When you first start playing, eject the disk labeled "Controls" by pushing the black button. Grab the "Deep Dungeons of Doom" disk located next to the computer and insert it in the drive. A game will appear on the screen. That's a reference to another game also developed by Bossa Studios.
Complete all of the operations (even those included in Ambulance Mode) without making any mistakes, watch all the hard discs, and locate the bobble head in Ambulance Mode. Once you do all of those things, you'll unlock Random Mode, which includes a clown doctor, a dubstep song, a pistol tool, new operations, and other bonuses.
Complete the indicated task to unlock the achievement.
Achievement | How to unlock
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| - Collect all floppy disks.
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- A Surgeon's Merit Is Based On Speed
| - Perform a double kidney transplant in an ambulance in under 3 minutes.
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- About As Politically Correct As Fur
| - Give the patient a... scarf.
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- And They Said It Was Impossible!
| - Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
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- At Least He Won't Be Peeing Blood
| - Perform a double kidney transplant in an ambulance losing less than 600ml of blood.
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- Best Surgeon In The World
| - Get an A++ rating on all procedures.
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| - Perform a brain transplant in an ambulance in under 1 minute 15 seconds.
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| - Lose every organ out of the back of the ambulance during the heart transplant.
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- Doctor Doctor, Give Me The News
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- Don't Be Such A Baby, Ribs Grow Back!
| - Completely smash up the rib cage.
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- Don't In-Test My Patience
| - Perform a double kidney transplant in under 2 minutes 50 seconds.
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| - Show the patient your disdain.
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| - Complete a procedure using only the surgical laser.
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| - Perform "laser eye surgery".
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| - Lose 50,000ml of blood using the hammer.
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- How Long Can You Live Without A Brain?
| - Perform a brain transplant in under 1 minute.
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- I Immediately Regret This Decision
| - Electrocute and drug yourself at the same time.
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- I Should Never Have Doubted Myself
| - Get an A++ rating on a procedure.
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| - Perform a brain transplant.
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| - Complete a procedure with less than 10ml of blood remaining.
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- It's Life Jim, But Not As We Know It
| - Perform a heart transplant.
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| - Perform a heart transplant in under 2 minutes.
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| - Completely remove the rib cage.
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| - Perform a heart transplant in an ambulance in under 2 minutes 30 seconds.
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| - Throw the new heart away.
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| - Throw everything on the floor in the brain transplant surgery.
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| - Don't lose any tools out of the back of the ambulance.
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| - Go about your secretarial duties.
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| - Perform a brain transplant in an ambulance losing less than 1200ml of blood.
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| - Perform a heart transplant in an ambulance.
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| - Perform a heart transplant in an ambulance losing less than 2000ml of blood.
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| - Perform a double kidney transplant losing less than 500ml of blood.
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| - Complete a procedure after being drugged. (Must be drugged within 10 secs)
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| - Make a promise with the ribcage.
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| - Perform a heart transplant losing less than 1500ml of blood.
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| - Go where no surgeon has gone before.
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| - Express your appreciation of the metal.
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| - Complete a procedure after being electrocuted. (Must be electrocuted within 10 secs)
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| - Perform a brain transplant losing less than 600ml of blood.
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| - Replace the heart with something else.
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- There Is Nothing More To Teach...
| - Completed every achievement. Now go save lives!
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- What Could Possibly Go Wrong?
| - Perform a brain transplant in an ambulance.
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| - Lose the patient within 15 seconds.
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- When You Have No Choice But To Operate
| - Perform a double kidney transplant in an ambulance.
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- You've Got To Be Kid'n'ey!
| - Perform a double kidney transplant.
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