Guide to synthetic surgery

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

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: Operating Table Place the patient onto the operating table. Do this by selecting grab intent. Then click the patient twice in a row until you have an aggressive grab. Then left-click the operating table to place the patient on it. Switch back to help intent or your surgery will fail.

Step 2: Drapes Bedsheet Place drapes or bedsheet over the part of body you are operating.

Step 3: Help Intent Switch to help intent. (Other intents will fail the step or even hit your patient!)

Step 4: Target Aim at the appropriate body part (important!).

Step 5: Wrench Do the surgery (see the steps below!).


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

Brain 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.


Target: Head

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