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It's Life Jim, But Not As We Know It
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Perform a heart transplant.
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- This was the first operation and the only available operation in the prototype for the game
- Achievement name is a reference to the lyric "It's life, Jim, but not as we know it." from the song "Star Trekkin" by the Firm, which has been misattributed to the Star Trek TV series.
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Kali Mah!
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Perform a heart transplant in under 2 minutes.
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- This is a reference to Indiana Jones and The Temple Of Doom, where a member of the Thugee clan rips out a man's heart while shouting the chant "Kali Mah!"
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Socialised Medicine!
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Perform a heart transplant losing less than 1500ml of blood.
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- The NHS is an example of socialised medicine.
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Nine Nine Nine!
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Perform a heart transplant in an ambulance.
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- "999" is an international number for emergency services.
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Life's Too Short
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Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.
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- Only triggers under 1 minute 40 seconds.
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One With The Speed Bumps
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Perform a heart transplant in an ambulance losing less than 2000ml of blood.
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You've Got To Be Kid'n'ey!
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Perform a double kidney transplant.
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- Pun on the phrase "You've got to be kidding me!"
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Don't In-Test My Patience
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Perform a double kidney transplant in under 2 minutes 50 seconds.
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- The name is a portmanteau of "Don't test my patience" and "intestine".
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Performance Anxiety
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Perform a double kidney transplant losing less than 500ml of blood.
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When You Have No Choice But To Operate
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Perform a double kidney transplant in an ambulance.
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A Surgeon's Merit Is Based On Speed
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Perform a double kidney transplant in an ambulance in under 3 minutes.
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At Least He Won't Be Peeing Blood
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Perform a double kidney transplant in an ambulance losing less than 600ml of blood.
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I Think I've Got This
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Perform a brain transplant.
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How Long Can You Live Without A Brain?
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Perform a brain transplant in under 1 minute.
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Sweet Blasphemy
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Perform a brain transplant losing less than 600ml of blood.
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What Could Possibly Go Wrong?
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Perform a brain transplant in an ambulance.
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Brainstorm
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Perform a brain transplant in an ambulance in under 1 minute 15 seconds.
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Nigel You Bloody Hero
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Perform a brain transplant in an ambulance losing less than 1200ml of blood.
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Shh I Doctor Now
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Calm your patient.
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- Press A, W, E and SPACE. Then move your finger over to the mouth of the patient.
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Flippin' The Bird
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Show the patient your disdain.
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- To trigger this achievement, simply hold A, W, R, and Space in front of the patient.
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Surgery Horns
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Express your appreciation of the metal.
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Pinky Swear
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Make a promise with the ribcage.
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- Hold W, E, R, and Space, then touch the ribcage with the pinky finger.
- Broken in A&E.
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Surgetricity
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Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)
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- Portmanteau of the words "surgeon" and "electricity", also a pun on electrical surges.
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Performance Enhancer?
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Complete a procedure after being drugged. (Must be drugged within 10 secs)
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I Immediately Regret This Decision
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Electrocute and drug yourself at the same time.
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And They Said It Was Impossible!
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Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
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- Can be cheesed with the brain transplant while having A&E disabled.
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Butter Fingers
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Lose every organ out of the back of the ambulance during the heart transplant.
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- Bones do not need to be thrown out. The new organs must be thrown out as well as the old ones.
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What Have I Done??
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Lose the patient within 15 seconds.
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- Harder to get in the mobile version due to not having the brain transplant.
- References a quote from the Game Jam version.
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Hammer Time
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Lose 50,000ml of blood using the hammer.
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- Reference to an old message in the Game Jam version. Further reference to "U Can't Touch This" by MC Hammer.
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Mother Hen
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Don't lose any tools out of the back of the ambulance.
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- The faster you can complete the operation, the fewer are the chances of tools flying away.
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Keyhole Surgery
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Completely remove the rib cage.
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- This achievement can be unlocked simultanously with 'Don't be such a baby, ribs grow back', when successfully done in the Special Operation Meet the Medic
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Practically Licensed
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Complete all procedures.
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- The graduation certificate is given after all procedures are unlocked, so you are now, quite literally, "practically licensed"
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I Should Never Have Doubted Myself
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Get an A++ rating on a operation.
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Best Surgeon In The World
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Get an A++ rating on all (terrestrial) operations.
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- It is not required that you get A++ on every surgery
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Like A Wet Paper Towel
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Throw the new heart away.
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- The name of this achievement is taken from an exchange between Michael Jones and Gavin Free, hosts of an episode of Rooster Teeth's Rage Quit. This happens at around 10:00 in the video
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I'm Sure He'll Live
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Complete a procedure with less than 10ml of blood remaining.
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- "I'm sure he'll live" is the same message given at the end of a successful surgery.
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Like An Animal
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Throw everything on the floor in the brain transplant surgery.
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Vworrrp Vworrrp
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Create a Time Lord.
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- In the normal Heart Transplant, remove every organ except for the heart and throw the new heart into the body so the patient has two hearts
- Reference to the Dr Who franchise.
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The Beat Of Your Heart
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Replace the heart with something else.
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- Take the radio and put it into the empty chest during the heart transplant (instead of the new heart)
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Frikkin' Lasers
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Complete a procedure using only the surgical laser.
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- The name of this achievement is a reference to Austin Powers in Goldmember, where Dr. Evil requests that they make sharks "with frikkin' laser beams on their heads!!!"
- More about the achievement on its corresponding page: Frikkin' Lasers
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Doctor Doctor, Give Me The News
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Answer the phone.
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- In the reception, simply wait until the phone starts ringing and answer it
- This is the highest unlocked achievement in the game (81.2%)
- Achievement named after the 1978 song "Bad Case of Loving You"
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Nigel The Secretary
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Write on a notepad.
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- The notepad in the A&E reception desk can still be written on.
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Go For The Optics!
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Perform "laser eye surgery".
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- Ironically, this is not unlocked in the eye transplant as the achievement predates Anniversary Edition.
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10 Megabytes Of Raw Data
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Collect all floppy disks.
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Spaaaaaace
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Go where no surgeon has gone before. (Space)
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- This achievement's picture depicts the Space Core from the popular first person physics platformer Portal 2.
- This achievement's title is a reference to the popular Space Core quote.
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Don't Be Such A Baby, Ribs Grow Back!
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Completely smash up the rib cage.
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- The achievement name is a reference to a quote from the Team Fortress 2 promotional video, Meet the Medic, which is said after the Medic breaks off part of the Heavy's rib.
- The Medic from Team Fortress 2 is depicted in the icon.
- If not already unlocked, this also unlocks Keyhole Surgery
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About As Politically Correct As Fur
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Give the patient a... scarf.
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- In the Double Kidney Transplant, put the large intestine on Bob's neck.
- Additionally, it is a possible reference to Achievement Hunter's Michael and Gavin, where they put the large intestine on Bob's neck during the second SS Rage Quit.
- "His neck looks cold, let's give him a scarf."
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There Is Nothing More To Teach...
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Completed every achievement. Now go save lives!
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- Please do not actually try and save lives through surgery learned from this game.
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