Guide to synthetic surgery

All surgery requires a set of tools, printable in an autolathe or engineering/science protolathe, along with an operating table.

Synthetic Lizard

Surgery Speed and Failure

For every tool, there are ghetto analogues. The percentages listed next to them show success rate. For example, if it says "50%" the step has a 50% chance to succeed or fail. These percentages stack with the percentage point bonus or malus from using different tables or chemicals (see Beginning of any Operation).

Beginning of any Operation

Step 1: Undress the part of the patient that needs surgery. You can do this by dragging them onto yourself, and then clicking the clothes you want to remove from them in the pop-up.

• Important: The uniform the patient is wearing usually covers both legs, arms, groin and torso. Helmets, eyewear and masks always obscure the eyes, make sure to remove them if working on the eyes.

Step 2: Place the patient onto the operating table. Do this doing a

Hold CTRL and left-click a person with your hand empty. It doesn't matter if

Combat Mode

Toggle with 4 or F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people.

is on or off. Repeat after a short delay to upgrade grab to aggressive (lvl 2), neck (lvl 3) and strangling (lvl 4).

on the patient. Then left click the operating table to place the patient on it. You can also

Ordinary right-click. It doesn't matter if

Combat Mode

Toggle with 4 or F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people.

is on or not.

shove a person onto the table and tell them to rest, though they might not appreciate this.

• If there is no operating table, you can use: Stasis bed (-10%), any table (-20%), any bed (-30%), ask them to lie on the floor (-50%). The speed of completing every step will be reduced.

Step 3: Place drapes or bedsheet over the part of body you are operating.

• If you done step 1 wrong, it will tell you that you must remove clothing first. If you continue without fixing, you will stab your patient instead of doing surgery.

Step 4: Turn off

Combat Mode

Toggle with 4 or F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people.

. Pro tip:

Ordinary right-click. It doesn't matter if

Combat Mode

Toggle with 4 or F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people.

is on or not.

will make you fail every surgery step on purpose.

Step 5: Aim at the appropriate body part (important!).

Step 6:

Turn off

Combat Mode

Toggle with 4 or F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people.

and then left-click.

Do the repair (see the steps below!). Afterwards congratulate the patient and kick them out. Failed steps will autorepeat.

To abort a surgery, hold a screwdriver in one hand and drapes in the other, and use the drapes on the patient.

Organ Manipulation

This surgery covers operations to remove/insert organs (brain, heart, appendix), lizard/cat tails, and cyber implants.
The body part to target depends on which procedure you want to do.
See below for details about each procedure.

Procedure	Ghetto Analogues
Step 1: Screwdriver: unscrew the shell.	(75%) (50%) Any other sharp item (10%)
Step 2: Hands: open the hatch.
Step 3 (Head/Chest only): Wrench: unwrench bolts.	(10%)
Step 4: Multitool: prepare electronics.	(10%)
Step 5 Remove: Hemostat: remove something.	(55%)
Step 5 Insert: Hands: insert something.
Step 6 (Head/Chest only): Wrench: wrench bolts.	(10%)
Step 7: Screwdriver: close the shell.	(75%) (50%) Any other sharp item (10%)

Ordinary organs that require Organ Manipulation

These organs are present in every normal synthetic and can be removed or transferred through the Organ Manipulation surgery type.

Posibrain

The source of consciousness, and where the player actually resides. Removing the brain from a body will make it unrevivable 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 revived.

The brain of a synthetic patient resides in their chest, meaning they can theoretically be decapitated and remain functional, albeit deaf, blind, and mute.

Target: Chest

Note: Brains can also be removed by beheading the target and using a sharp object on the head to extract the brain.

Hydraulic Pump Engine (Heart) File:Heart ipc.png

Required for basic survival, removing it will cause a heart attack, dealing huge amounts of oxygen damage until a new heart is inserted, or death.

Target: Chest

Robotic Eyes (Eyes)

They're required for sight. Removing them will, obviously, turn the patient blind. Some races' eyes can see in the dark.

Target: Eyes

Auditory Sensors(Ears) File:Ears ipc.png

Required for hearing. Removing them will make the patient deaf.

Target: Head

Reagent Processing Unit File:Liver ipc.png

Required for processing reagents. Removing the liver will cause the patient to take heavy toxin damage.

Target: Chest

Heat Sink (Lungs) File:Lungs ipc.png

Required for breathing. Removing the lungs will cause the patient to suffocate, regardless of air or internals.

Target: Chest

IPC Micro Cell (Stomach) File:Stomach ipc.png

Required for eating and drinking.

Target: Chest

Robotic Voicebox (Tongue) File:Tongue ipc.png

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.

Target: Mouth

Cybernetic Organs

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. Cybernetic organs can be printed by Robotics or the medbay techfab after research.

Target: Chest/Eyes

Reset Posibrain Logic

A surgical procedure that restores the default behavior logic and personality matrix of an IPC posibrain.

Target: Head

Procedure	Ghetto Analogues
Step 1: Screwdriver: unscrew the shell.
Step 2: Wrench: unwrench bolts.
Step 4: Crowbar: pry off plating.
Step 5: Multitool: prepare electronics.
Step 6: Multitool: fix posibrain.
Step 7: Screwdriver: close the shell.

Posibrain Reboot (Revival)

An operation that will heal all brute and burn on a synthetic.

Target: Chest

Procedure	Ghetto Analogues
Step 1: Wrench: unwrench bolts.
Step 2: Crowbar: pry off plating.
Step 3: Wirecutters: cut wires.
Step 4: Cable coil (x5): replace wires.
Step 5: Multitool: prepare electronics.
Step 6: Metal sheets (x15): add plating
Step 7: Welding tool: weld plating
Step 8: Wrench: Finalize Posibrain restoration.	(100%)

Cavity Implant

Procedure	Ghetto Analogues
Step 1: Screwdriver: unscrew the shell.	(75%) (50%) Any other sharp item (10%)
Step 2: Wrench: unwrench bolts.	(10%)
Step 3: Hands: open the hatch.
Step 4: Hands: implant item.
Step 5: Wrench: wrench bolts.	(10%)
Step 6: Screwdriver: close the shell.	(75%) (50%) Any other sharp item (10%)

Robotic amputation

Amputation

You can remove the arms, legs, or head of a synthetic through amputation.

Procedure	Ghetto Analogues
Step 1: Screwdriver: unscrew the shell.	(75%) (50%) Any other sharp item (10%)
Step 2: Wrench: unwrench bolts.	(10%)
Step 3: Hands: open the hatch.
Step 4: Crowbar: pry off plating.	(10%)
Step 5: Wirecutters: cut wires.	(75%) (50%) Any other sharp item (10%)
Step 6: Screwdriver: sever limb.	(100%) (50%) (40%) (35%) Arm blade (30%) (30%) (30%)