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* Scarlet Throbbing. The crabs move extremely quickly, deliberately avoid your cursor, and can even wrap around the screen. Once you saw off the carapace, it becomes stuck in the body, causing an open wound. The crabs also leave tiny cuts in their wake that can easily blend into the background. You then have to saw the crab ''again'' to actually kill it, and then you have to vacuum up the blood, remove the crab shell from the wound, and sew all the wounds caused by the crab shut. And there's not just one crab. There's three, and the second incision contains two at once. Worse, Scarlet is seen barely halfway through Act 1, so you won't have time to upgrade much of your equipment.
* The Mystery Boss is a complete pain in the ass. Poison builds up quickly, and it's incredibly difficult to syringe out all the poison before it multiplies in another area. This is already hard enough, but add on the fact that every use of the syringe makes a small cut, the bee flies around and lands for just a second, and the fact that the time window to complete the surgery is incredibly small... be prepared to replay the surgery over and over until you complete it.
** It's even worse in the mobile versions, since the flashlight (which is always where your mouse cursor is on PC) is controlled via ''tilting the phone''. As if the surgery wasn't difficult enough...



* The Mystery Boss is a complete pain in the ass. Poison builds up quickly, and it's incredibly difficult to syringe out all the poison before it multiplies in another area. This is already hard enough, but add on the fact that every use of the syringe makes a small cut, the bee flies around and lands for just a second, and the fact that the time window to complete the surgery is incredibly small... be prepared to replay the surgery over and over until you complete it.
** It's even worse in the mobile versions, since the flashlight (which is always where your mouse cursor is on PC) is controlled via ''tilting the phone''. As if the surgery wasn't difficult enough...

to:

* The Mystery Boss is a complete pain in Jimmy the ass. Poison builds up quickly, Spider's intestines are full of weird glowing bugs that need to be hit with the car battery. So far, anything you've needed to use the car battery on has been slow-moving, stationary, or have long rest periods. These bugs are very fast, causing frequent misses. As the bugs periodically start fires, missing with the car battery and it's then reviving the patient will likely cause him to die immediately due to all the fires. There are also bug eggs that spawn: these have to be moved incredibly difficult to syringe out all the poison before it multiplies in slowly, even with maxed-out tongs, lest they explode, spawning another area. This is already hard enough, but add on bug and starting a fire. Even if you don't move the fact that every use of the syringe makes a small cut, the bee flies around and lands for just a second, and the fact that the time window to complete the surgery is incredibly small... be prepared to replay the surgery over and over until you complete it.
** It's even worse
eggs, ''they will hatch anyway'' if you're too slow in the mobile versions, since the flashlight (which is always where your mouse cursor is on PC) is controlled via ''tilting the phone''. As if the surgery wasn't difficult enough...
picking them out.
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* Level 42 (Karl Puccino from ''AS1'') was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds in the span of ''one minute and thirty seconds''. Not helping is the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and be fast.

to:

* Level 42 (Karl Puccino from ''AS1'') ''[=AS1=]'') was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds in the span of ''one minute and thirty seconds''. Not helping is the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and be fast.
Is there an issue? Send a MessageReason:
None


* Level 84 (Junkyard Guts' second surgery from ''AS1'') is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming Guts.

to:

* Level 84 (Junkyard Guts' second surgery from ''AS1'') ''[=AS1=]'') is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming Guts.

Changed: 1906

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* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... bleed out if you're not multi-tasking between cauterizing the cuts it makes and zapping it). And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... well, bleed out if you're not multi-tasking between cauterizing the cuts it makes and zapping it). And you have just enough time to do it all quickly and flawlessly.



* Napoleon Trotterski. His surgery starts off easy enough, but suddenly ends with you having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
** And if you thought that was bad, imagine trying to spell those words without knowing that you can use ''the computer keyboard'' to type them.
** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games sans ''Christmas Edition'', ''omitted'' it from the collection.
* On the iOS version, the Mystery Boss requires you to tilt your device to move a flashlight around. And while you're doing this, there's a bee randomly flying around and only landing for a second in which you have to zap it. The difficult controls and the small time window combined make this unfairly difficult.
** It's not any easier in the PC version. Poison builds up quickly, and while you're trying to clean up the poison in one area, it multiples in another. Meanwhile, that goddamn bee keeps stinging him. And every time you syringe out poison, it makes a small cut. If you lose track of them, the patient's heart rate will plummet.

to:

* Napoleon Trotterski. His surgery starts off easy enough, but suddenly ends with you having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that Then again, it's not like you'll have any time to put out the fire anyway because fire, since the words are start coming faster and faster while you're trying faster, meaning that you have to spell them out while not being able unable to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
** And if
'' While you thought that was bad, imagine trying can use the keyboard to spell those words without knowing the words, the game never tells you that you can use ''the computer keyboard'' to type them.
even do that, so [[GuideDangIt good luck figuring that out]].
** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games sans (sans ''Christmas Edition'', Edition'' and the bonus levels from ''Amateur Surgeon 3''), ''omitted'' it from the collection.
* On the iOS version, the The Mystery Boss requires you to tilt your device to move is a flashlight around. And while you're doing this, there's a bee randomly flying around and only landing for a second in which you have to zap it. The difficult controls and the small time window combined make this unfairly difficult.
** It's not any easier
complete pain in the PC version. ass. Poison builds up quickly, and while you're trying it's incredibly difficult to clean up the poison in one area, it multiples in another. Meanwhile, that goddamn bee keeps stinging him. And every time you syringe out poison, all the poison before it multiplies in another area. This is already hard enough, but add on the fact that every use of the syringe makes a small cut. If cut, the bee flies around and lands for just a second, and the fact that the time window to complete the surgery is incredibly small... be prepared to replay the surgery over and over until you lose track of them, complete it.
** It's even worse in
the patient's heart rate will plummet.
mobile versions, since the flashlight (which is always where your mouse cursor is on PC) is controlled via ''tilting the phone''. As if the surgery wasn't difficult enough...



* The Partner Special for Level 54 (Dwayne Pipe), to where even using the required I.C. Wiener doesn't help that much. Worms are fast and small enemies which makes it very easy to miss them and you have to shock them three times. Also, your heart rate decreases rapidly, so you can't just shock a few of them at a time. Instead, you have to be really quick and shock as many of them as you can in one consecutive try, and if you miss a shot, well, just hope your heart rate isn't close to zero.
* The surgery from the first game that takes place as Level 42 here (Karl Puccino) was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and be fast.
* Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming Guts.
* Level 92 (Useful Brother) and its Partner Special are both ''extremely'' difficult. If the ice ants don't bother you, then the confusing cluster of maladies Max Chaos causes in the Partner Special will.

to:

* The Partner Special for Level 54 (Dwayne Pipe), to where even using the required I.C. Wiener doesn't help that much. Worms are fast and small enemies which makes it very easy to miss them and you have to shock them three times. Also, your heart rate decreases rapidly, so you can't just shock a few of them at a time. Instead, you have to be really quick and shock as many of them as you can in one consecutive try, and if you miss a shot, shot... well, just hope your heart rate isn't close to zero.
* The surgery from the first game that takes place as Level 42 here (Karl Puccino) Puccino from ''AS1'') was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one ''one minute and thirty seconds''. Pair that with Not helping is the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and be fast.
* Level 84 (Junkyard Guts) Guts' second surgery from ''AS1'') is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming Guts.
* Level 92 (Useful Brother) and its Partner Special are both ''extremely'' difficult. If the ice ants don't bother you, aren't hard enough to deal with, then the confusing cluster of maladies Max Chaos causes in the Partner Special will.will make it harder.
Is there an issue? Send a MessageReason:
None


* Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming the patient.

to:

* Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming the patient.Guts.
Is there an issue? Send a MessageReason:
None


** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games sans ''Christmas Edition'', '''omitted''' it from the collection.

to:

** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games sans ''Christmas Edition'', '''omitted''' ''omitted'' it from the collection.
Is there an issue? Send a MessageReason:
None


** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games, ''omitted'' the level from the collection.

to:

** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games, ''omitted'' the level games sans ''Christmas Edition'', '''omitted''' it from the collection.
Is there an issue? Send a MessageReason:
None


* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it). And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... bleed out if you're not multitasking multi-tasking between cauterizing the cuts it makes and zapping it). And you have just enough time to do it all quickly and flawlessly.
Is there an issue? Send a MessageReason:
None


* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to... er... bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) it). And you have just enough time to do it all quickly and flawlessly.
Is there an issue? Send a MessageReason:
None


* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er... er... bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
Is there an issue? Send a MessageReason:
None


* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries in the game (which were usually made hard by GuideDangIt moments) tend to become much easier once you know the trick behind them. This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
Is there an issue? Send a MessageReason:
None


* Dr. Bleed's second surgery. All the various hard-as-hell surgeries (which are usually made hard by GuideDangIt moments,) tend to be much easier once you know the trick behind them. The 2nd Dr. Bleed surgery, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.

to:

* Dr. Bleed's second surgery. All of the various hard-as-hell surgeries (which are were usually made hard by GuideDangIt moments,) moments) tend to be become much easier once you know the trick behind them. The 2nd Dr. Bleed surgery, This one, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
Is there an issue? Send a MessageReason:
None


* The surgery from the first game that takes place as Level 42 here (Karl Puccino) was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and you better be fast.

to:

* The surgery from the first game that takes place as Level 42 here (Karl Puccino) was already hard in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and you better be fast.
Is there an issue? Send a MessageReason:
None


* Napoleon Trotterski. His surgery, starts off easy enough, but suddenly ends with you having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''

to:

* Napoleon Trotterski. His surgery, surgery starts off easy enough, but suddenly ends with you having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
Is there an issue? Send a MessageReason:
None


* Napoleon Trotterski. His surgery, starts off easy enough but suddenly ends with the player having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''

to:

* Napoleon Trotterski. His surgery, starts off easy enough enough, but suddenly ends with the player you having to spell out words on a "Speak 'N Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''

Added: 1689

Changed: 5071

Is there an issue? Send a MessageReason:
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** Dr. Bleed's second surgery. All the various hard-as-hell surgeries (which are usually made hard by GuideDangIt moments,) tend to be much easier once you know the trick behind them. The 2nd Dr. Bleed surgery, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
** Napoleon Trotterski from the second game. It starts off easy enough but suddenly ends with the player having to spell out words on a Speak 'N Spell. And if you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys, and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
*** And if you thought that was bad, imagine trying to spell those words without knowing that you can use ''the computer keyboard'' to type them.
*** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games, ''omitted'' the level from the collection.
** On the iOS version, the Mystery Boss in the second game requires you to tilt your device to move a flashlight around. And while you're doing this, there's a bee randomly flying around and only landing for a second in which you have to zap it. The difficult controls and the small time window combined make this unfairly difficult.
*** It's not any easier in the PC version. Poison builds up quickly, and while you're trying to clean up the poison in one area, it multiples in another. Meanwhile, that goddamn bee keeps stinging him. And every time you syringe out poison, it makes a small cut. If you lose track of them, the patient's heart rate will plummet.
** The Partner Special for Level 54 (Dwayne Pipe) in the 4th game, to where even using the required I.C. Wiener doesn't help that much. Worms are fast and small enemies which makes it very easy to miss them and you have to shock them three times. Also, your heart rate decreases rapidly, so you can't just shock a few of them at a time. Instead, you have to be really quick and shock as many of them as you can in one consecutive try, and if you miss a shot, well, just hope your heart rate isn't close to zero.
** Level 42 (Karl Puccino) is also hard just for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and you better be fast.
** Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming the patient.
** Level 92 (Useful Brother) and its Partner Special are both ''extremely'' difficult. If the ice ants don't bother you, then the confusing cluster of maladies Max Chaos causes in the Partner Special will.

to:

** !!''Amateur Surgeon'':
*
Dr. Bleed's second surgery. All the various hard-as-hell surgeries (which are usually made hard by GuideDangIt moments,) tend to be much easier once you know the trick behind them. The 2nd Dr. Bleed surgery, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
**
flawlessly.

!!''Amateur Surgeon 2'':
*
Napoleon Trotterski from the second game. It Trotterski. His surgery, starts off easy enough but suddenly ends with the player having to spell out words on a Speak "Speak 'N Spell. And if Spell". If you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys, keys; and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
*** ** And if you thought that was bad, imagine trying to spell those words without knowing that you can use ''the computer keyboard'' to type them.
*** ** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games, ''omitted'' the level from the collection.
** * On the iOS version, the Mystery Boss in the second game requires you to tilt your device to move a flashlight around. And while you're doing this, there's a bee randomly flying around and only landing for a second in which you have to zap it. The difficult controls and the small time window combined make this unfairly difficult.
*** ** It's not any easier in the PC version. Poison builds up quickly, and while you're trying to clean up the poison in one area, it multiples in another. Meanwhile, that goddamn bee keeps stinging him. And every time you syringe out poison, it makes a small cut. If you lose track of them, the patient's heart rate will plummet.
**
plummet.

!!''Amateur Surgeon 4'':
*
The Partner Special for Level 54 (Dwayne Pipe) in the 4th game, Pipe), to where even using the required I.C. Wiener doesn't help that much. Worms are fast and small enemies which makes it very easy to miss them and you have to shock them three times. Also, your heart rate decreases rapidly, so you can't just shock a few of them at a time. Instead, you have to be really quick and shock as many of them as you can in one consecutive try, and if you miss a shot, well, just hope your heart rate isn't close to zero.
** * The surgery from the first game that takes place as Level 42 here (Karl Puccino) is also was already hard just in its original version, but this revamp amplifies it for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and you better be fast.
** * Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming the patient.
** * Level 92 (Useful Brother) and its Partner Special are both ''extremely'' difficult. If the ice ants don't bother you, then the confusing cluster of maladies Max Chaos causes in the Partner Special will.
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** Dr. Bleed's second surgery. All the various hard-as-hell surgeries (which are usually made hard by GuideDangIt moments,) tend to be much easier once you know the trick behind them. The 2nd Dr. Bleed surgery, on the other hand, is a four-part MarathonLevel against poison, fire, buried chunks of crystal, and finally a tapeworm that takes more hits from the battery to kill than the last tapeworm (and can quickly cause Bleed to...er...bleed out if you're not multitasking between cauterizing the cuts it makes and zapping it.) And you have just enough time to do it all quickly and flawlessly.
** Napoleon Trotterski from the second game. It starts off easy enough but suddenly ends with the player having to spell out words on a Speak 'N Spell. And if you aren't fast enough, the Speak 'N Spell suddenly ''explodes'', leaving flames and burn marks that'll almost certainly obscure the screen and the keys, and if you try to put out the fire/heal the burn marks directly when they're on the keyboard, the game will assume you're hitting the keyboard instead and explode a second time. Not that you'll have any time to put out the fire anyway because the words are coming faster and faster while you're trying to spell them out while not being able to see what the hell you're supposed to be spelling because ''the goddamn fire is in the way.''
*** And if you thought that was bad, imagine trying to spell those words without knowing that you can use ''the computer keyboard'' to type them.
*** It speaks to the difficulty of this surgery that ''Amateur Surgeon 4'', which otherwise has every level from the previous games, ''omitted'' the level from the collection.
** On the iOS version, the Mystery Boss in the second game requires you to tilt your device to move a flashlight around. And while you're doing this, there's a bee randomly flying around and only landing for a second in which you have to zap it. The difficult controls and the small time window combined make this unfairly difficult.
*** It's not any easier in the PC version. Poison builds up quickly, and while you're trying to clean up the poison in one area, it multiples in another. Meanwhile, that goddamn bee keeps stinging him. And every time you syringe out poison, it makes a small cut. If you lose track of them, the patient's heart rate will plummet.
** The Partner Special for Level 54 (Dwayne Pipe) in the 4th game, to where even using the required I.C. Wiener doesn't help that much. Worms are fast and small enemies which makes it very easy to miss them and you have to shock them three times. Also, your heart rate decreases rapidly, so you can't just shock a few of them at a time. Instead, you have to be really quick and shock as many of them as you can in one consecutive try, and if you miss a shot, well, just hope your heart rate isn't close to zero.
** Level 42 (Karl Puccino) is also hard just for how little time you have to complete it. You have to find eight coffee bags hidden, scratch out the pus, vacuum up all the blood and pus, and stitch up the wounds ''all in the span of one minute and thirty seconds''. Pair that with the fact that having too much pus onscreen will rapidly decrease your heart rate, so it's recommended to vacuum up one or two piles of it at a time. If you want a shot at beating this level, you better have some memory of where the coffee bags are and you better be fast.
** Level 84 (Junkyard Guts) is extremely hard if you play on Sudden Death mode or try to go for a no-hit run. One of the tasks is pulling out five needles in a row from the time bomb, which all are very narrow and require a lot of precision and accuracy to successfully pull out without harming the patient.
** Level 92 (Useful Brother) and its Partner Special are both ''extremely'' difficult. If the ice ants don't bother you, then the confusing cluster of maladies Max Chaos causes in the Partner Special will.
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