![]() The space version is actually easier because the brain floats up and makes cutting the brain stem a breeze. Doubly so because, as noted above, the patient can die through no fault of your own. 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++. 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. Managing that bill while also saving him is next to impossible. ![]() To explain how hard this is, you can take the hatchet to Trump's face and only barely pass the threshold while killing him. You have to rack up a bill of $1 million on the Trump surgery and finish it. Sounds simple, right? Not with this game's controls. 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. You must successfully complete all of the six secret operations on an alien. And good luck with ambulance/corridor/space mode. Easy enough with heart surgery, but increasingly difficult with subsequent surgeries. Get perfect scores on all operations, which requires losing as little blood as possible and completing the operations in reasonably short time. 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. ![]() On the Playstation, you get 2:20 to finish. You are going to tear your hair in frustration over these ones. 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. All the time trials for kidney transplants.This is one of the few achievements from the original game ranked as under 1% completed worldwide, and with good reason. ![]() 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. 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. As the description says, you have to throw the replacement brain into the patient's head to finish the brain transplant.
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