The layout of the finger controls appear to be design to cater to the comfort of each finger, where A is the little finger, W is the ring finger, E is the middle finger, R is the index finger and space is the thumb. On the keyboard the player will control the fingers by using A, W, E, R, and Space keys to control each finger. The player will utilize both the keyboard and mouse to control the one hand that represents Nigel Burke. ![]() Key placement for Surgeon Simulator 2013 Controls Essentially this game is an open-world sandbox where the player has multiple tools and must decide what is the best course of action to take. On the other hand the player may choose to use the saw try to cut through the desire bone but risk the chance of hitting the patient open body thus reducing his blood level. For instance, if the player decides to use the hammer he may be able to break open the rib-cage faster but then the bones will be scatter about and the possibility of damaging the organs as well. Either way, the player may experience different results that could either be helpful or damaging to the patient their trying to save. In some examples, the player may use the hammer to smash open the rib-cage or they can grab the saw to cut threw the rib-cage. The process in which one goes through in order to perform open heart surgery is up to the player. You do not have to attach any arteries or have to replace any organs or bones you remove during the process. There is no instructions as to how to complete the heart surgery but one thing is sure, once you remove the old heart and place the new heart in its place the surgery is complete. In the Surgeon Simulator 2013 Jam Prototype the player goal is to perform heart surgery. You just might find one of the best pieces of hidden content I’ve seen in a long time.Surgeon Simulator 2013 does not have very many goals to achieve except for keeping the patient alive by keeping his blood level high and successfully completing the surgery. Changing the very limited graphical settings is a bit of a pain, as it's done with the same cumbersome controls, but several of the items lying around the desk can be manipulated in amusing ways. Explore everything in the interactive main menu. One final piece of advice for would-be surgeons: Surgeon Simulator 2013 rewards the curious. When you lose simply because random bumps cause an essential tool or the replacement organ to fly off screen several minutes into a mission, it’s infuriating. The ambulance missions add a bit of variety to the gameplay, and make for plenty of moments of hilarity, but not when it screws you. After you successfully transplant a heart, a set of kidneys, and a brain, the only thing left to do is do them again in a moving ambulance, where the tools – and everything else – bounce around as the ambulance goes over bumps. I wish there were more than three surgeries to apply that knowledge to, though. I never managed to completely overcome all the confusion and complexity of the controls, but surgeries became easier – and I felt more awesome and skillful – as I applied what I learned. ![]() I also had no clue that there are subtle hints about where to make incisions. For instance, I had no idea you could stabilize a patient’s bleeding by injecting him with the green serum (the same one will cause you to get high if you accidentally prick yourself). Many aren't explained at all, which rewards experimentation. Instead, you can learn the subtleties of Surgeon Simulator’s systems to make situations that previously seemed dire manageable. Sure, you can slice and smash your way to victory by operating like a psychopath (you can perform brain surgery with a hatchet, for example), but you'll barely earn a passing grade. That's when it becomes apparent that there's more depth here than the gruesome comedy lets on. Once I understood the limits and capabilities of the controls, I became pretty competent at mangling patients in a timely fashion. Occasionally the silly controls have caused me frustration when I failed and had to repeat a surgery, but on the flipside overcoming them makes each successful procedure even more gratifying. As long as the heart's replaced, it doesn't matter if the lungs have been tossed on the operating room floor. Even successfully finishing a surgery is cause for laughter, as “success” involves little more than ripping out the old organs and haphazardly tossing the replacement ones in. Combined with the somewhat-realistic and occasionally buggy physics, the clumsy controls turn every mundane task into an absurdist spectacle as you struggle to grab a bone saw, or maybe knock over a whole rack of tools in your attempt to grab a small scalpel, or rake a laser across the patient's face. The vast majority of Surgeon Simulator’s entertainment value isn’t in actually completing surgeries and seeing patients off to a speedy recovery, but in how badly you fumble even the simplest of acts.
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