Surgery

All surgery requires a set of medical tools, typically found in the Operating Theatre, along with an operating table.

Surgical Tools

Information about most tools used in surgery can be found here.

Surgery Speed and Failure

While every operation has an intended tool, you are not limited to it alone. Every operation has a list of alternative tools you can use instead. Beside each tool is a multiplier which indicates how much of a penalty to speed you are given for using the supplied tool.

These multipliers stack multiplicatively with those from operating site or chemicals (see Beginning of any Operation).

Note, speed penalty is capped to 2x the base time the step would have taken. A step that takes 10 seconds would cap at 20 seconds, for example.

However, every second after that cap will instead add 1 percentage point into the odds of a failure. Failing may cause extra damage or other effects.

So for example:

• Say a surgery step takes 10 seconds by default, but you use a pen (2.5x) instead of a hemostat and do it on the floor (2x) instead of a surgery table.
• Now the surgery is slowed to 50 seconds, but it's capped to 20 seconds.
• Those 30 extra seconds that were removed is now your chance to fail the operation.
• Result: The step takes 20 seconds and has a 30% chance to fail.

The Operation Process

Step 1: Undress the part of the patient that needs surgery. You can do this by dragging them onto yourself, and then clicking the clothes you want to remove from them in the pop-up. Alternatively, some clothes like jumpsuits can be adjusted out of the way, to save yourself some time.

• Important: The uniform the patient is wearing usually covers both legs, arms, groin and torso. Helmets, eyewear and masks always obscure the eyes, make sure to remove them if working on the eyes.

Step 2: Operating Table Place the patient onto the operating table. Do this doing a Hold CTRL and left-click a person with your hand empty. It doesn't matter if Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. is on or off. Repeat after a short delay to upgrade grab to aggressive (lvl 2), neck (lvl 3) and strangling (lvl 4). on the patient. Then left click the operating table to place the patient on it. You can also Ordinary right-click. It doesn't matter if Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. is on or not. shove a person onto the table and tell them to rest, though they might not appreciate this.

• If there is no operating table, you can use: Stasis bed (1.15x), any table (1.25x), any bed (1.5x), ask them to lie on the floor (2x). The speed of completing every step will be reduced.

Step 2.1 (Optional) Splash on, spray or apply a patch with a reagent like Miner's Salve (0.9x), Sterilizine 0.8x), alcoholic drinks (up to ~0.5x*), or Honey (0.6x) for faster surgery speed.

• The stronger the alcohol, the more effective! The formula is: (booze power / 650). For example: Ethanol gives ~0.9x surgery speed, Manly Dorf ~0.85x, Bacchus' Blessing ~0.5x.

Step 2.2: (Optional) Use a tank of anesthetic and a breath mask to make your patient sleep. This way patient won't experience agonizing pain, decreasing its mood.

Step 3: Place drapes or bedsheet over the part of body you are operating.

• If you done step 1 wrong, it will tell you that you must remove clothing first. If you continue without fixing, you will stab your patient instead of doing surgery.

Step 4: Turn off Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. . Pro tip: Ordinary right-click. It doesn't matter if Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. is on or not. will make you fail every surgery step on purpose.

Step 5: Aim at the appropriate body part (important!).

Step 6: Turn off Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. and then left-click. Begin surgery (see the steps below!).

To get to the operation you want to complete, it will require you get the patient to the necessary state*. For example, an overwhelming majority of surgeries will require the patient's skin be opened first. To open the skin you'll need to complete "Retract skin" first, and to be able to complete "Retract skin", you will need to "Make skin incision". More complicated surgeries require more complicated states, such as sawing bones.

While a patient's undergoing surgery, they will slowly lose blood. Try not to dawdle!

• Note: Some patients you receive will be in a state already ready for suregry! Species like Plasmamen have no skin, so you have nothing to make an incision in. You can simply skip that step!

Step 7: Complete your surgery

After getting to the state required, you can do whatever operation you intended. Congratulations, you just did surgery! That wasn't so bad, right?

Step 7.5: Repeat!

Feel free to do any other operation while the patient is cut open. States don't automatically get cleared after you're done! You can save yourself a lot of time this way.

Step 8: Close the patient

After all is said and done, don't forget to cauterize or suture the operated bodypart! The patient will continue to bleed if you don't.

And you're done! Send the patient out with a lollipop and a smile.

Operations

What follows is a full list of every operation that you can undergo.

Green operations are mechanical surgeries and will only work on cybernetic patients.

Purple operations are locked - typically behind technology from science, but sometimes behind rare or traitorous surgical disks. They cannot be undergone without first being loaded into an operating computer.

Engine Diagnostic (Heart Surgery) Graft a bypass onto a patient's damaged heart to restore proper blood flow. This procedure can only be performed once per organ.

All of these are required:

• Operate on heart (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Crowbar	1.05x
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x

Add dental implant Implant a pill into a patient's teeth.

All of these are required:

• Operate on mouth (target mouth)
• The skin must be open
• The bone must be drilled
• The patient must be lying down
• The mouth must have teeth

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Pill	1x

Disarticulation (Amputation) Sever a limb from a patient's body.

All of these are required:

• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Amputation shears	0.33x
	Saw	1x
	Scalpel	1x
	Arm blade	1.25x
	Serrated bone shovel	1.33x
	Fire axe	2x
	Hatchet	2.5x
	Butcher's cleaver	4x

Augmentation Replace a patient's limb with a robotic or prosthetic one.

All of these are required:

• The skin must be open
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Limb	1x

Androtomy (Dissection and Autopsy) Perform a detailed analysis of a deceased patient's body.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must be deceased
• The patient must not have been autopsied prior

However:

• The limb must not be cybernetic

	Tool	Speed Multiplier
	Autopsy scanner	1x

Hemodialysis (Blood Filtration) Remove unwanted chemicals from a patient's bloodstream.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must not be husked

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Blood filter	1x

Neurosurgery (Brain Surgery) Repair a patient's damaged brain tissue to restore cognitive function.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1.05x
	Screwdriver	2.85x
	Pen	6.67x

Cavity implant Implant an item into a patient's body cavity.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The chest cavity must be opened wide
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Any item	1x

Clamp bleeders Clamp bleeding blood vessels in the patient's body to prevent blood loss. Causes "vessels clamped" surgical state.

All of these are required:

• The skin must be open
• The blood vessels must be unclamped
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1x
	Cutters	1.67x
	Package wrapper	2.85x
	Cable coil	6.67x

Debridement Remove infected or necrotic flesh from a patient's wound to promote healing.

All of these are required:

• The limb must have a second degree or worse burn
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Hemostat	1x
	Scalpel	1.25x
	Saw	1.66x
	Cutters	2.5x

Detach Wooden Limb (Amputation) Sever a limb from a patient's body.

All of these are required:

• The patient must be lying down
• The limb must be wooden

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Saw	1x
	Serrated bone shovel	1x
	Fire axe	1.15x
	Hatchet	1.33x
	Scalpel	4x

Dissassembly (Amputation) Sever a limb from a patient's body.

All of these are required:

• The skin must be open
• The patient must be lying down

Any one of these is required:

• If operating on the head, the bone MUST be sawed
• Otherwise, the state of the bone doesn't matter

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Wrench	1x
	Crowbar	1x
	Scalpel	2x
	Saw	2x

Discard skull debris Clear away bone fragments and debris from a patient's cranial fissure in preparation for repair.

All of these are required:

• The cranium must be fractured
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Hemostat	1x
	Cutters	2.5x
	Screwdriver	2.5x

Drill limb bone Drill through a patient's bones. Causes "bone drilled" surgical state.

All of these are required:

• The skin must be open
• The patient must be lying down

However:

• The bone must be intact
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Drill	1x
	Hand drill	1.25x
	Mining drill	1.67x
	Screwdriver	4x
	Spoon	5x
	Any sharp pointed item with decent force	6.67x

Ototomy (Ear surgery) Repair a patient's damaged ears to restore hearing.

All of these are required:

• Operate on ears (target head)
• The skin must be open
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• If the limb has bones, they must be intact

	Tool	Speed Multiplier
	Hemostat	1.05x
	Screwdriver	2.25x
	Pen	4x

Nutrient Reserve Expulsion (Excise Fat) Remove excess fat from a patient's body.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must have excess fat to remove

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Wrench	1.05x
	Crowbar	1.05x
	Serrated bone shovel	1.33x
	Energy sword	1.33x
	Saw	1.67x
	Hatchet	3.33x
	Knife	3.33x
	Scalpel	4x
	Any sharp edged item	5x

Lobectomy (Lung Surgery) Perform repairs to a patient's damaged lung by excising the most damaged lobe. This procedure can only be performed once per organ.

All of these are required:

• Operate on lungs (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x

Lipoplasty (Excise Fat) Remove excess fat from a patient's body.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must have excess fat to remove

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Saw	1x
	Scalpel	1.25x
	Serrated bone shovel	1.33x
	Energy sword	1.33x
	Hatchet	3.33x
	Knife	3.33x
	Any sharp edged item	5x

Corectomy (Extract Core) Remove the core from a slime.

All of these are required:

• Operate on a deceased slime
• Operate on chest (target chest)
• The skin must be cut or opened

	Tool	Speed Multiplier
	Hemostat	1x
	Crowbar	1x

Vitrectomy (Eye Surgery) Repair a patient's damaged eyes to restore vision.

All of these are required:

• Operate on eyes (target eyes)
• The skin must be open
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• If the limb has bones, they must be intact

	Tool	Speed Multiplier
	Hemostat	1.05x
	Screwdriver	2.25x
	Pen	4x

Feature manipulation Manipulate features of the patient, such as a moth's wings or a lizard's tail.

All of these are required:

• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1x
	Crowbar	1.8x
	Fork	2.85x
	Organ	1x

Fix limb bone Repair a patient's cut or broken bones. Clears "bone sawed" and "bone drilled" surgical states.

All of these are required:

• The skin must be open
• The patient must be lying down
• The limb must have bones
• The bone must be sawed or drilled

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Bone gel	1x
	Surgical tape	1x
	Super sticky tape	2x
	Sticky tape	3.33x

Bronchial Dilatation (Asthmatic Bypass) Forcibly expand a patient's windpipe, relieving asthma symptoms.

All of these are required:

• The patient must be asthmatic
• Operate on lungs (target chest)
• The skin must be open
• The organs must be cut
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Retractor	1.25x
	Cutters	2.25x

Brain Defibrillation (Revival) Use a defibrillator to shock a patient's brain back to life.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down
• The patient must be deceased
• The patient must be in a revivable state

However:

• The operation site must not be obstructed by clothing
• The patient must not be organic

	Tool	Speed Multiplier
	Defibrillator paddles	1x
	Shock touch	1x
	Stun baton	1.33x
	Energy gun	1.67x

Coronary Artery Bypass Graft (Heart Surgery) Graft a bypass onto a patient's damaged heart to restore proper blood flow. This procedure can only be performed once per organ.

All of these are required:

• Operate on heart (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Hemostat	1.05x
	Cutters	2.85x
	Package wrapper	6.67x
	Cable coil	2x

Implant removal Attempt to find and remove an implant from a patient. Any implant found will be destroyed unless an implant case is held or nearby.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down

You may optionally:

• Have an implant case below or inhand to store removed implants

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Crowbar	1.5x
	Fork	2.85x

Incise organs Make an incision in the patient's internal organ tissue to allow for manipulation or repair. Causes "organs cut" surgical state.

All of these are required:

• The skin must be open
• The patient must be lying down

However:

• The organs must not be cut
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Scalpel	1x
	Energy sword	1.33x
	Knife	1.5x
	Shard	2.25x
	Pen	5x
	Any sharp edged item	3.33x

Internal organ manipulation Manipulate a patient's internal organs.

All of these are required:

• The skin must be open
• The organs must be cut
• The patient must be lying down

Any one of these is required:

• If operating on the brain or any chest organs, the bone MUST be sawed
• Otherwise, the state of the bone doesn't matter

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1x
	Crowbar	1.8x
	Fork	2.85x
	Organ	1x

Make incision Make an incision in the patient's skin to access internals. Causes "cut skin" surgical state.

All of these are required:

• Operate on patient
• The patient must be lying down

However:

• The skin must be intact
• The operation site must not be obstructed by clothing
• The patient must not be robotic
• The patient must not have complex anatomy

	Tool	Speed Multiplier
	Scalpel	1x
	Energy sword	1.33x
	Knife	1.5x
	Shard	2.25x
	Screwdriver	5x
	Pen	5x
	Any sharp edged item	3.33x

Make skin incision Make an incision in the patient's skin to access internal organs. Causes "cut skin" surgical state.

All of these are required:

• The patient must be lying down

However:

• The skin must be intact
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Scalpel	1x
	Energy sword	1.33x
	Knife	1.5x
	Shard	2.25x
	Screwdriver	5x
	Pen	5x
	Any sharp edged item	3.33x

Make thick skin incision Make an incision in the patient's skin to access internal organs. Causes "cut skin" surgical state.

All of these are required:

• The patient must be lying down

However:

• The skin must be intact
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Saw	1x
	Energy sword	1.25x
	Fire axe	1.5x
	Butcher's cleaver	2.5x
	Any sharp edged item with decent force	5x

Mend incision Mend the incision in the patient's skin, closing it up. Clears most surgical states.

All of these are required:

• Operate on patient
• The patient must be lying down

Any one of these is required:

• The bone must be sawed or drilled
• The skin must be cut or opened
• The blood vessels must be clamped or unclamped
• The organs must be cut
• The chest cavity must be opened wide

However:

• The operation site must not be obstructed by clothing
• The patient must not be robotic
• The patient must not have complex anatomy

	Tool	Speed Multiplier
	Cautery	1x
	Suture	1x
	Type 5 laser gun	1.15x
	Welder	1.5x
	Any heat source	3.33x

Mend skin incision Mend the incision in the patient's skin, closing it up. Clears most surgical states.

All of these are required:

• The patient must be lying down
• The limb must have skin
• The skin must be cut or opened

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Cautery	1x
	Suture	1x
	Type 5 laser gun	1.15x
	Welder	1.5x
	Any heat source	3.33x

Open hatch Open the hatch of a mechanical patient to access its internals. Causes "skin open" and "vessels clamped" surgical states.

All of these are required:

• The skin must be cut
• The patient must be lying down

You may optionally:

• A surgeon may perform this on themselves

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Hands	1x
	Crowbar	1x

Air Filtration Diagnostic (Lung Surgery) Perform repairs to a patient's damaged lung by excising the most damaged lobe. This procedure can only be performed once per organ.

All of these are required:

• Operate on lungs (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Wrench	1.05x
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x

Impurity Management System Diagnostic (Liver Surgery) Perform repairs to a patient's damaged liver by removing the most damaged section. This procedure can only be performed once per organ.

All of these are required:

• Operate on liver (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Wrench	1.05x
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x

Nutrient Processing System Diagnostic (Stomach Surgery) Perform repairs to a patient's stomach by removing a damaged section. This procedure can only be performed once per organ.

All of these are required:

• Operate on stomach (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Wrench	1.05x
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x
	Any sharp edged item	4x

Wetware OS Diagnostics (Brain Surgery) Repair a patient's damaged brain tissue to restore cognitive function.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Multitool	1.15x
	Hemostat	1.05x
	Screwdriver	2.85x
	Pen	6.67x

Plastic surgery Reshape or reconstruct a patient's face for cosmetic or functional purposes.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Scalpel	1x
	Knife	2x
	Cutters	2.85x
	Pen	5x

Prepare electronics Prepare the internal electronics of a mechanical patient for surgery. Causes "organs cut" surgical state.

All of these are required:

• The skin must be open
• The patient must be lying down

You may optionally:

• A surgeon may perform this on themselves

However:

• The organs must not be cut
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Multitool	1x
	Hemostat	1.33x

Prosthetic feature manipulation Manipulate features of the patient, such as a moth's wings or a lizard's tail.

All of these are required:

• The skin must be open
• The bone must be sawed
• The patient must be lying down

You may optionally:

• A surgeon may perform this on themselves

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Crowbar	1x
	Hemostat	1x
	Fork	2.85x
	Organ	1x

Prosthetic organ manipulation Manipulate a patient's internal organs.

All of these are required:

• The skin must be open
• The organs must be cut
• The patient must be lying down

Any one of these is required:

• If operating on the brain or any chest organs, the bone MUST be sawed
• Otherwise, the state of the bone doesn't matter

You may optionally:

• A surgeon may perform this on themselves

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Crowbar	1x
	Hemostat	1x
	Fork	2.85x
	Organ	1x

Prosthetic replacement Replace a missing limb with a prosthetic (or arbitrary) item.

All of these are required:

• The skin must be open
• The limb must be missing / a stump
• Arms may receive any suitable item in lieu of a replacement limb

However:

• The blood vessels must not be unclamped

	Tool	Speed Multiplier
	Limb	1x
	Any suitable arm replacement	1x

Gastric Lavage (Stomach Pump) Manually pump a patient's stomach to induce vomiting and expel harmful chemicals.

All of these are required:

• Operate on stomach (target chest)
• The skin must be open
• The organs must be cut
• The patient must be lying down
• The patient must not be husked

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Hands	1x

Hydraulics Purge (Blood Filtration) Remove unwanted chemicals from a patient's bloodstream.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must not be husked

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Blood filter	1x

Nutrient Processor Purge (Stomach Pump) Manually pump a patient's stomach to induce vomiting and expel harmful chemicals.

All of these are required:

• Operate on stomach (target chest)
• The skin must be open
• The organs must be cut
• The patient must be lying down
• The patient must not be husked

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Hands	1x

Realign blood vessels Realign a patient's torn blood vessels to prepare for sealing.

All of these are required:

• The limb must have an unoperated puncture wound
• The skin must be open
• The organs must be cut
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Hemostat	1x
	Scalpel	1.15x
	Cutters	2.5x

Remove cavity implant Remove an item from a body cavity.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The chest cavity must be opened wide
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Hands	1x
	Hemostat	2x
	Crowbar	2.5x
	Fork	5x

Hepatectomy (Liver Surgery) Perform repairs to a patient's damaged liver by removing the most damaged section. This procedure can only be performed once per organ.

All of these are required:

• Operate on liver (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x

Gastrectomy (Stomach Surgery) Perform repairs to a patient's stomach by removing a damaged section. This procedure can only be performed once per organ.

All of these are required:

• Operate on stomach (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down
• The organ must be moderately damaged

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic
• The organ must not have been surgically repaired prior

	Tool	Speed Multiplier
	Scalpel	1.05x
	Energy sword	1.5x
	Knife	2.25x
	Shard	2.85x
	Any sharp edged item	4x

Remove dental implant Remove a dental implant from a patient's teeth.

All of these are required:

• The skin must be open
• The bone must be drilled
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Hemostat	1x
	Hands	1x

Repair compound fracture Mend a compound fracture in a patient's bone.

All of these are required:

• The limb's compound fracture has been reset
• The patient must be lying down
• The skin must be cut or opened

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Bone gel	1x
	Surgical tape	1x
	Super sticky tape	2x
	Sticky tape	3.33x

Repair cranium Mend a cranial fissure in a patient's skull.

All of these are required:

• The debris has been cleared from the cranial fissure
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Bone gel	1x
	Surgical tape	1x
	Super sticky tape	2x
	Sticky tape	3.33x

Repair hairline fracture Mend a hairline fracture in a patient's bone.

All of these are required:

• The limb must have a hairline fracture
• The patient must be lying down
• The skin must be cut or opened

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Bonesetter	1x
	Bone gel	1x
	Surgical tape	1x
	Super sticky tape	2x
	Sticky tape	3.33x

Reset compound fracture Reset a compound fracture in a patient's bone, preparing it for proper healing.

All of these are required:

• The limb must have a compound fracture
• The skin must be open
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Bonesetter	1x
	Surgical tape	1.66x
	Super sticky tape	2.5x
	Sticky tape	5x

Reset dislocation Reset a dislocated bone in a patient's limb. Similar to the field procedure, but quicker and safer due to being performed in a controlled environment.

All of these are required:

• The limb must be dislocated

	Tool	Speed Multiplier
	Bonesetter	1x
	Crowbar	2x
	Hands	5x

Retract skin Retract the patient's skin to access their internal organs. Causes "skin open" surgical state.

All of these are required:

• The skin must be cut
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Retractor	1x
	Screwdriver	2.25x
	Cutters	2.85x
	Iron rod	2.85x
	Fork	2.85x

Saw bone Saw through the patient's bones to access their internal organs. Causes "bone sawed" surgical state.

All of these are required:

• Operate on patient
• The skin must be open
• The patient must be lying down

However:

• The bone must be intact
• The operation site must not be obstructed by clothing
• The patient must not be robotic
• The patient must not have complex anatomy

	Tool	Speed Multiplier
	Saw	1x
	Serrated bone shovel	1.33x
	Arm blade	1.33x
	Fire axe	2x
	Hatchet	2.85x
	Butcher's cleaver	2.85x
	Any sharp edged item with decent force	4x

Saw limb bone Saw through the patient's bones to access their internal organs. Causes "bone sawed" surgical state.

All of these are required:

• The skin must be open
• The patient must be lying down

However:

• The bone must be intact
• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Saw	1x
	Serrated bone shovel	1.33x
	Arm blade	1.33x
	Fire axe	2x
	Hatchet	2.85x
	Butcher's cleaver	2.85x
	Any sharp edged item with decent force	4x

Screw shell Screw the shell of a mechanical patient back into place. Clears most surgical states.

All of these are required:

• The patient must be lying down
• The skin must be cut or opened

You may optionally:

• A surgeon may perform this on themselves

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Screwdriver	1x
	Scalpel	1.33x
	Knife	2x
	Any sharp item	10x

Seal blood vessels Seal a patient's now-realigned blood vessels.

All of these are required:

• The limb must have an operated puncture wound
• The skin must be open
• The organs must be cut
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Cautery	1x
	Type 5 laser gun	1.12x
	Welder	1.5x
	Any heat source	3.33x

Secure prosthetic Ensure that an arbitrary prosthetic is properly attached to a patient's body.

All of these are required:

• The prosthetic must be unsecured

You may optionally:

• A surgeon may perform this on themselves

	Tool	Speed Multiplier
	Suture	1x
	Surgical tape	1.25x
	Sticky tape	2x

Brain Defibrillation (Revival) Use a defibrillator to shock a patient's brain back to life.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down
• The patient must be deceased
• The patient must be in a revivable state

However:

• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Defibrillator paddles	1x
	Shock touch	1x
	Stun baton	1.33x
	Energy gun	1.67x

System Failure Analysis (Dissection and Autopsy) Perform a detailed analysis of a robotic patient's deactivated systems.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The patient must be lying down
• The patient must be deceased
• The patient must not have been autopsied prior

However:

• The limb must not be organic

	Tool	Speed Multiplier
	Autopsy scanner	1x

Tend Wounds Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Unclamp bleeders Unclamp blood vessels in the patient's body to allow blood flow again. Clears "vessels clamped" surgical state.

All of these are required:

• The skin must be open
• The blood vessels must be clamped
• The patient must be lying down
• The limb must have blood vessels

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1x
	Cutters	1.67x
	Package wrapper	2.85x
	Cable coil	6.67x

Unscrew shell Unscrew the shell of a mechanical patient to access its internals. Causes "cut skin" surgical state.

All of these are required:

• The patient must be lying down

You may optionally:

• A surgeon may perform this on themselves

However:

• The skin must be intact
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Screwdriver	1x
	Scalpel	1.33x
	Knife	2x
	Any sharp item	10x

Unwrench endoskeleton Unwrench a mechanical patient's endoskeleton to access its internals. Clears "bone sawed" surgical state.

All of these are required:

• The skin must be open
• The patient must be lying down

You may optionally:

• A surgeon may perform this on themselves

However:

• The bone must be intact
• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Wrench	1x
	Retractor	1.33x

Widen chest cavity Widen a patient's chest cavity to allow for implanting of larger items.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The patient must be lying down

However:

• The chest cavity must not be opened wide
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Retractor	1x
	Crowbar	1.5x

Wrench endoskeleton Wrench a mechanical patient's endoskeleton back into place. Clears "bone sawed" surgical state.

All of these are required:

• The skin must be open
• The bone must be sawed
• The patient must be lying down
• The limb must have bones

You may optionally:

• A surgeon may perform this on themselves

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic

	Tool	Speed Multiplier
	Wrench	1x
	Retractor	1.33x

Apply plastic Apply plastic to a patient's face to to allow for greater customization in following plastic surgery.

All of these are required:

• The skin must be open
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• Plastic must not be applied
• The operation site must not be obstructed by clothing

	Tool	Speed Multiplier
	Plastic	1x

Neural Brainwashing (Brainwash) A surgical procedure which directly implants a directive into the patient's brain, making it their absolute priority. It can be cleared using a mindshield implant.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1.15x
	Cutters	2x
	Package wrapper	2.85x
	Cable coil	6.67x

Encephalofractoplasty (Cortex Folding) A biological upgrade which folds a patient's cerebral cortex into a fractal pattern, increasing neural density and flexibility.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Encephalofractoplasty (Cortex Folding) OR Encephalopremoplasty (Cortex Imprinting) prior

	Tool	Speed Multiplier
	Hands	1x

Wetware OS Labyrinthian Programming (Cortex Folding) Reprogram a robotic patient's neural network in a downright eldritch programming language, giving space to non-standard neural patterns.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Wetware OS Labyrinthian Programming (Cortex Folding) OR Wetware OS Ver 2.0 (Cortex Imprinting) prior

	Tool	Speed Multiplier
	Hands	1x

Encephalopremoplasty (Cortex Imprinting) A biological upgrade which carves a patient's cerebral cortex into a self-imprinting pattern, increasing neural density and resilience.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Encephalofractoplasty (Cortex Folding) OR Encephalopremoplasty (Cortex Imprinting) prior

	Tool	Speed Multiplier
	Hands	1x

Wetware OS Ver 2.0 (Cortex Imprinting) Update a robotic patient's operating system to a "newer version", improving overall performance and resilience. Shame about all the adware.

All of these are required:

• Operate on head (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Wetware OS Labyrinthian Programming (Cortex Folding) OR Wetware OS Ver 2.0 (Cortex Imprinting) prior

	Tool	Speed Multiplier
	Hands	1x

Aggression Suppression Programming (Pacification) Install malware which permanently inhibits the aggression programming of the patient's neural network, making the patient unwilling to cause direct harm.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Multitool	1x
	Hemostat	2.85x
	Screwdriver	2.85x
	Pen	6.67x

Wetware OS Destructive Defragmentation (Lobotomy) An invasive surgical procedure which guarantees removal of almost all brain traumas, but might cause another permanent trauma in return.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Multitool	1.15x
	Energy sword	1.85x
	Knife	2.85x
	Shard	4x
	Any sharp edged item	5x

Experimental Androtomy (Experimental Dissection and Autopsy) An experimental surgical procedure that dissects bodies in exchange for research points at ancient R&D consoles.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must be deceased
• The patient must not have been dissected prior
• The skin must be cut or opened

	Tool	Speed Multiplier
	Autopsy scanner	1x
	Scalpel	1.66x
	Knife	5x
	Shard	10x

Xanthoneuroplasty (Grounded Nerves) Reroute a patient's nerves to act as grounding rods, protecting them from electrical shocks.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Symneurodesis (Spliced Nerves) OR Xanthoneuroplasty (Grounded Nerves) prior

	Tool	Speed Multiplier
	Hands	1x

System Shock Dampening (Grounded Nerves) Install grounding rods into a robotic patient's nervous system, protecting it from electrical shocks.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone System Automatic Reset Subroutine (Spliced Nerves) OR System Shock Dampening (Grounded Nerves) prior

	Tool	Speed Multiplier
	Hands	1x

Bionecroplasty (Necrotic Revival) An experimental procedure which induces the growth of a Romerol tumor inside the patient's brain.

All of these are required:

• The skin must be open
• The bone must be sawed
• The patient must be lying down
• The limb must have a brain present

Any one of these is required:

• The patient or tool must contain >1u Rezadone
• The patient or tool must contain >1u Zombie Powder

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The limb must not already have a Romerol tumor

	Tool	Speed Multiplier
	Syringe	1x
	Pen	3.33x

Sleeper Agent Implantation (Brainwash) A surgical procedure which directly implants a directive into the patient's brain, making it their absolute priority. It can be cleared using a mindshield implant.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1.15x
	Cutters	2x
	Package wrapper	2.85x
	Cable coil	6.67x

Sleeper Agent Programming (Brainwash) A surgical procedure which directly implants a directive into the patient's brain, making it their absolute priority. It can be cleared using a mindshield implant.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Multitool	1.15x
	Hemostat	2x
	Cutters	2x
	Package wrapper	2.85x
	Cable coil	6.67x

Lobotomy (Lobotomy) An invasive surgical procedure which guarantees removal of almost all brain traumas, but might cause another permanent trauma in return.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Scalpel	1.15x
	Energy sword	0.55x
	Knife	2.85x
	Shard	4x
	Any sharp edged item	5x

Myovasculoplasty (Muscled Veins) Add a muscled membrane to a patient's veins, allowing them to pump blood without a heart.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Symvasculodesis (Vein Threading) OR Myovasculoplasty (Muscled Veins) prior

	Tool	Speed Multiplier
	Hands	1x

Hydraulics Redundancy Subroutine (Muscled Veins) Add redundancies to a robotic patient's hydraulic system, allowing it to pump fluids without an engine or pump.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Hydraulics Routing Optimization (Threaded Veins) OR Hydraulics Redundancy Subroutine (Muscled Veins) prior

	Tool	Speed Multiplier
	Hands	1x

Paxopsy (Pacification) A surgical procedure which permanently inhibits the aggression center of the brain, making the patient unwilling to cause direct harm.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The bone must be sawed
• The patient must be lying down

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• The organ must not be cybernetic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	2.85x
	Pen	6.67x

Pteroplasty (Wing Repair) A surgical procedure that repairs damaged wings using Synthflesh.

All of these are required:

• Operate on moth wings (target chest)
• The skin must be open
• The patient must be lying down
• The wings must be burnt
• The patient must be dosed with >=5u Synthflesh

However:

• The blood vessels must not be unclamped
• The operation site must not be obstructed by clothing
• If the limb has bones, they must be intact

	Tool	Speed Multiplier
	Hemostat	1.15x
	Screwdriver	2.85x
	Pen	6.67x

Neural Reprogramming (Brainwash) Install malware which directly implants a directive into the robotic patient's operating system, making it their absolute priority. It can be cleared using a mindshield implant.

All of these are required:

• Operate on brain (target head)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The organ must not be organic

	Tool	Speed Multiplier
	Multitool	1.15x
	Hemostat	2x
	Cutters	2x
	Package wrapper	2.85x
	Cable coil	6.67x

Arthroplasty (Ligament Hooks) Reshape a patient's ligaments to allow limbs to be manually reattached if severed - at the cost of making them easier to detach.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Arthroplasty (Ligament Hooks) OR Arthrorrhaphy (Ligament Reinforcement) prior

	Tool	Speed Multiplier
	Hands	1x

Anchor Point Snaplocks (Ligament Hooks) Refactor a robotic patient's limb joints to allow for rapid deatchment, allowing limbs to be manually reattached if severed - at the cost of making them easier to detach as well.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Anchor Point Snaplocks (Ligament Hooks) OR Anchor Point Reinforcement (Ligament Reinforcement) prior

	Tool	Speed Multiplier
	Hands	1x

Symneurodesis (Spliced Nerves) Splice a patient's nerves together to make them more resistant to stuns.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Symneurodesis (Spliced Nerves) OR Xanthoneuroplasty (Grounded Nerves) prior

	Tool	Speed Multiplier
	Hands	1x

System Automatic Reset Subroutine (Spliced Nerves) Upgrade a robotic patient's automatic systems, allowing it to better resist stuns.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone System Automatic Reset Subroutine (Spliced Nerves) OR System Shock Dampening (Grounded Nerves) prior

	Tool	Speed Multiplier
	Hands	1x

Arthrorrhaphy (Ligament Reinforcement) Strengthen a patient's ligaments to make dismemberment more difficult, at the cost of making nerve connections easier to interrupt.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Arthroplasty (Ligament Hooks) OR Arthrorrhaphy (Ligament Reinforcement) prior

	Tool	Speed Multiplier
	Hands	1x

Anchor Point Reinforcement (Ligament Reinforcement) Reinforce a robotic patient's limb joints to prevent dismemberment, at the cost of making nerve connections easier to interrupt.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Anchor Point Snaplocks (Ligament Hooks) OR Anchor Point Reinforcement (Ligament Reinforcement) prior

	Tool	Speed Multiplier
	Hands	1x

Tend Wounds+ Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Tend Wounds++ Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Advanced Tend Wounds Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Advanced Tend Wounds+ Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Advanced Tend Wounds++ Perform superficial wound care on a patient's bruises and burns.

All of these are required:

• Operate on chest (target chest)
• The patient must be lying down
• The patient must have brute or burn damage
• The skin must be cut or opened

However:

• The patient must not be robotic

	Tool	Speed Multiplier
	Hemostat	1x
	Screwdriver	1.5x
	Cutters	1.67x
	Pen	1.8x

Symvasculodesis (Vein Threading) Weave a patient's veins into a reinforced mesh, reducing blood loss from injuries.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be cybernetic
• The patient must not have undergone Symvasculodesis (Vein Threading) OR Myovasculoplasty (Muscled Veins) prior

	Tool	Speed Multiplier
	Hands	1x

Hydraulics Routing Optimization (Threaded Veins) Optimize the routing of a robotic patient's hydraulic system, reducing fluid loss from leaks.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The bone must be sawed
• The patient must be lying down

However:

• The operation site must not be obstructed by clothing
• The limb must not be organic
• The patient must not have undergone Hydraulics Routing Optimization (Threaded Veins) OR Hydraulics Redundancy Subroutine (Muscled Veins) prior

	Tool	Speed Multiplier
	Hands	1x

Viroplasty (Viral Bonding) A surgical procedure that forces a symbiotic relationship between a virus and its host. The patient will be completely immune to the effects of the virus, but will carry and spread it to others.

All of these are required:

• Operate on chest (target chest)
• The skin must be open
• The organs must be cut
• The patient must be lying down
• The patient must have a virus to bond
• The patient must be dosed with >=1u Spaceacillin
• The patient must be dosed with >=1u Virus Food
• The patient must be dosed with >=1u Formaldehyde

However:

• The operation site must not be obstructed by clothing
• The patient must not be robotic

	Tool	Speed Multiplier
	Cautery	1x
	Welder	2x
	Any heat source	3.33x