All surgery requires a set of medical tools, typically found in the Operating Theatre, along with an operating table.
Surgical Tools[edit | edit source]
For every tools there are ghetto analogues. Using them lowers chances of performing a surgical step correctly, wounding your patient. Hover your cursor over the item's picture to see its name. Next to the items are the success rates.
Beginning of any Operation[edit | edit source]
Step 1: Place the patient onto the operating table. Do this by selecting grab intent. Then click the patient twice in a row until you have an aggressive grab. Then left click the operating table to place the patient on it. Switch back to help intent or your surgery will fail.
- If there is no operating table, you can use: Stasis bed (-10%), any table (-20%), any bed (-30%), ask them to lie on the floor (-50%). Chances of successfully completing every step will be reduced.
- The stronger the alcohol, the more effective! The formula is: 0.1*(booze power/65). For example: Ethanol gives +10% success chance, Manly Dorf +15%, Bacchus' Blessing +46%.
To abort a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.
Procedures requiring no research or computer[edit | edit source]
Tend Wounds (Burn/Brute)[edit | edit source]
This surgery is a keypoint in saving limited resources such as synthflesh from being used up cloning a person who can still be resurrected.
The tools required for the surgery can always be found in the medical kit every doctor/paramedic starts their shift with.
Two different versions of the surgery can be performed, one that fixes burn damage and another that fixes brute damage.
|Step 1: Scalpel: make an incision.|
|Step 2: Hemostat: Tend Wounds.|
|Step 3: Repeat: Repeat Step 2 until all brute/burn damage is fixed.|
|Step 4: Cautery: seal the incision.|
Organ Manipulation[edit | edit source]
This surgery covers operations to remove/insert organs (brain, heart, appendix), lizard/cat tails, cyber implants and alien embryos.
The body part to target depends on which procedure you want to do.
See below for details about each procedure.
Ordinary organs that require Organ Manipulation[edit | edit source]
These organs are present in every normal human, and can be removed or transferred through the Organ Manipulation surgery type.
Brain [edit | edit source]
The source of consciousness, and where the player actually resides. Removing the brain from a body will make it unclonable through normal means. The brain can also be inserted into an MMI to allow it to speak, and to prepare it to be inserted into a Cyborg or an AI. Or it can be transferred into another body, which can then be cloned or defibrillated with the new host.
Changelings' brains are vestigial, and they can survive without them. Beheading a changeling will not prevent one from reviving.
Note: Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.
Note: There's also a non-surgery method to put a brain back in:
Heart [edit | edit source]
Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new, beating, heart is inserted, or death. This can be delayed with epinephrine, if you need more time.
On their own, hearts only beat for a short time when removed from a living body. To get a heart beating again, click on it while it's in your hand.
Heart attacks can also be induced by Initropidril, and a heart attack may continue if you insert a still heart in a patient. In either case, to restore the heart to normal functionality, the patient needs to either be defibrillated or receive an electric shock.
Eyes [edit | edit source]
They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.
Ears[edit | edit source]
Required for hearing. Removing them will make the patient deaf.
Liver [edit | edit source]
Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage.
Lungs [edit | edit source]
Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals. Some species have mutant lungs that don't need air: transplanting them onto an breathing race will transfer this property.
Stomach [edit | edit source]
Required for digesting food.
Tongue [edit | edit source]
Affects speech. Lacking a tongue will make speech very hard to comprehend, while mutant tongues such as lizards' or flypeoples' will give the patient the race's speech quirks. Abductors' tongues carry over their telepathy, but they prevent normal speech.
Appendix [edit | edit source]
Removing it cures appendicitis and prevents it in the future, too.
Other organs that require Organ Manipulation[edit | edit source]
There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.
Cybernetic Implants [edit | edit source]
These offer benefits to the patient at the cost of being very vulnerable to EMPs, with malfunctions ranging from eye-flashing to heart attacks. Cybernetic implants always require the Organ Manipulation type surgery, even for arms. Cybernetic implants can be printed by Robotics or the medbay techfab after research.
Cybernetic Organs [edit | edit source]
Cybernetic organs replace organs entirely. You need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs. Cybernetic organs can be printed by Robotics or the medbay techfab after research.
Xenomorph Embryo [edit | edit source]
An alien larva growing inside the patient. If not removed quickly enough, it will gib the patient and try to escape, growing into a dangerous Xenomorph.
Romerol Tumor[edit | edit source]
A latent infection in the patient's head, caused by Romerol. If the patient dies while affected by Romerol, he will eventually rise as an aggressive Zombie. This will repeat as long as the infection lasts; removing it surgically, cutting the head off, or gibbing the corpse will prevent resurrection.
Romerol is infective, and anyone hit by a zombie while unprotected will also acquire a Romerol Tumor.
Prosthesis Organ Manipulation[edit | edit source]
Alien Organ Manipulation[edit | edit source]
Used to remove or add organs from Xenos.
Amputation[edit | edit source]
Sever a limb from the torso. Tails are handled under Organ Manipulation (groin).
Prosthetic Replacement[edit | edit source]
Replace a severed limb with either a normal or a robotic limb.
Augmentation[edit | edit source]
Replace a limb with a robot part. The head, torso, arms, and legs can all be augmented. Augmenting torso makes you immune to appendicitis and xeno larva.
Robot limbs are tougher. They need welding to "heal" brute damage and wires for burn damage, and cannot be otherwise healed. EMP pulses will hurt augmented humans.
We can rebuild him. We have the technology.
Cavity Implant[edit | edit source]
Implant/Remove an object in the chest. Tiny and small items can be implanted. Implanting a flashlight allows the patient to toggle it on or off. Implanting grenades is also often done. You can only have one cavity implant at a time.
Implant Removal[edit | edit source]
Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case in your other hand, the implant will be ruined on extraction!
Dental Implant[edit | edit source]
This allows you to insert pills/patches into a tooth cavity, allowing you to pop it any time to ingest it. This works for both stimulants and suicide pills.
|Step 1: Surgical Drill: Drill a hole in a tooth.||(60%) (60%) (20%)|
|Step 2: Pill/Patch: Insert a pill/patch.|
Brain Surgery[edit | edit source]
This procedure cures all severe and basic traumas and reduces brain damage by a large amount. Failing step 5, however, causes hefty brain damage.
Eye Surgery[edit | edit source]
This fixes all damage done to eyes (fixing blindness), except genetic. Failing step 4 will cause 70 brain damage to the patient.
Removal of Embedded Objects[edit | edit source]
Extracts objects stuck in the body such as throwing stars or spears.
|Step 1: Scalpel: make an incision.||(65%) (45%) (75%) Any other sharp item (30%)|
|Step 2: Remove: Hands: Remove object.|
Plastic Surgery[edit | edit source]
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.
Lipoplasty[edit | edit source]
Removes excess fat from the patient. Can only be selected if the patient is fat.
Slime Core Removal[edit | edit source]
Remove core from slime. Step 2 must be repeated for every core if slime has several. Mostly obsolete with existence of slime grinder, but still possible.
|Step 1: Scalpel: make an incision.||(65%) (45%) (75%) Any other sharp item (30%)|
|Step 2: Hemostat: extract core.||(60%) (35%) (15%)|
Advanced Surgery[edit | edit source]
These surgeries require the Advanced Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Advanced surgeries can only be performed on an operating table with a connected operating computer.
Reconstruction[edit | edit source]
The target is healed by this surgery, without any chemicals being involved! Useful when healing dead bodies. Requires the "Advanced Surgery" technology.
Revival[edit | edit source]
The target is resurrected by this surgery. Unlike normal defibrillation, it works on any non-husked corpse, regardless of how much damage the body has sustained or how long the target has been dead.
If the body has sustained too much damage, it'll die immediately after the revival. You can circumvent this by applying synthflesh or performing Tend Wounds beforehand. Requires the "Advanced Surgery" technology.
Lobotomy[edit | edit source]
Used to cure deep-rooted brain traumas. This can cause a random, permanent trauma, or if lucky, a random special trauma which gives you rare powers. Requires the "Advanced Surgery" technology.
Experimental Surgery[edit | edit source]
These surgeries require the Experimental Surgery research node. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Experimental surgeries can only be performed on an operating table with a connected operating computer.
Pacification[edit | edit source]
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions.
Requires the "Experimental Surgery" technology.
Vein Threading[edit | edit source]
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the "Experimental Surgery" technology.
Muscled Veins[edit | edit source]
Adds a muscled membrane to blood vessels, allowing them to pump blood without a heart. Requires the "Experimental Surgery" technology.
Nerve Splicing[edit | edit source]
Nerves are connected to each other multiple times, greatly reducing stun times. This caps stun times to 4 seconds. Requires the "Experimental Surgery" technology.
Nerve Grounding[edit | edit source]
Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the "Experimental Surgery" technology.
Ligament Hook[edit | edit source]
Reshapes the connections between torso and limbs, making it so limbs can manually be attached if severed. However this weakens the connection, making limbs easier to detach as well. Requires the "Experimental Surgery" technology.
Ligament Reinforcement[edit | edit source]
Adds a protective tissue and bone cage around the connections between the torso and limbs, preventing dismemberment. However, the nerve connections as a result are more easily interrupted, making it easier to disable limbs with damage. Requires the "Experimental Surgery" technology.
Viral Bonding[edit | edit source]
The target is forced into a symbiotic relationship with a virus. It makes the virus stay at stage 1 where it's usually harmless, but still infective to others .
Note: The target must already be infected before you can initiate this surgery with the drapes. The target must be dosed with at least 5 units of Virus Food, Formaldehyde, and Spaceacillin for the "Viral Bond" step to work. This surgery will not hide the virus icon from medical huds.
Requires the "Experimental Surgery" technology.
Alien Surgery[edit | edit source]
These surgeries require the Alien Surgery research node, which requires the Alien Technology node, which can only be revealed from deconstructing certain abductor items. After it is researched you must sync an operating computer (click "View Surgery Procedures" and then "Sync with research database") to unlock the procedures. Alien surgeries can only be performed on an operating table with a connected operating computer.
Brainwashing[edit | edit source]
The target of this surgery, when successful, is bound to a primary goal you assign to him/her. He/she must follow these objectives, regardless of allegiance. This can be cured through brain surgery or with a mindshield implant. Requires either the brainwashing disk, acquired through the Syndicate Uplink, or researching the "Alien Surgery" technology.
Necrotic Revival[edit | edit source]
Revives a corpse into an infectious zombie which will probably munch your face off. Useful for forcing a shuttle call. Note: The target must be dosed with at least 5 units of Zombie Powder or Rezadone for the "Bionecrosize" step to work. Requires the "Alien Surgery" technology.