigilanteMan: Across the late second act and most of the third act in the first game, Alan patches up returning patients from earlier in the game, who this time are the victims of a rampaging vigilante. The third act reveals that the vigilante [[spoiler: whose was [[spoiler:Aureola, who was trying to get revenge on Dwayne Pipe, who killed her parents turn out to be among the people who died in the Old Hospital fiasco, and was actually blackmailed by Dwayne.fiasco.]]
* WalkingSpoiler: '''Insects'''. ''Insects''. Any time they appear in a mystery character, it's they're almost guaranteed to be [[spoiler: tied to [[spoiler:either Dwayne or Hubris]].



* WorstAid: One of the missions the first game's second act involves separating the hemispheres of a woman's brain with a chainsaw, while using a dumpster as an operating table. And ''she survives''... long enough to pay Alan, anyways.
** You actually have to ''remove'' the brain temporarily, destroy some... things (Cancer growths? Warts? Mold?) to cure her mental disorder, then put the brain and skull pan back and heal them both with your lighter.

to:

* WorstAid: One of the missions in the first game's second act involves separating the hemispheres of a woman's brain with a chainsaw, temporarily ''removing'' part of the brain in order to destroy some unusual growths, and putting it back with just your lighter and some healing gel... all while using a dumpster as an operating table. And ''she survives''... she ''survives'' long enough to pay Alan, anyways.
** You actually have to ''remove'' the brain temporarily, destroy some... things (Cancer growths? Warts? Mold?) to cure her mental disorder, then put the brain and skull pan back and heal them both with your lighter.
at least thank Alan.

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