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Data from Steam — Steam Web API Terms of Use. Last updated .
| Achievement | How to unlock | Unlocked by | Rarity |
|---|---|---|---|
| A Small Loan From My Father | Complete a successful operation that costs more than $1,000,000.00. | 0.9% | Ultra rare |
| A++ is Trumperific | Get A++ rating with either Gold or Stone Heart. | 1% | Very rare |
| I Can See For Miles... Per Hour | Perform an eye transplant in an ambulance in under 1 minute and 40 seconds. | 1.2% | Very rare |
| The Tooth Is Out There | Perform a teeth transplant in space in under 2 minutes. | 1.2% | Very rare |
| Expert Space Stalker | Perform an eye transplant in space losing less than 700ml of blood. | 1.2% | Very rare |
| Perform a teeth transplant in an ambulance in under 2 minutes and 15 seconds. | 1.2% | Very rare | |
| Wet Willy with little pinky. | 1.2% | Very rare | |
| Perform a corridor brain transplant in under 1 minute 30 seconds. | 1.2% | Very rare | |
| Perform an eye transplant in an ambulance losing less than 700ml of blood. | 1.2% | Very rare | |
| Perform a corridor eye transplant in under 2 minutes and 30 seconds. | 1.2% | Very rare | |
| Perform a corridor teeth transplant in under 2 minutes and 20 seconds. | 1.2% | Very rare | |
| Perform an eye transplant in space in under 2 minutes 20 seconds. | 1.2% | Very rare | |
| Perform a corridor double kidney transplant in under 2 minutes and 40 seconds. | 1.2% | Very rare | |
| Perform an eye transplant in under 2 minutes. | 1.3% | Very rare | |
| Perform a teeth transplant in space losing less than 500ml of blood. | 1.3% | Very rare | |
| Perform a teeth transplant in under 2 minutes. | 1.3% | Very rare | |
| Tower + Steak + Vodka in main cavity. | 1.3% | Very rare | |
| Perform a corridor brain transplant losing less than 750ml of blood. | 1.3% | Very rare | |
| Perform a corridor heart transplant in under 2 minutes and 30 seconds. | 1.3% | Very rare | |
| Perform a teeth transplant in an ambulance losing less than 600ml of blood. | 1.4% | Very rare | |
| Perform a heart transplant in space in under 1 minute 40 seconds. | 1.5% | Very rare | |
| Perform a double kidney transplant in space in under 2 minutes. | 1.5% | Very rare | |
| Completed every achievement. Now go save lives! | 1.5% | Very rare | |
| Complete a brain transplant by throwing it in. | 1.5% | Very rare | |
| Perform a corridor double kidney transplant losing less than 600ml of blood | 1.5% | Very rare | |
| Perform a double kidney transplant in space losing less than 400ml of blood. | 1.6% | Very rare | |
| Perform a brain transplant in space losing less than 600ml of blood. | 1.6% | Very rare | |
| Get an A++ rating on all procedures. | 1.6% | Very rare | |
| Perform a heart transplant in space losing less than 400ml of blood. | 1.6% | Very rare | |
| Vodka to the eye. | 1.6% | Very rare | |
| Perform a 180° spoon flip. | 1.7% | Very rare | |
| Cut out the eyes using the surgical axe. | 1.7% | Very rare | |
| Perform a corridor eye transplant losing less than 1000ml of blood | 1.7% | Very rare | |
| Pick the nose (either nostril) with little fingers. | 1.7% | Very rare | |
| Complete all 6 secret transplants. | 1.7% | Very rare | |
| Perform an eye transplant losing less than 600ml of blood. | 1.7% | Very rare | |
| Perform a double kidney transplant in an ambulance in under 3 minutes. | 1.8% | Very rare | |
| Perform a corridor teeth transplant losing less than 600ml of blood | 1.8% | Very rare | |
| Perform a corridor heart transplant losing less than 1000ml of blood | 1.8% | Very rare | |
| Perform an uber heart transplant in under 2 minutes 30 seconds. | 1.8% | Very rare | |
| Complete an alien organ transplant. | 1.9% | Very rare | |
| Perform a double kidney transplant in under 2 minutes 50 seconds. | 2% | Very rare | |
| Complete a procedure using only the surgical laser. | 2.1% | Very rare | |
| Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs) | 2.1% | Very rare | |
| Heart of a Cow. | 2.2% | Very rare | |
| Throw everything on to the floor in the kidney transplant surgery. | 2.2% | Very rare | |
| Complete the tooth transplant only removing the rotten teeth. | 2.2% | Very rare | |
| Lose every organ out the back of the ambulance during the heart transplant. | 2.2% | Very rare | |
| Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs) | 2.2% | Very rare | |
| Perform a heart transplant in an ambulance in under 2 minutes 30 seconds. | 2.3% | Very rare | |
| Take your radio with you. | 2.3% | Very rare | |
| Set the Gobbleshaft free. | 2.3% | Very rare | |
| Perform a brain transplant in an ambulance losing less than 1200ml of blood. | 2.4% | Very rare | |
| Perform a teeth transplant losing less than 500ml of blood. | 2.4% | Very rare | |
| Perform a teeth transplant in space. | 2.5% | Very rare | |
| Smash all canisters within 10 seconds. | 2.6% | Very rare | |
| Perform an eye transplant in space. | 2.6% | Very rare | |
| Complete a procedure with less than 10ml of blood remaining. | 2.7% | Very rare | |
| Complete a procedure after injecting a drug. (Must be drugged within 10 secs) | 2.7% | Very rare | |
| Perform a brain transplant in an ambulance in under 1 minute 15 seconds. | 2.8% | Very rare |