YMMV / Surgeon Simulator 2013

• Awesome Music:
  • Brain Storm, which plays in the brain transplant surgery. The guitar solo is what effectively takes the cake.
  • The Tooth Hurts certainly counts.
  • The corridor^note exclusive to Touch, PS4 and A&E Anniversary DLC, ambulance, and space remix for each surgery theme takes this up to eleven.
  • Unidentified Flying Organ (which plays in the alien surgery), complete with the beginning of the music itself being suspiciously similar to The X-Files.
• Breather Level: The brain transplant surgery is significantly easier than the heart and double kidneys transplant surgeries due to having less steps to do, but the difficult controls will still be your major obstacle.
• Crosses the Line Twice:
  • The line gets crossed when you accidentally get the drill stuck in the patient. It gets crossed again while you flail about trying to get it out as it whips around by its drill bit.
  • This phone call:
    Nigel's friend: A'right Nigel, I've been wondering what going on with that mystery meat you've been sellin' me. Half my customers think it's absolutely lovely, the other half have been puking their guts up! Not that I mind, mind you; I just put it back into the kebabs.
  • It's entirely possible, in the Ambulance Brain Transplant, to have the patient instantly killed by a fire extinguisher to the brain. Less than five seconds in the surgery.
    • And as PewDiePie found out, a TOMAHAWK CHOP to Bob's skull is also instant death.
• Game-Breaker:
  • The experimental mode with the Razer Hydra controller gives you two hands and a lot more dexterity. If it actually worked for every level, the game would be a lot easier than it's supposed to be.
  • Even more so when played in VR with the HTC Vive. The game's wacky mechanics become practically trivial.
• Good Bad Bugs: In the Meet the Medic surgery, you can use the Pyro's axe on the Heavy's ribcage, which can break the bones without losing one pint of blood. Of course the only thing that'll be getting in your way is trying to swing it effectively and maneuvering around the controls.
• Nausea Fuel: The I Am A God achievement requires being drugged and electrocuted at the same time. The real achievement is to not vomit while attempting it.
• Parody Displacement: Few people know that this game is actually an Affectionate Parody of the genuine surgery game Surgery Simulator 2011.
• 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.
• Suspiciously Similar Song: The initial segment of the track "Unidentified Flying Organ" (Which plays during the alien surgery) sounds suspiciously similar to the theme music of the series The X-Files.
  • The regular background music also sounds like stereotypical Medical Drama music, most likely as a replacement for the CASUAL+Y theme used in the demo version.
• Tear Jerker: The music that plays if you fail a surgery.
• That One Achievement: There are various achievements that qualify, but here are the ones that take the cake:
  • "Nothing But Skull". As the description says, you have to throw the replacement brain into the patient's head to finish the brain transplant. What it doesn't tell you is that you have to throw it with your hand pulled all the way back and in an underhand arc. This is a pain to accomplish even if you know how to do it, though you can cheat somewhat by quickly moving your hand to assist after the toss. This is one of the few achievements from the original game ranked as under 1% completed worldwide, and with good reason.
  • All the time trials for kidney transplants. Not only is it extremely difficult to remove the old kidneys from their original locations, it can be a real pain to place the replacements in a way that triggers the win condition. You are going to tear your hair in frustration over these ones.
  • "I Can See For Miles... Per Hour" is especially bad on the PC. On the Playstation, you get 2:20 to finish. You only get 1:40 on the PC. Add on the fact that you have to do this in an ambulance and you have one of the most frustrating achievements in the game.
  • "Best Surgeon In The World". Get perfect scores on all operations, which requires losing as little blood as possible and completing the operations in reasonably short time. Easy enough with heart surgery, but increasingly difficult with subsequent surgeries. And good luck with ambulance/corridor/space mode.
  • "Best Surgeon In The Universe". You must successfully complete all of the six secret operations on an alien. The operations are chosen randomly, you aren't informed which organ is which, and as if that wasn't enough, one of the missions is bugged (requires replacing a different organ than you are told) and another not only cannot be completed without electrocuting yourself, but you also have to make sure that after you smash the container with the replacement organ, you can actually catch it before it floats away.
  • "Call Trisha". You have to type in a number on a phone. Sounds simple, right? Not with this game's controls...
  • "A Small Loan From My Father". You have to rack up a bill of $1 million on the Trump surgery and finish it. To explain how hard this is, you can take the hatchet to Trump's face and only barely pass the threshold while killing him. Managing that bill while also saving him is next to impossible. So impossible, in fact, that the devs actually acknowledged as much and promised to rework it so the achievement wouldn't be luck-based, which resulted in it being only slightly less impossible to pull off.
• That One Level:
  • Ambulance Brain Transplant. Trying to clear out the skull and separate the brain stem while avoiding damage to the most sensitive organ in the game is incredibly frustrating with the constant motion, especially if you're going for A++. Doubly so because, as noted above, the patient can die through no fault of your own. The space version is actually easier because the brain floats up and makes cutting the brain stem a breeze.
  • A better example would be all of the kidney transplants. Not only is it difficult to remove all of the organs that are in your way without blood loss (especially since one of the spots where you can cut the large intestine is buried underneath the small intestine), but also removing the old kidneys is a pain (especially the left one; your best bet is to use a spoon to move it around), and placing the new ones in a way that triggers the win condition is easily the worst of all the problems. Oh, and you think that's bad enough in the normal mode? Try doing that in the ambulance and space ones...

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