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* VigilanteMan: The end of the 2nd part and most of the 3rd part of the first game have Alan patching up characters 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.]]

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* VigilanteMan: The end of Across the 2nd part late second act and most of the 3rd part of third act in the first game have game, Alan patching patches up characters 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.]]
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* WhyAmITicking: In the first game's third act, [[BigEater Junkyard Guts]], who had been previously treated in the first act, asks for Alan's help again specifically ''because'' he was ticking. Turns out the "sandwich" given to him by "an attractive stranger" that "tasted like metal" [[EatTheBomb was a timed bomb]], which you have to defuse in the eventual surgery.
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* ATrueStoryInMyUniverse: It's mentioned by Alan in ''Christmas Edition'' and ''Amateur Surgeon 2'' that the original game was developed and released in-universe at some point after the events it depicts.

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* ATrueStoryInMyUniverse: It's mentioned by Alan in ''Christmas Edition'' and ''Amateur Surgeon 2'' that the original first game was developed and released in-universe at some point after the events it depicts.its actual events.

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Meta Sequel is when the original work is entirely fiction in the world of the sequel. If the sequel positions the original work as a fictional version of real events, that's A True Story In My Universe.


* MetaSequel: Played with. While the first game's events are part of the canon timeline, it's mentioned by Alan in ''Christmas Edition'' and ''Amateur Surgeon 2'' that the game itself was developed and released in-universe at some point afterwards.


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* ATrueStoryInMyUniverse: It's mentioned by Alan in ''Christmas Edition'' and ''Amateur Surgeon 2'' that the original game was developed and released in-universe at some point after the events it depicts.
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*** The Bio-Utility Mechanoid, or B.U.M., is the first BonusBoss that you can unlock. To even get inside him, you have to apply gel to his red button.

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*** The Bio-Utility Mechanoid, or B.U.M., is [[BonusBoss one of the first BonusBoss bonus patients that you can unlock. unlock]]. To even get inside him, it, you have to apply gel to his its red button.
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* SaveTheVillain: Occurs with [[spoiler:Dwayne's second surgery]] in the second game and [[spoiler:Hubris' second surgery]] in the third. In the pre-operation dialogue of the latter case, Alan [[JustifiedTrope justifies]] it to Ophelia by claiming that saving everyone is one of Dr. Bleed's standards.

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* SaveTheVillain: Occurs with [[spoiler:Dwayne's second surgery]] in the second game and [[spoiler:Hubris' second surgery]] in the third. In the pre-operation dialogue cutscene of the latter case, level, Alan [[JustifiedTrope justifies]] it to Ophelia by claiming that saving everyone is one of Dr. Bleed's standards.
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* ScreamsLikeALittleGirl: Alan, in both the first game and the Christmas Edition. Ironically, both situations happen to involve driving a vehicle and running someone over while reading a surgery magazine.

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* ScreamsLikeALittleGirl: Alan, Alan does this in both the intros to the first game and the Christmas Edition. ''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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* RunningGag: Alan and his allies/successors seem to always have problems when it comes to dealing with exterminating bugs. [[spoiler:Especially when it comes to Dwayne's bugs.]]

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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 when it comes to Dwayne's bugs.]]

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* FourthWallObserver: Alan becomes this in the third game, generally when it comes to the concept of DLC.



* LeaningOnTheFourthWall: In the second game, Alan tells Bradley that they made a video game about him at the height of his fame. Bradley claims that he played it, but laments that he never got the hang of the corkscrew and hopes that if a sequel is ever made they replace it with "something less awful." Then they both [[AsideGlance wordlessly look at the player]]. This is followed almost immediately by the level that introduces the syringe, which replaces the corkscrew.
** FourthWallObserver: Alan becomes this in the third game, generally when it comes to the concept of DLC.

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* LeaningOnTheFourthWall: In the second game, Alan tells Bradley that they made a video game about him at the height of his fame. Bradley claims that he played it, but laments that he never got the hang of the corkscrew and hopes that if a sequel is ever made they replace it with "something less awful." Then they both [[AsideGlance wordlessly look at the player]]. This is followed almost immediately by from the intro cutscene to the level that introduces the syringe, which replaces the corkscrew.
** FourthWallObserver: Alan becomes this in
corkscrew from the third game, generally when it comes to the concept of DLC.first game.



** Midway through the second game's second act, [[spoiler:Bradley reveals that he is Alan's grandson]].

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** Midway through the second game's second act, [[spoiler:Bradley reveals during an argument with the President that he is Alan's grandson]].



* RoadsideSurgery: Almost every level in the games takes place in an unconventional location to do surgery. Only a minority of them do take place in risky places to say the least.

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* RoadsideSurgery: Almost every level in the games takes place in an unconventional location to do surgery. Only a minority of them do take place are set in risky places places, to say the least.
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* TheGift: Alan Probe is a natural genius when it comes to trauma surgery, capable of even performing brain surgery using a lighter, a chainsaw, a pair of tongs, a corkscrew, and a bottle of liquid pain reliever.

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* TheGift: Alan Probe is a natural genius when it comes to trauma surgery, capable of even performing brain surgery using a lighter, a chainsaw, a pair of tongs, a corkscrew, and a bottle of liquid pain reliever.
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* GiantSpaceFleaOutOfNowhere: In the final mission of the main story of the fourth game, where you perform surgery on [[spoiler: Alan Probe]], you must extract a weird tentacled one-eyed psychic EldritchAbomination from his brain. 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 main story of the fourth game, game's main storyline, where you perform brain surgery on [[spoiler: Alan Probe]], himself]], you must extract a weird tentacled one-eyed psychic EldritchAbomination from his brain.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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** 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. 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.

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** 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.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.
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* PimpDuds: One of the patients in the first game's second act is Donny Debonair, an implicitly fake pimp who, aside from wearing sterotypical pimp clothes and proclaiming himself as a "Pimp Extraordinaire", wants Alan to bling his insides with things like a golden ribcage, a golden kidney, and jeweled staples.

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* PimpDuds: One of the patients in the first game's second act is Donny Debonair, an implicitly fake pimp who, aside from wearing sterotypical pimp clothes and proclaiming himself as to be a "Pimp Extraordinaire", wants Alan to bling his insides with things like a golden ribcage, a golden kidney, and jeweled staples.



** Parodied with Alan's mystery patient at the end of the first act of the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal...

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** Parodied and lampshaded with Alan's mystery patient at the end of the first act of the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal...
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* PimpDuds: One of the patients in the first game's second act is Donny Debonair, an implicitly fake pimp who, aside from wearing sterotypical pimp clothes and proclaiming himself as a "Pimp Extraordinaire", wants Alan to bling his insides with things like a golden ribcage, a golden kidney, and jeweled staples.
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* TurbineBlender: In the introduction of the Christmas Edition (a send-up of the intro to the first game) Alan Probe, 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 turbines and shredded, causing Alan's jet to crash into Santa's workshop.

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* TurbineBlender: In the introduction intro sequence of the Christmas Edition ''Christmas Edition'' (a send-up of the intro to the first game) Alan Probe, 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 Alan's jet it to crash into Santa's workshop.
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* ''Amateur Surgeon: Christmas Edition'' (December 2008): A pack of additional Christmas-themed levels for the first game. Taking place about 10 years after the first game, Alan has become an infamous surgeon, and conceived the set of tools he had used before as a new innovative form of surgery (referred to in later games as "Improvised Surgery"). When he accidentally crashes against Santa Claus on a private jet, he has to treat him and several others to save Christmas.

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* ''Amateur Surgeon: Christmas Edition'' (December 2008): A pack of additional Christmas-themed levels for the first game. Taking place about 10 years after the first game, Alan has become an infamous surgeon, and conceived the set of tools he had used before as a new innovative form of surgery (referred to in later games as "Improvised Surgery"). When he accidentally crashes against Santa Claus on a private jet, jet to the North Pole, he has to treat him and several others injured by the crash to save Christmas.
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* SavingChristmas: The plot of the Christmas Edition game. Alan goes to save Christmas after ''he utterly annihilated it!'' (see Turbine Blender below). After crashing his private jet into the North Pole Alan sets about pulling Christmas lights out of an elf, reanimating a reindeer carcass with candy canes and coat hangers, and patching up Santa with wrapping paper.

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* SavingChristmas: The plot of the Christmas Edition game. ''Christmas Edition'', wherein Alan goes to save Christmas after ''he utterly annihilated it!'' (see Turbine Blender below). After crashing his private jet into the North Pole Alan sets about pulling Christmas lights out of an elf, reanimating a reindeer carcass with candy canes and coat hangers, and patching up Santa with wrapping paper. it!''
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* ''Amateur Surgeon: Christmas Edition'' (December 2008): A pack of additional Christmas-themed levels for the first game. Taking place about 10 years after the first game, Alan has become an infamous surgeon, and conceived the tools he had used before as a new innovative form of surgery (referred to in later games as "Improvised Surgery"). When he accidentally crashes against Santa Claus on a private jet, he has to treat him and several others to save Christmas.

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* ''Amateur Surgeon: Christmas Edition'' (December 2008): A pack of additional Christmas-themed levels for the first game. Taking place about 10 years after the first game, Alan has become an infamous surgeon, and conceived the set of tools he had used before as a new innovative form of surgery (referred to in later games as "Improvised Surgery"). When he accidentally crashes against Santa Claus on a private jet, he has to treat him and several others to save Christmas.

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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.]]
-->'''Alan''': ''[refering to the procedure done on a patient who crashed through a window]'' Multiple extractions were required to fix the [[{{Pun}} pain in the glass.]]
-->'''Bleed''': ''[beneath the former quote, in red pen]'' Alan, that doesn't quite make sense - Dr. Bleed



* 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 done on a patient who crashed through a window]'' Multiple extractions were required to fix the [[{{Pun}} pain in the glass.]]
-->'''Bleed''': ''[beneath the former quote, in red pen]'' Alan, that doesn't quite make sense - Dr. Bleed
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* VersionExclusiveContent: The mobile version of the second game features a third act in addition to the standard two from the Flash version. This act would be carried over to the game's remastered surgeries in ''Regenerations''.

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* NonIronicClown: Uncle Chuckles from the second game strives to be this, but his habit of [[AssShove sitting on doves and rabbits,]] [[MirthlessLaughter Laughing instead of yelling in pain whenever the player messes up]] and being the only patient whose eyes ''follow your cursor around'' culminate in Alan himself yelling in fear upon first meeting him.

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* 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."
* NonIronicClown: Uncle Chuckles from the second game strives to be this, but his habit of [[AssShove sitting on doves and rabbits,]] rabbits]], [[MirthlessLaughter Laughing laughing instead of yelling in pain whenever the player messes up]] and being the only patient whose eyes ''follow your cursor around'' culminate in Alan himself yelling in fear upon first meeting him.



* TheReveal: [[LampshadedTrope Lampshaded]] with Alan's mystery patient at the end of the first act of the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal.
-->'''[[spoiler: The President]]''': DUN DUN DUN!

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* TheReveal: [[LampshadedTrope Lampshaded]] TheReveal:
** Parodied
with Alan's mystery patient at the end of the first act of the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal.
-->'''[[spoiler: The President]]''':
reveal...
--->'''The President:'''
DUN DUN DUN!
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* EasilyElected: [[LampshadeHanging Lampshaded]] in the cutscene after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].

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* EasilyElected: [[LampshadeHanging Lampshaded]] in the cutscene after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].
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* EasilyElected: [[LampshadeHanging Lampshaded]] after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].

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* EasilyElected: [[LampshadeHanging Lampshaded]] in the cutscene after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].
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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].

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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s after [[spoiler:Dwayne]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed 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]].
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-->'''Alan:'''...but I think I'd rather we went and visited [[spoiler:some of our family]], and started rebuilding some bridges! Whaddya say?

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-->'''Alan:'''...-->'''Alan:''' ...but I think I'd rather we went and visited [[spoiler:some of our family]], and started rebuilding some bridges! Whaddya say?

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-->'''Alan:''' [[BellisariosMaxim "We could sit here and poke holes in the plot all night..."]].

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-->'''Bradley:''' I had no idea the president [[spoiler:was the bad guy]]! I mean, how does [[spoiler:a criminal imprisoned for MURDER rampage 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 We could sit here and poke holes in the plot all night..."]]. ]]
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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed to get elected president [[spoiler: while disguised, despite having already been arrested once and become one of the most wanted criminals after he escaped prison]].

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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed to get elected president 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]].



--> ''[[[AsideGlance Both stare wordlessly at the fourth wall]]]''
-->'''Alan:'''...but I think I'd rather we went and visited some of our family, and started rebuilding some bridges! Whaddya say?

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--> ''[[[AsideGlance Both Alan and Bradley stare wordlessly at the fourth wall]]]''
-->'''Alan:'''...but I think I'd rather we went and visited some [[spoiler:some of our family, family]], and started rebuilding some bridges! Whaddya say?
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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed to get elected president [[spoiler: in a disguise despite being arrested for the aforementioned crime]].
->'''Alan:''' [[BellisariosMaxim "We could sit here and poke holes in the plot all night..."]].
-> ''[[[AsideGlance Both stare wordlessly at the fourth wall]]]''
->'''Alan:'''...but I think I'd rather we went and visited [[spoiler: some of our family]], and started rebuilding some bridges! Whaddya say?

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* EasilyElected: [[LampshadeHanging Lampshaded]] After [[spoiler:Dwayne Pipe]]'s final surgery in the second game. Bradley questions how [[spoiler: a convicted mass murderer]] managed to get elected president [[spoiler: in a disguise while disguised, despite being having already been arrested for once and become one of the aforementioned crime]].
->'''Alan:'''
most wanted criminals after he escaped prison]].
-->'''Alan:'''
[[BellisariosMaxim "We could sit here and poke holes in the plot all night..."]].
-> --> ''[[[AsideGlance Both stare wordlessly at the fourth wall]]]''
->'''Alan:'''...-->'''Alan:'''...but I think I'd rather we went and visited [[spoiler: some of our family]], family, and started rebuilding some bridges! Whaddya say?
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** In the final level of the first game's first act, Alan removes a bug infestation 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 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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