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Videogame: Surgeon Simulator 2013

Surgeon Simulator 2013 is an inspiring video game in which you take on the role of a skilled surgeon, deftly saving precious lives on the operating table.

Yeah, right.

Surgeon Simulator 2013 is, if anything, a very inaccurate simulator wherein you control the hand of "surgeon" Nigel Burke, allowing you to attempt all kinds of bizarre operations. Since Nigel is apparently either drunk, suffering severe paralysis, or grossly underqualified, this mostly involves failing in hideous yet hilarious ways; as the first hurdles involve learning to grasp objects, it isn't hard to imagine the results you'll be seeing.

The original version, created in just 48 hours, gained popularity very quickly due to its infamously horrible (albeit humorous) control scheme and difficulty. A full version was released on Steam in April 2013 to critical acclaim.


Perform a Tropes Transplant...

  • Acceptable Breaks from Reality: It doesn't take a medical degree to realize that there's more to heart replacement surgery than just plopping a new heart where the old one used to be. Then again, adding realism would make things extremely complicated for minimal gain in fun.
  • Affectionate Parody: Of the genuine surgery game Surgeon Simulator 2011.
  • All There in the Manual:
    • The Steam page and the diploma names the surgeon Nigel Burke.
    • The Britannia 88 discs to the side of the computer offer diagrams of how to properly sever various organs and bones, as well as suggesting which tools to use. It isn't always good about suggesting the best ones, though. The Know Your Syringes disc teaches you what the two colored syringes do, including the very important knowledge that the green one stops bleeding. You have to beat the appropriate surgery once to actually unlock the requisite disc, though, and the syringe disc is last.
    • The phone calls seem to say that Nigel is probably drugged, and might not even be a real doctor.
    • Nigel has a tumblr.
  • Already Done for You: You gotta wonder who exactly cuts out the skin of the patients and then hands these patients over to Nigel...
  • An Axe to Grind:
    • Among your surgical tools is, inexplicably, a hatchet. Said hatchet's intended use? Slicing the brain stem. It works pretty well for getting through that pesky skull, too. In the A&E DLC there's an achievement for using the hatchet to remove the eyes.
    • The Meet the Medic level has the Pyro's axe.
  • Artistic License Medicine: Some minor liberties have been taken regarding human physiology, such as being able to survive without otherwise vital organs. Like a brain.
    • Also alluded to with some achievements: for example, "I'm sure he'll live" requires finishing surgery when the patient has a very small amount of blood left.
    • An average human male can lose up to 40% of his blood before his body can no longer keep up with the loss and he's on his way to a better world (unless some immediate medical help is applied), and even at this point his body becomes rather pale (which isn't shown in the actual game). This means that once your patient's blood level goes below 3360ml, "I'm sure he'll live" becomes a rather blatant lie. Not that it's saying much, considering Nigel's methods of performing the surgeries...
    • The A&E DLC adds a phone call from Bob, who says he feels much better, but isn't sure he should be able to see into his own ribcage. Guess nobody bothered to close him back up after Nigel was finished.
  • Ascended Meme:
    • "Like an Animal" and "Like a Wet Paper Towel" are taken from the famous Achievement Hunter video of it.
    • The "Shh I Doctor Now" achievement was taken from a image macro.
    • Likewise, the achievement "I Should Never Have Doubted Myself", and the patient's official name being Bob, are taken from the Let's Play done by Robbaz.
    • Achievements have been added in the most recent update referring to the gameplay video by Birgirpall, including one that requires you to do a 180 Spoon Flip.
    • The "It's In! It's In I Tell You" achievement was inspired by a PewDiePie accident: He placed the heart upside-down and couldn't fix that before the patient died.
  • Awesome but Impractical: There are a great many tools, most of which are fun to play with. All of them are fairly useless compared to the humble hammer, bone saw, and scalpel.
  • Batter Up: The hammer replacement in the Meet the Medic level, courtesy of the Scout.
  • Bizarre Alien Biology: The alien surgery has a bunch of organs with nonsensical names, and each time only one out of six is the right one. Among them is a stomach ball, a glowing intestine, some kind of living creature which makes noise when you detach it, a purple lung, an orange heart-like thing that causes hallucination if you touch the spikes, and a cybernetic implant. The organ names are easter eggs, each one based on popular YouTubers who have played the game, including Pewdiepie and Gavin Free and Michael Jones.
  • Blatant Lies:
    • When you fail: "And it was going so well."
    • When you succeed: "Looks fine to me, I'm sure he'll live."
  • Bloody Hilarious: The whole point.
  • Bonus Level: The space heart surgery was initially this, unlocked once you beat the rest of the game. The game was then updated, adding two more levels based on the other two surgeries and making the bonus level part of the regular rotation. The new bonus level requires figuring out the code to the keypad in the final level, unlocking the alien surgery.
  • Boring but Practical: A combination of the bone saw (or hammer) and a scalpel can beat pretty much every level with an A++ rating. A few levels may need an additional tool, like using the tweezers to put the new teeth in, but that's about it.
  • Brain in a Jar: Where you get the replacement brain.
  • Bragging Rights Reward: An A++ rating on all surgeries gets you a fancy certificate. The certificate actually serves a purpose following the update which added more space levels, containing one third of a code that unlocks the bonus level. Beating the Meet the Medic bonus level gets you a little Medic figurine. Beating the alien surgeries nets you an alien head bust.
  • Bunny Ears Surgeon: Granted, Nigel can transplant a heart in a matter of minutes, but it doesn't change the fact he simply removes and discards other bones and organs to get there quicker. Taken Up to Eleven when you realize he performs kidney operations by going through the abdomen instead of more directly through the back.
  • Centipede's Dilemma/How Do I Shot Web?: Go ahead and pick up the closest object to you right now. Effortless, right? Now try to do it by consciously thinking which muscle you're going move next then doing it all one at a time. Then imagine what it'd be even worse to do it without being able to feel the object you're picking up (i.e. what's touching it and what isn't) and you get why the control scheme for a hand is so difficult.
  • Critical Existence Failure: The patient will do just fine no matter what you do to him, even if he has just 1 milliliter of blood left. If that last milliliter drops to zero, the patient dies.
  • Crossover: The first DLC, released as a free update on June 21st, 2013, adds a new level accessed via a research tape Nigel has on his desk. It's essentially the operation from Meet the Medic, where you're the Medic, tasked with installing the Uber Heart into the Heavy.
  • Drop the Hammer: In fact, drop it right there on the ribs. Or the skull cap. Right in the middle. You'll knock out a lot of blood doing it, but a solid hit can completely detach the ribs in one blow. It's also the best tool to get the skull off short of the laser, which can be harder to aim.
  • Early Installment Weirdness: The infamous prototype version of the game that was made in 48 hours feels very strange compared to the more fleshed out version on Steam; there's no persistent blood loss, there's less tools to use, the syringes aren't included, it only has heart surgery, and said surgery is easier because the patient has no stomach or liver to dig out.
  • Explosive Overclocking: As in the Meet the Medic video, attempting to ubercharge a normal heart makes it explode.
  • Eye Scream: The eye transplants from the A&E DLC. As if the fact that you have to rip out your patient's eyes wasn't enough, the recommended way to make them come out of their sockets is to jam a pencil into each one with full force and then yank it out. Then, just for fun, you can stuff fake eyes back in the hole, and it still counts.
  • Flipping the Bird: You can do this with the right keys held down. There's even an achievement for it.
  • Frickin' Laser Beams: The surgical laser. It can cut through anything, but it causes massive blood loss if you use it on soft tissue. Prior to the A&E DLC, it also caused no blood loss when cutting bone, which has since been adjusted to cut bone quickly at a loss similar to the hammer (if you're careful). There's an achievement for beating a level with only the laser, best attempted on the brain surgery.
  • Game-Breaking Bug:
    • In the Team Fortress 2 level, the Medigun can get stuck pointed at the ceiling, rendering the level unwinnable and forcing you to reset.
    • The A&E DLC for the PC version causes unexpected problems for players who have already beaten the rest of the game. Surgeries previously beaten are locked until the proper triggering events are activated again. For the normal surgeries, you have to go through the eye and teeth surgeries in each section to reach the next set. For the space surgeries, you have to use the special disk generated by beating the normal ones. The alien and TF2 surgeries likewise need their tapes to be used once to unlock them on the menu.
  • Grievous Bottley Harm: The Demoman's liquor bottle (several of them, in fact) is available in the Meet the Medic level. It'll break if you swing it hard enough.
  • Improvised Surgical Instrument: Accidentally dropped the drill? Maybe you can open his ribcage with a hammer! Lost the hammer out of the back of the ambulance? This LASER will do!
    • At least in the original version, every object given to you is capable (with some effort) of breaking the ribs, and only a few are not capable of cutting out the heart. So you can complete the entire surgery with nothing but a scalpel, or a pen, or a shard of broken glass.
    • You could even tear out ribs with your bare hands.
    • The Meet the Medic level is an even bigger offender, having replaced all of the surgical tools with the melee weapons of the different classes (where appropriate).
  • Guide Dang It: This is very much a trial-and-error game, especially if you're going for A++. The first few times you play the game, it'll be an achievement just getting through the bones, let alone taking out an organ. It certainly doesn't help that the Britannia 88 discs, which are supposed to teach you how to properly perform tasks, don't always recommend the best tools. There are, however, several specific examples that go above and beyond that.
    • The kidney surgery requires no less than five precision cuts just to get the first set of organs out, one of which is buried beneath the top set of intestines, forcing you to stab your way through. Then you have to get the kidneys out, which requires a spoon or some other soft object because they're positioned in such a way that you can't just grab them easily. Then you have to put the new kidneys back in at the right angle.
    • Deliberately invoked with the alien surgery, which changes the objective on each playthrough and doesn't tell you what's what.
    • The eye surgery is relatively straightforward, except for the part where you have to yank the eyes out. Even in this game, stabbing pencils in the eyes is on the low priority end of potential test attempts. The game recommends a scalpel, which causes bleeding. Pencils don't. Then you have to shake the eyes out of the sockets once you've loosened them, which the game tells you do by taking a hammer to his temples. Bitch-slapping the patient is safer (no, seriously).
    • The teeth surgery requires knowing (or at least making the uncharacteristically logical guess) that the tweezers will actually pick up teeth. The game also tells you to use a drill to get the teeth out, which causes far more blood loss than a small hammer will.
    • The TF2 surgery has several points which are somewhat confusing, even if you've seen the associated short film it's based on. The fridge door has an obvious opening mechanism but it is extremely difficult to actually use it (use your hand as a sideways hook on the end). The tools also cause varying amounts of blood loss, so getting an A++ requires finding the tool which will get through the ribs with a minimum of blood loss.
  • Hub Level: Nigel's desk, which contains floppy disks (tutorials and other stuff), a clipboard with notes (access to the surgery levels, change the game's options, and view achievements), and a VCR with cassette tapes (used to play the Team Fortress 2 crossover surgery and the alien surgery). Because you control Nigel's hand the same way as you do in a surgery, you're bound to send the objects on the desk flying and crashing to the floor. Luckily, you can reset the desk to restore everything to their original positions.
  • I'm a Humanitarian: It's implied that Nigel's been donating spare organs from surgery as tripe for his dad's butcher shop.
  • Infinite Supplies: In all of the Corridor surgeries, your supplies and replacement organs are randomly carted to you and then roll away after a few seconds. Even if you knock all of the organs or supplies off the cart, there will always be another cart with replacements coming up. Actually getting the supplies you need on the next cart, however, is hit or miss.
  • Instant-Win Condition: It doesn't matter if the patient is at double-digit milliliters of blood, their ribs are completely smashed, and they're missing a lung; as long as you do the specific thing you were asked to, the game counts the surgery as completed. The game does give you a better rank for less time and low blood loss, though.
    "Looks fine to me, I'm sure he'll live."
    • One achievement requires getting the patient down to 10 or less milliliters before saving them.
  • Interface Screw: Grabbing the green syringe by the needle end will cause you to hallucinate, giving you purple and green double vision and distorting the music. Doing the same to the purple one cancels it out. Jamming a scalpel in the electrical socket will cause your mouse movements to reverse.
    • Ambulance mode randomly tosses objects in the air and throws your hand side to side as a consequence of the vehicle swerving. Space mode removes gravity, which makes it even harder to grab objects and keep them in place.
    • Corridor mode in the iPad version and the A&E Steam DLC has your patient rushing down a corridor. Aside from putting almost all of your instruments in random carts you pass by, at random intervals you'll smash open a door, which will probably send everywhere whatever is on the operating table.
  • Intoxication Ensues: Stabbing yourself with the green syringe will cause an Interface Screw to simulate being drugged up. Thought performing surgery was hard before?
  • Luck-Based Mission: Everything after the first missions, which take place outside of an operating theatre.
    • The eye transplant is complicated by the fact that the patient's head isn't secured and they tend to flail around as you're cutting their eyes out. Not to mention the fact that the eyes have four different cut points and bleed profusely as you're doing it.
    • The teeth transplant, if you're going for time, can be a breeze or a nightmare. The three requisite teeth are randomized, so you can get two at opposite corners or the mouth or all three dead-center.
    • If you're going for the time achievements, Corridor mode leaves you at the mercy of the Random Number God, who may or may not give you the tools/organs you need to do the job in a timely manner.
    • Ambulance mode's constant jostling can cause you to fail through no fault of your own. This makes any of the related achievements that much harder to earn.
    • Space missions are even worse, since there's no gravity and you don't have limitless reach. You have to make sure your tools don't go floating away. Heart surgery requires trapping the heart in its case, because it will float away.
  • Mad Doctor: According to the various phone calls that you can listen to, Nigel Burke is a... troubled individual, apparently being on quite a lot of drugs as well as donating Mystery Meat to a friend's kebab shop. His landlord also chews him out for leaving red footprints all over his apartment building and his father chastises him for getting 'ketchup' stains all over his new trousers.
  • Magical Defibrillator: In the iPad version. Once charged, all you have to do is put the paddles on a flatlining patient to revive them.
  • Meatgrinder Surgery: Literally the only way to accomplish anything is to rip out everything between you and the organ you intend to fix. It gets even worse if you're going for time achievements. Most of those involve throwing caution to the wind and butchering the patient as fast as possible, hoping you fix him before he bleeds out.
  • Morton's Fork: In the iPad version, repeated injuries make the patient's heart rate rise until he goes into cardiac arrest, at which point the player has to use the defibrillator to save the patient. Alternatively, the player can use anesthetics to lower the patient's heart rate... until he completely stops it. Whip out the defibrillator again...
  • No OSHA Compliance:
    • Ambulance mode, to the point where even the doors aren't shut properly.
    • Who needs gloves? You don't! Who needs a hatchet? You do!
    • Due to the awkward positioning of the kidneys, one of the more efficient means of getting them out once you've severed them is to knock them loose with a pencil or spoon.
    • Oops, my watch fell in again.
      • Not just watches: If you accidentally drop a tool into the patient, it may be prudent to just leave it there, especially during Corridor Mode where you can just get a replacement anyway.
    • Corridor Mode in the iPad version and the A&E DLC on Steam. Rushing down a corridor to quickly take the patient to their operation is a staple in medical dramas. Operating while you are rushing down said corridor, taking your instruments from random carts you pass by, is definitely not.
  • Obvious Beta: While an understandable case since it's part of the dumb charm, the game is sometimes buggy beyond belief. Replacement organ or important tool clipping into the patient/table? Hopefully you don't mind starting over.
  • Outside-the-Box Tactic: While the game does give you instructions on how to do certain surgeries properly, sometimes it can be easier or safer to use a completely different method to perform an operation by experimenting with other tools.
  • Phony Degree: After completing the surgeries with an A++ rating, a diploma appears on your desk that says that you're a qualified surgeon. It seems legit at first, until you notice that the name seems to be written on what appears to be correction fluid... implying that the main character actually stole someone's diploma and forged it to make it seem like it's his own.
  • Plot Hole: If Nigel isn't even a proper doctor, doing butcher-like surgery, why the hell did NASA send him to space to do surgery? This might be explainable by Rule of Fun, or a way to get him as far away from Earth as possible.
  • Recycled In Space: The Space levels, and the hidden alien level.
  • Refuge in Audacity: Cutting out peoples' vital organs in order to perform surgery on other vital organs? Perfectly acceptable.
  • Sarcasm Mode: The title.
  • Save Scumming: In Corridor mode, getting a high rank/time achievement basically requires restarting constantly until the carts produce the necessary tools/organs in a timely manner.
  • Self-Imposed Challenge: Is the game too easy for you, despite the difficult controls? Then do things only an idiot would do. Stab some hallucinogenic drugs into your arm to make it harder to see, or jam something metal into the nearest electric device to reverse your controls. There's achievements for both, and for doing both at once.
  • Sequence Breaking: In a meta example, the code for the alien surgery requires deciphering three clues, each containing one, two-digit section of the number. As soon as people got the second clue, which was the most straightforward of the bunch, they brute-forced the remaining four digits (on a keypad with no zero, this is 6561 combinations to try). The answer to the first clue became obvious after that, and the third code proved to be the most obscure of the bunch.
  • Shout-Out: Quite a few of the Steam Achievements are references to things.
    • In a non-achievement related note, doesn't the laser look like a certain screwdriver?
      • Additionally, the achievement "Vworrrp Vworrrp" requires you to "create a Time Lord".explanation 
    • The kidney transplant is the first level in which you can use the laser. The patient has a ventilator that sounds just like Darth Vader's signature wheeze.
    • In the original version, using the hammer to break the ribcage would result not only in major blood loss, but said blood loss being labelled as "HAMMER TIME!"
    • The Surgeon's last name, Burke, is likely a reference to the famous bodysnatcher.
    • All of the alien organs are shout outs to notable players and other recognizable names.
    • The theme tune from the BBC medical drama Casualty can be heard in-game.
    • The achievement for using the laser during the eye surgery is "Go For The Optics!"
  • Sistine Steal: Used in a promo image for the "Meet The Medic" DLC. Medic plays the role of Adam, while Nigel plays God.
  • Some Dexterity Required: This is the point of the game. How well can you control your hand if you have to consciously manipulate all your fingers and your wrist at the same time, not to mention a total lack of sensation?
  • The Southpaw: You do control the left hand, after all. In the Steam version, you can switch between hands. If you have the Razer Hydra, you can use both hands, but they haven't quite worked out all the kinks.
    • A Sinister Clue: Given he's a Villain Protagonist, Nigel fits this instead.
    • The PS 4 version of A&E offers co-op multiplayer, one player operating each hand. Which is no doubt as chaotic as you'd expect.
  • Stealth Parody: Stealthy like the Hulk, but still some people on the internet managed to miss the joke.
  • Stupidity Is the Only Option: Need to get to a certain internal organ? Just break and toss everything else in your way. The patient is not going to need them.
  • Suddenly Voiced:
    • Inverted; Nigel does speak in the demo, but he's completely silent in the full game.
    • Played straight with Bob, who is voiced in a new phone call added in the A&E DLC.
  • The Tooth Hurts: The iPad version and the A&E DLC on Steam have teeth transplants. There's an achievement for knocking them all out, and another for only getting the bad ones.
  • This Is a Drill: A cordless drill is one of your tools, pretty much just for laughs. In the iPad version and the A&E DLC, it is recommended as the way to get the bad teeth out, but a small hammer is a lot safer.
  • Through the Eyes of Madness: Nigel is presented this way in a promotional animation.
  • Thrown Out the Airlock: By entering 296145 on the keypad in space brain surgery, you can do this to yourself. It unlocks the alien surgery.
  • Trust Me, I'm an X: The achievement "Trust Me, I'm Not A Dentist."
  • Up to Eleven: Space. Think it's hard grabbing things normally? Try it without any gravity.
  • Unwinnable by Mistake: The ambulance and space levels, with their constant motion, can potentially toss your replacement organs or vital tools somewhere you cannot reach them. It doesn't happen that often, but it can.
    • Even the core missions apply, as dropping the transplant or a vital tool on the floor means you can't recover it.
    • In the TF2 DLC, the medigun can get stuck pointed upwards, with no way of bringing it back down.
  • Video Game Cruelty Potential: So much. The game even refers to a game over as "Brutal Murder". There's even an achievement for losing your patient in 15 seconds or less. Good way to do this? Take a bone saw to the guy you're doing a brain transplant on.
  • Villain Protagonist: It's strongly implied that Nigel is on drugs, sending Mystery Meat to his friend's diner, is an organ thief, and is actually just someone posing as a doctor.
  • Who Even Needs a Brain?: You can brutally remove the brain of your patient by cutting it off with a hatchet and then carelessly dunk a new one inside his skull, and he is still going to live afterwards. Or so the game says...
  • Worst Aid: This game can be considered a checklist of sorts of what NOT to do in an actual surgery.

Looks fine to me, I'm sure he'll live...
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