* This game takes InstantWinCondition to the extreme. Did you just [[strike:carefully place]] haphazardly drop in the replacement heart with the patient down to single-digit milliliters of blood, their ribs smashed, and their lungs on the floor? [[BlatantLies "Looks fine to me, I'm sure he'll live..."]]
** And if you lose, you're told that "it was going so well..." -- whether [[HopeSpot you really were doing pretty well until something suddenly went south]], [[NintendoHard had no clue what you were doing]], or [[VideoGameCrueltyPotential intentionally killed your patient]] -- followed by the game telling you how [[strike:long]] [[VideoGameCrueltyPotential fast]] it took to achieve your [[YouBastard "brutal murder"]].
** If you fail the [[Videogame/TeamFortress2 "Meet the Medic"]] (and you most likely will, [[VideoGameCrueltyPotential intentionally]] or [[ThatOneLevel otherwise]]), you get the ''[=TF2=]'' "objective failed" booing crowd along with one of the Medic's kill quotes:
---> "''Zat'' was [[VideoGameCrueltyPotential doctor-assisted homicide]]!" \\
"Zat was not medicine!"
* A meta one: the original version of this game is an entry in the [[http://2013.globalgamejam.org/ 2013 Global Game Jam]], of which the theme is "The Sound of a Heartbeat". A BloodyHilarious game that "simulates" a heart transplant by the worst doctor ever lived does take this theme to its literal extreme.
* Many of the achievements:
** Vworrrp Vworrrp: Create a [[Series/DoctorWho Time Lord]].
** Flippin' The Bird: Show the patient your disdain.
** About As Politically Correct As Fur: Give the patient a... scarf. [[note]]Drape the patient's intestines around his neck.[[/note]]
** The Beat Of Your Heart: Replace the heart with something else. [[note]]The radio.[[/note]]
** I'm Sure He'll Live: Complete the surgery with less than 10ml of blood remaining.
** I Immediately Regret This Decision: Electrocute and drug yourself at the same time.
** A Wet Paper Towel: Fling the heart away really fast, a ShoutOut to the aforementioned Achievement Hunter Let's Play.