All surgery requires the set of medical tools in the Operating Theatre, along with a table (a surgical table gives no negative results). For the most part, only medical doctors and the Chief Medical Officer can perform advanced surgery.
- 1 Surgical Tools
- 2 Beginning of any Operation
- 3 Basic Organs
- 4 Surgical Procedures
- 5 Medical surgery
- 6 Advanced Surgery
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
- If there is no operating table, you can use: 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 interrupt a surgery, hold a cautery in one hand and drapes in the other, and use the drapes on the patient.
These organs are present in every normal human, and can be removed or transferred through Organ Manipulation.
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:
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.
They're required for sight; removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.
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.
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.
Removing it cures appendicitis and prevents it in the future, too.
There are also non-natural organs which can be added to give bonuses or to harm the patient in a few cases.
Cybernetic implants made in Research and Development or Robotics. 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 organs replace organs entirely; you need to remove the corresponding organ first to make room for the cybernetic organ. They are vulnerable to EMPs.
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.
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.
Removing limbs, reattaching them, augmenting them.
Sever a limb from the torso. Tails are handled under organ manipulation (groin).
Replace a severed limb with either a normal or a robotic limb.
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.
Organs and implants
Removing and shoving in extra organs or implants.
This surgery covers operations to remove/insert organs (brain, heart, appendix), lizard/cat tails, cyber implants and alien embryos.
The body part target depends on which procedure you want to do.
See below for details about each procedure.
(Alien Organ Manipulation variant for xenos)
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.
Extracts mindshield, tracking, chemical, traitor, explosive implants and such. If you don't have an empty implant case, the implant will be ruined on extraction!
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.|
This producedure cures all traumas and reduces brain damage by a large amount. Failing step 5 however causes hefty brain damage.
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
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: Hemostat: clamp bleeders.||(60%) (35%) (15%)|
|Step 3: Retractor: retract the skin.||(45%) (35%)|
|Step 4: Remove: Hands: Remove object.|
If the patient's face is damaged and unrecognizable it restores it, otherwise it change the face and identity of the patient.
Removes excess fat from the patient.
Slime Core Removal
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%)|
These surgeries require medical disks, mostly obtained from RnD. Print the disks in your medical protolathe (after science has researched the according technologies), and load them into an operating computer. These advanced surgeries can only be performed on operating tables.
Nerves form a safe path for electricity to traverse, making the user nigh immune to all electric shocks. Requires the nerve grounding disk, acquired through researching the "Experimental Surgery" technology. On the other hand, you could just wear insulated gloves.
Nerves are connected to each other multiple times, greatly reducing stun times. Requires the nerve splicing disk, acquired through researching the "Experimental Surgery" technology.
The circulatory system is woven into a mesh, severely reducing the amount of blood lost from wounds. Requires the vein threading disk, acquired through researching the "Experimental Surgery" technology.
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. Requires the brainwashing disk, acquired through the Syndicate Uplink or by researching the "Alien Surgery" technology.
Used to cure the most serious of brain ailments. Requires the lobotomy disk, acquired by researching the "Advanced Surgery" technology.
Revives a corpse into a zombie which will probably munch your face off. Useful for forcing a shuttle call. Requires the necrotic revival disk, acquired by researching the "Alien Surgery" technology. Note: the target must be dosed with at least 5 units of zombie powder or rezadone for this surgery to work.
The target becomes essentially becomes permanently pax-ed, and can no longer perform direct violent actions. Requires the pacification disk, acquired by researching the "Experimental Surgery" technology.
The target is healed by this surgery, without any chemicals being involved! Useful when healing dead bodies. Requires the reconstruction disk, acquired by researching the "Advanced Surgery" technology.
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 (although if the body has sustained too much damage it'll die immediately after the revival). Requires the revival disk, acquired by researching the "Experimental Surgery" technology.
The target is forced into a symbiotic relationship with a virus. It turns the virus harmless to the carrier, but still infective to others. Requires the viral bonding disk, acquired by researching the "Experimental Surgery" technology. Note: the target must be dosed with at least 5 units of virus food, formaldehyde, and spaceacillin for this surgery to work.