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Data from Steam — Steam Web API Terms of Use. Last updated .
| Achievement | How to unlock | Unlocked by | Rarity |
|---|---|---|---|
| Hammer Time | Lose 50,000ml of blood using the hammer. | 5% | Rare |
| Don't Run With Scalpels | Perform a corridor eye transplant. | 5.1% | Rare |
| Is it Real? | Pull his hair for 3 seconds or more. | 5.1% | Rare |
| Enter The Code | I'm not sure that was worth it... | 5.3% | Rare |
| Screw The Prime Directive | — | 5.3% | Rare |
| ...and it was going so well. | 5.4% | Rare | |
| Perform a corridor brain transplant. | 5.5% | Rare | |
| Perform a corridor double kidney transplant. | 5.9% | Rare | |
| Get an A++ rating on a procedure. | 5.9% | Rare | |
| Perform a brain transplant in space. | 5.9% | Rare | |
| Perform a double kidney transplant in space. | 6.2% | Rare | |
| Throw the new heart away in the surgery. | 6.3% | Rare | |
| Complete with either Gold or Stone Heart. | 6.7% | Rare | |
| Electrocute and drug yourself at the same time. | 6.7% | Rare | |
| Give the patient a... scarf. | 7.2% | Rare | |
| Perform a corridor heart transplant. | 7.5% | Rare | |
| Listen to the surgeon rap. | 7.5% | Rare | |
| Perform a heart transplant in space. | 7.6% | Rare | |
| Completely smash up the goggles. | 8.1% | Rare | |
| Lose the patient within 15 seconds. | 8.6% | Rare | |
| Give the patient heterochromia. | 8.8% | Rare | |
| Explode a heart. | 9% | Rare | |
| Perform a teeth transplant. | 9.1% | Rare | |
| Complete all procedures. | 9.3% | Rare | |
| Don't lose any tools out the back of the ambulance. | 9.9% | Rare | |
| Perform an eye transplant. | 10.9% | Rare | |
| Go where no surgeon has gone before. | 10.9% | Rare | |
| Collect all floppy disks. | 11.1% | Rare | |
| Perform a brain transplant in an ambulance. | 11.5% | Rare | |
| Create a Hammerhead shark. | 11.6% | Rare | |
| Perform a double kidney transplant in an ambulance. | 11.7% | Rare | |
| Perform a heart transplant losing less than 1500ml of blood. | 12.6% | Rare | |
| Completely remove the rib cage. | 14.5% | Rare | |
| Perform an uber heart transplant. | 14.6% | Rare | |
| Perform a heart transplant in an ambulance. | 15.3% | Rare | |
| Go about your secretarial duties. | 17.8% | Rare |