Estimated time to Platinum: 2 – 5 Hours.
Trophies: 48. 1 4 2 41
Missable trophies: None. You can replay any surgery.
Glitched trophies: None.
Difficulty related: None.
Needed: VR required. 2 move controllers highly recommended.
Welcome to the Surgeon Simulator: Experience Reality Trophy Guide!
Your wait is over! Surgeon Simulator has now brought VR to the ER! Which is exactly how this game was made to be played. Now with your move controllers you are able to move around all angles with ease, finally making this platinum very fun and very easy to complete! Unlike that headache of the original!
Surgeon Simulator ER is a funny game, and the experience is as crazy as you would imagine; get your hands bloody while you perform 5 different surgeries, over 3 different settings…. including space…. yes space. Our patient Bob’s life is in your hands… Poor Bob.
Step 1: Get A++ ratings and all time trophies for the Hospital levels.
Firstly, watch the below 8 minute video so you know how all the 5 surgeries can be performed with A++ .
Now that you have this knowledge, you’re basically set for the whole game.
I recommend for all surgeries to jab Bob with the green syringe every now and then. The green syringe reduces blood loss, keeping him alive for a little longer.
You’ll be earning these trophies:
I Think I Got This
Don’t In-Test My Patience
How Long Can You Live Without A Brain?
Blink And You’ll Miss It
You May Feel A Light Tapping
I Should Never Have Doubted Myself
Step 2: Get A++ Ratings and all time trophies for the Ambulance levels.
Very very similar to the hospital surgeries, if you would still like video examples of all A++ ambulance levels they are available here. LINK.
During this step you’ll earn these trophies:
Nine Nine Nine!
Life’s Too Short
A Surgeon’s Merit Is Based On Speed
I Can See For Miles… Per Hour
Not The Time Or Place For Precision
Step 3: Get A++ ratings and all blood trophies for the Space levels.
Just keep constantly using the green syringe and you will get these blood loss related trophies very easily. You can take your time and be careful if you like.
During this step you’ll earn the following trophies:
In Space, No One Can Hear You Bleed
It’s Life Jim, But Not As We Know It
The Surgery Of The Future
Precision Instrument Time
Expert Space Stalker
Maintained Healthy Gums At Least
Best Surgeon In The World
Step 4: Miscellaneous trophies clean-up.
Here’s the fun part as the game has plenty of wacky things it would like you to do before you can have its platinum, but they are mainly just fun, (my personal favourites are the doctor who trophy and the intestine scarf lol), and for example the trophy that will probably take you the most minutes and tries is Bin Longdon for just throwing something in a bin so that tells you that you don’t need to worry about difficulties.
During this step you’ll earn the following trophies:
I Immediately Regret This Decision
And They Said It Was Impossible!
What Have I Done??
What A Load Of Bull
The Goggles Do Nothing
You Can’t Handle The Tooth!
Like A Wet Paper Towel
I’m Sure He’ll Live
The Beat Of Your Heart
Doctor Doctor, Give Me The News
Nigel The Secretary
About As Politically Correct As Fur
It’s In! It’s In I Tell You!
Nothing But Skull
Let’s See That Sick Filth Again
Bin There, Done That
There Is Nothing More To Teach…
Tips and Strategies:
Changing Surgeries – When in reception, look down at the document on your desk. At the top of the document will be 5 small circles with a picture of heart, kidneys, brain, eyes, teeth. Run your finger over these circles to start up new levels.
Space levels – When you have played through all the Hospital and Ambulance levels, a floppy disc with “????” will appear back in reception on the left hand side. When you have played the floppy disc in your computer you will now have access to the space levels.
|There Is Nothing More To Teach… |
Completed every Trophy. Now go save lives!
Completed every Trophy. Now go save lives!
|I Think I Got This |
Perform a heart transplant.
Complete your first surgery, with any grade.
It is much easier to be shown where and what to cut via video so please follow the links in each trophy description. Each level/video only takes a couple of minutes or less.
See Kali Mah!
|Kali Mah! |
Perform a heart transplant in under 1 minute 50 seconds.
Video example of how to perform a fast heart transplant:
|Don’t In-Test My Patience |
Perform a double kidney transplant in under 3 minutes.
3 minutes is LOADS of time so this trophy is ezpz. You will most likely finish it in under a minute. Remember you can get any bad grade as long as bob stays alive! You’ll only need a scalpel to remove the organs and detach the kidneys then you’re done.
Get this time trophy then replay the level a little more carefully to get the A++ rating ready for Best Surgeon In The World.
Video example of how to perform a fast double kidney transplant:
|How Long Can You Live Without A Brain? |
Perform a brain transplant in under 30 seconds.
30 seconds is not long, but there isn’t much to do. Grab a hammer and wildly bash Bob’s skull to reveal the brain, slap it out and detach the brain by cutting the stem with any knife, and your surgery is done.
Remember to replay the level after your time trophy has popped, and this time more carefully cut through the skull with the electric circular saw to achieve an A++ rating.
Video example of how to perform a fast brain transplant:
|Blink And You’ll Miss It |
Perform an eye transplant in under 2 minutes and 30 seconds.
Plenty of time again here, the more difficult part (but still not too difficult) is getting an A++ rating in this level. Sometimes it would seem to take a lot of time to cut through the eyes and Bob would lose a lot of blood. Keep using the green syringe, and I recommend a sawing motion with your scalpel to try and detach the eyes quickly.
Video example of how to perform a fast eye transplant:
|You May Feel A Light Tapping |
Perform a teeth transplant in under 45 seconds.
Another easy operation, just bash some teeth out with the hammer then pick up the new teeth with the tweezers and insert them and you’re done.
I prefer to use the power drill for teeth operations, even though these videos use a hammer. Use whichever method you prefer.
Replay the level once this time trophy has popped, to get the A++ rating. Take care and this time use the power drill for slower extra precision and go for just the rotten teeth and get the You Can’t Handle The Tooth! trophy while you’re here.
Video example of how to perform a fast teeth transplant:Credit – Spork The BOAT Gaming – YouTube
|Nine Nine Nine! |
Perform a heart transplant in an ambulance.
See Life’s Too Short.
|Life’s Too Short |
Perform a heart transplant in an ambulance in under 1 minute 40 seconds.
Nothing to worry about here, as you’ve already had the practice in the Hospital heart transplant level and this operation is exactly the same.
Remember that once you get the time trophy, to replay the level to grab an A++ rating ready for Best Surgeon In The World.
Video example:Credit – Spork The BOAT Gaming – YouTube
|A Surgeon’s Merit Is Based On Speed |
Perform a double kidney transplant in an ambulance in under 2 minutes.
You have a minute less time but it is still more than enough time to finish this easy operation.
Again don’t forget to replay the level for the A++ rating after you got the time trophy, if you haven’t got A++ already.
Perform a brain transplant in an ambulance in under 30 seconds.
Exactly the same time limit and procedure as the Hospital.
Use the hammer for the speed trophy, then the electrical circular saw for the A++ run.
|I Can See For Miles… Per Hour |
Perform an eye transplant in an ambulance in under 2 minutes and 10 seconds.
Use the hammer to smash the goggles off, which will also get you The Goggles Do Nothing, pull the eyes out the normal way with a scalpel, then try using the surgical axe to remove the eyes quickly, which will also earn you Lumberjack.
Replay till you get a good run where the eyes detach quickly and without much blood loss for the A++, this is the only operation that I had to have a couple of tries for before I got A++ but it still won’t take you too long.
|Not The Time Or Place For Precision |
Perform a teeth transplant in an ambulance in under 45 seconds.
Another easy operation that’s nothing to worry about.
You may very well of got an A++ rating at the same time as the time trophy, but if you haven’t then remember to replay the level and grab an A++ rating while your here before you move on.
|In Space, No One Can Hear You Bleed |
Perform a heart transplant in space.
See It’s Life Jim, But Not As We Know It.
|It’s Life Jim, But Not As We Know It |
Perform a heart transplant in space losing less than 1300ml of blood.
Astronauts need surgery too it seems!
In space, all your tools will be floating in the zero gravity. However all your tools will all respawn in the same floating spot when the level starts, so once you have spotted where they are, you will know where to grab.
In space do your ‘best’ operations, the same ways as you’ve done the previous A++ operations, just add in using the green syringe every now and then and you probably will not have to replay these space operations, you should get A++ and not much blood loss trophies at the same time.
|The Surgery Of The Future |
Perform a double kidney transplant in space losing less than 1500ml of blood.
You know what to do, use your scalpel to an A++ standard while using your green syringe a lot and you’ll get this first go.
|Precision Instrument Time |
Perform a brain transplant in space losing less than 2300ml of blood.
The operations should be easy by now as its your third time around doing them; use the electric circular saw and the green syringe and you’ll succeed very easily.
|Expert Space Stalker |
Perform an eye transplant in space losing less than 1000ml of blood.
This is the level that you will also want to grab Mass Ejection while you’re here.
Perform this as you would the other 2 previous A++ ways while continuing to use the green syringe to keep the blood loss under control.
|Maintained Healthy Gums At Least |
Perform a teeth transplant in space losing less than 800ml of blood.
Be careful enough to get an A++ rating while using the green syringe and you will probably get this trophy on your first attempt.
|I Immediately Regret This Decision |
Electrocute and drug yourself at the same time.
See And They Said It Was Impossible!
|And They Said It Was Impossible! |
Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs)
Start the Hospital Brain Surgery level, as I think its the easiest.
Inject the green syringe into your own hand, then put the scissors into the plug socket which is on the left hand side of you.
The controls for pick up and let go will now be a bit squiff (inverted), but you only need to handle 2 tools so it’ll be fine.
Put your headlamp on, get the hammer out of the drawer and remove the skull. Get a scalpel and detach the brain at the stem.
Now, if the game has let you let go of your tools, great, just pick up the new brain and pop it in. Done. If the game has NOT let you let go of your tools, no problem, just knock the new brain onto the table in front of you, and with a scooping motion with your palms together facing up, gently scoop the brain up and along Bob’s body until it fits into place.
|What Have I Done?? |
Lose the patient within 15 seconds.
Start the Ambulance brain surgery. On your left will be the power drill. If you immediately grab the power drill and just scramble his brain with it, he will die in 12 seconds.
If for some reason you are having difficulty, the blue syringe speeds up blood loss. So you could also inject him repeatedly with that with your other hand if necessary.
|Hammer Time |
Lose 50,000ml of blood using the hammer.
This trophy is cumulative, so save it till the end.
If by the end it hasn’t popped, just replay any surgery and just repeatedly batter poor Bob with the hammer and your trophy will soon unlock.
|What A Load Of Bull |
Listen to the surgeon rap.
Start a hospital heart transplant.
Pick up the radio so you can hear the music, you may need to bash it or mess with it if the radio needs to change track for this right rap to play to unlock the trophy.
|The Goggles Do Nothing |
Completely smash up the goggles.
In the Ambulance eye transplant level, use the hammer to remove the goggles from Bob’s face.
Cut out the eyes using the surgical axe.
In the Ambulance eye transplant level, pull the eyes out the usual way with the scalpel, then when they are dangling use the surgical axe to finish the job in cutting them out.
Give the patient heterochromia.
Heterochromia means one eye one colour, and the other eye a different colour.
Start eye transplant levels, and just empty the eyeball jars onto your table and select 2 different ones. (I don’t know if the 8 ball eyes and the smiley face eyes count because my trophy unlocked naturally when I didn’t notice).
|You Can’t Handle The Tooth! |
Complete the tooth transplant only removing the rotten teeth.
The rotten teeth are of course the black teeth.
For this trophy I feel I get best precision by using the power drill to remove the individual teeth by going in slowly towards it. You can do it with a small hammer if you’d prefer.
If good teeth come out by accident just hit restart; it won’t take you long till you get it.
|Keyhole Surgery |
Completely remove the rib cage.
Start a heart transplant level.
Use the electric circular saw around the edges of the ribs, detaching the ribcage as one piece, not breaking it up. When you pick up and remove the rib cage as one whole piece your trophy should unlock.
|Practically Licensed |
Complete all procedures.
See Best Surgeon In The World.
|I Should Never Have Doubted Myself |
Get an A++ rating on a procedure.
See Best Surgeon In The World.
|Best Surgeon In The World |
Get an A++ rating on all procedures.
Video playlist on how to A++ all surgeries!
|Like A Wet Paper Towel |
Throw the new heart away in the surgery.
Start a heart transplant.
Open the container and just drop the new heart on the floor, or throw it against the wall.
|I’m Sure He’ll Live |
Complete a procedure with less than 10ml of blood remaining.
Start a heart transplant level and get to the point where you are finished and ready with the new heart in your hand, ready to insert. Now cause poor old Bob some damage with any weapon of choice.
Look over to the monitor on the right hand side and you will see the numbers of how much blood is being lost.
When it starts getting low, give Bob a few jabs with the green syringe to slow the blood loss down. Make sure it’s not going too fast near the end, just keep injecting him with that green syringe.
Now with your eyes on the monitor simply time it right to drop the new heart in when the numbers hit 9.
|Vworrrp Vworrrp |
Create a Time Lord.
For those who don’t watch Doctor Who: a Time Lord has two hearts.
Start a heart transplant. Remove the ribcage and other organs, but LEAVE the original heart still attached and beating. Now open the container and drop the new heart in there as well so he has 2 working hearts.
|The Beat Of Your Heart |
Replace the heart with something else.
Perform a normal heart transplant, but put the radio in there instead of the new heart.
|Doctor Doctor, Give Me The News |
Answer the phone.
The phone is in reception. Pick it up when it rings!
|Nigel The Secretary |
Go about your secretarial duties.
In reception, pick up a pen and write on the notepad next to you until the trophy unlocks.
Go where no surgeon has gone before.
Start a space level.
You have to complete the Hospital and Ambulance levels before you can enter space. Once you have completed them, a floppy disc with “????” on it will appear back in reception; you need to play this floppy disc in your computer on the left hand side. NOW you have access to space.
Select the third circular icon at the top of your document on the desk to begin.
|About As Politically Correct As Fur |
Give the patient a… scarf.
Start a kidney level.
When you have removed the large intestine, wrap it around Bob’s neck!
|It’s In! It’s In I Tell You! |
…and it was going so well.
You need to put the heart in wrong, while Bob dies.
Start a heart transplant and complete it as you normally would, until it comes to placing the new heart in. Drop it in upside down, so that it doesn’t register as completing the level, then… kill Bob. Murderer.
|Nothing But Skull |
Complete a brain transplant by throwing it in.
You don’t have to throw the brain from far at all; my trophy unlocked when I thought I had just placed the brain in normally.
|Let’s See That Sick Filth Again |
Perform a 180° spoon flip.
180 is a half spin.
There are spoons all over, but might as well use the spoon in reception. Hold from the handle and catch the spoon end, or vice versa. Do a gentle flick of the wrist and you should get this trophy no problem.
|Call Trisha |
Now where did you leave her number…
There are clues giving you segments of the number very well hidden all over the entire game, but to save you the hard work…
In reception, pick up the phone receiver and dial 099326071850. Remember to press the green call button!
|Bin there, done that |
Throw any object into any bin in reception
The close bin is just the other side of your desk, it won’t take you long to throw a pen or anything you can find on your desk in there. If you run out of throwable items you can press reset reception, which will bring everything back
|Mass ejection |
Eject all the tools into space
Start the space eye transplant level. You need to do it on this level as this level has all the tools in it.
To your right is a blue button – this will open the hatch behind Bob, and suck things outside for a second or two. It will keep sucking things outside if you keep pressing it.
To your left is a up/down gravity lever – this is useful if you cant see any more tools but the trophy has not popped yet, if you hold the lever up it will bring things back into your view by them hitting the ceiling.
Simply get tools near the hatch with your own hands or the gravity lever, when things are close enough to the hatch keep on pressing the blue button, and you should get this trophy no problem.
Have a good look around the floor and the gaps around where Bob is sitting to make sure you haven’t missed anything.
|Smash TV |
Make the TV in the ambulance fall off
In the ambulance just slap the TV with your hand or whatever you feel like and you’ll get the trophy.
|Bin Longden |
Throw any object into the furthest bin in reception
There are two bins in reception. One is just the other side of your desk, but this trophy needs the bin that is against the back wall near the table under the painting.
This trophy actually took me the longest! (about 15 minutes) and actually it unlocked when a pen just hit the front of it and bounced off, so the trophy might be a bit forgiving for you.
Use all the items on your desk that you can pick up, when they run out hit reset reception to get them all back and try again till you get it.