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- Preface:
- Most of the knowledge listed here is either from experience during runs/practise, or developing the TAS.
- General:
- - Press select to skip through text before the operations, and in the chart.
- - Try to get a rough idea of how many times you need to hit call per operation between scripted and non-scripted events
- - You should tap through the "Operation Start" message at the start. It is skippable
- - As with the last point, so is the "Operation Successful"
- - The gel is pretty broken. Use it as a panic button if all is failing
- - Incisions can be done without gel, if you are precise enough
- - Using two styluses will really help with multi-tasking and tool switching
- - It can take a lot to get used to two styluses. But it's really worth it
- - Aim to use each tool as much as possible before you switch. A lot of time can be saved from finding the right order to do the operation
- 1-1:
- - If you're fast enough you can suture both lacerations before you get cut off by Mary
- 1-2:
- - Don't forget a full dosage here of stabiliser!
- - If you don't hit the tumour first try, you'll have to do it again. Best to memorise where this is!
- 1-3:
- - Tumours are always in the same locations, try to memorise these. No need to ultrasound this time
- - Do little swipes with the scalpel as not to cause a cut on the patient
- - Remove two tumours, then place one membrane. This way you optimise how often you can place membranes
- 1-5:
- - If you're left handed, you may struggle a little with this as your left hand must focus on tools rather than operating.
- - Each time you do an action here (zoom, drain, and select laser) you must clear dialogue
- - Doing a U or C shape can be more consistent than drawing a circle
- - After a few polyps (it's usually after the fourth or fifth poylp) you'll get dialogue and blood
- - Aim to gel over the polyps right after you've done some lasering
- - Once cleared, you'll get a line of dialogue. Immediately zoom out, zoom into the new area
- - If you are fast enough you can drain the blood before Angie talks
- - Laser in groups of three or four, and then slather gel to heal
- - If you are fast, you can zoom out before Angie talks (to tell you to move)
- - On the third area (found in the lower area) you will always get blood. Deal with around half, slather gel. If you don't get blood here, you'll get it on the next set you laser
- - For the last two you shouldn't get blood if you do things in minimal bursts, not removing too many polyps at once
- 1-6:
- - Depending on how well you can locate the tumours, you can either cut them out first, or do the inflammations first
- - Doesn't really matter, but vitals will be closer if you do inflammations last
- - You may get very close to running out the syringe on the inflammations, if you do just wait a moment
- - Just like in 1-3, you should extract two tumours, then place a membrane, before you extract the next tumour, alternating
- 1-8:
- - For best tool usage, suture all the cuts, pull the glass, then gel everything. Then do CPR
- - Inside, best to gel over the cuts before you extract the glass, results in less vital loss
- - You can aim to gel three cuts (or more if you're really fast!) and the gel should linger long enough to heal the wounds
- 2-1:
- - The biggest struggle in this op is the forceps. If you don't hold for quite long enough they don't count
- - For the initial five, aim to ultrasound three, then deal with them, followed by the other two
- - On the HT wave, mash through the text as quickly as possible, and aim to treat two of the thrombi before HT starts
- - This should leave you with three (or four) thrombi during HT
- - You'll then have to wait a long while before you get two thrombi to deal with at the end
- - If you don't manage to achieve the quick treatment, on the final wave you'll end up having to deal with more than two
- 2-4:
- - To suture the aneurysms, just draw a single line suture either across the overlapped tissue, or following the same direction. Either works
- - Doing this op HT-less is riskier, but much faster than if you do it with
- - If you do this with HT, be sure not to remove all five aneurysms at once as it causes a LOT of lag. You'll need to do one at a time
- - For HT-less, there are a few ways, but the "easiest" is to inject all five aneurysms with the serum, and cut them all
- - This means they can be extracted in pairs without losing too many vitals
- 2-6:
- - After the first drain you'll get some dialogue, it's recommended to drain all five big cuts, then close all five, and suture everything
- - If done slowly, you can drain a large cut of blood without needing multiple swipes of the drain
- - When closing the wounds with the forceps, do so in as straight of a line as possible, and do not let go until it has connected, it should auto "OK"
- - There is a UI glitch where if the final suture is on a large laceration and not a small one it overlaps the dialogue
- - The tools and "Call" button are still available (just invisible).
- 2-9:
- - First immature won't spawn until you suture every cut, you get some dialogue first
- - After the dialogue and the cuts appear, you are forced to watch one wound appear. Just select the ultrasound immediately
- - You can find Kyriaki right after it does the cut, so you can ultrasound and cut it out
- - For ideal optimisation, just laser this right away, you can slather gel, then you'll get dialogue immediately after, then another cut
- - Then two more immatures, you want to ultrasound these and get them out in the same way as the last
- - After all the cuts are sutured, you'll get the mature. You can find it at the bottom left where the wound 'stops'
- - Mature Kyriaki hides for about 1 second before you can ultrasound it out and repeat
- - If you watch really carefully you can see the direction Mature dives in, very hard to spot though!
- - You should leave all the sutures to last (unless you are very proficient at them)
- - The triple cut made by the Mature can be awkward to suture. Ensure you suture across the entirety of them
- - Even if your suture lines disappear, keep suture across the wound. They still count!
- - You can interrupt Immatures when they "spawn" if you are fast enough with the ultrasound and scalpel.
- 2-11:
- - The first flat line is scripted, and caused by selecting the scalpel
- - Can sometimes glitch and cause the valve not to appear. This seems to happen if the defib hits at a particular time
- - This seems to be exasturbated by HT (unconfirmed)
- - Each event is scripted (except the second flatline) so best to learn when each step happens for better optimisation
- 3-2:
- - Same as 2-9 really!
- 3-4:
- - Deftera goes hard
- - When you switch from the first area to the second, vitals will reset
- - As you play more, you'll recognise that both blue and red slowly spiral, and to merge they have to intersect
- - Blue moves faster, and will often cause more problems than red in the 2nd stage
- - Using HT to give yourself more time to recover if the op is really going downhill can help
- - The gel can be used to cause a single Deftera to bounce and change direction
- - If done in a controlled manner, this can be used to corrale Deftera together to merge
- 3-6:
- - For the water tank section, simply drag up just enough water for Cybil's dialogue to hit
- - When she then wants you to empty the drain into the other tank, drag up the drain as this is faster than dumping the water
- - For the chips it's always the same pattern:
- O O X X
- X O X X O
- - Depending on which version of the game you have, you'll either get 10 seconds or 15 seconds. HT is recommended if you cannot complete this in under this time frame
- - Not using HT will get you out of the op faster.
- 3-8:
- - There are patterns pinned in the UtK channel in the discord. Highly recommended to review these
- - Using HT right before you open the patient is the best way to get a consistent one cycle
- 3-10:
- - HT and pull the thorns, cut, and extract!
- 4-2:
- - It's a 40% chance for 3 op, 40% chance for 4 op, and 20% chance for 5 op > PRAY TO whatever RNG god you believe in
- - The amount you need to inject is really small here, about 20% or so
- - If there is gas floating around, use the gel. It can stop you backing out the patient
- 4-4:
- - Colours (left to right): Purple, Yellow, Green (PYG - oink oink)
- - Inject all three diverticula, then cut, then extract and gel
- - Like tumours, extract two, then place a membrane and extract the last diverticula
- - To make your life easier, pull one colour before they appear then inject the moment it is ready, that way you can focus on tracking the other two colours.
- 4-6:
- - Scalpel, laser, gel, then syringe
- - The syringe here needs 60% of the syringe. Drawing more will be a waste of time
- - If you have drawn too much (IE a full draw) you should pull another vial to reset the amount, and try again
- - It can be really hard to see where the core is on the DS screen. It moves as well
- - You'll see initially appear, then start to fade as it moves. This is when you should inject, where it is going to be
- - After each injection you'll get some dialogue and you need to reselect the syringe
- 4-7:
- - Puzzle :)
- 4-8:
- - Same as 4-6, injection needs 60%, no need to draw more
- - In the same method, you'll initially see Pepti appear in the cloud, before moving and becoming hard to see. Inject then
- - You don't need to laser the polyps, as it isn't required
- 4-9:
- - Puzzle :)
- 4-10:
- - Omg pempti hi
- - You only need 60% for the injection into the fuzzy haze, which you do twice
- - You want to laser the main core before it fully spawns this way it doesn't get to full-health
- - There's enough time to get a full injection before the mini-cores spawn in on first wave
- - If you are fast enough you can kill all five polyp cores before they move
- - For vital cores, laser where the main core is slightly to the left, this should kill them as they spawn
- - After 4 hits on the main core, it will kill off any mini-cores left and be generally more aggressive
- - Laceration cores will spawn in waves of ten mini-cores and not five.
- - Tumour cores will attack much faster, and you can only laser two (or three) of them before they get through
- - Vital cores are the same
- 5-2:
- - Good luck!
- - Patient one has waves of single immature + two immatures, then mature
- - Patient two has wave of two immatures + three immatures, then mature
- - Patient three has two immatures + two immatures, then immature and mature
- - Patient four has two immatures + two immatures, then immature and mature
- - Patient five has three immatures + two immatures, then immature and mature
- - See 2-9 for tips.
- 5-3:
- - HT and pull out all the thorns, cut then triangles!
- - Gas clouds may spawn periodically, don't let them hang around too long, after a few thorns you should drain them
- 5-4:
- - Colours (left to right): Green, Yellow, Purple (GYP - reverse oink)
- - Like before in 4-4, remove two, place membrane, remove last, and two more membranes
- - You need around 20-30% of the syringe per injection
- 5-6:
- - Paraskevi escapes by getting up to the top area
- - Longer worms take longer than shorter worms to reach the top of the screen
- - Short worms move faster and so are much riskier. They also aren't stunned for as long compared to
- - If Paraskevi is cut close to the edges of the screen (left, right and bottom), it can cause a tiny cut that requires gel
- - Once half of the Paraskevi is removed, using HT can be ideal to give you more time to boost vitals and continue extracting
- - Under the effects of HT, Paraskevi is stunned for much longer, and after cutting it can be stunned much earlier
- - Try this splitting order:
- >Cut the worm in half
- >Suture up the cut as 'Skevi is immune to laser
- >Stun all 'Skevi
- >Split one of the smaller 'Skevi
- >Suture up
- >Split the two smallest. This should make four worms to be extracted
- >Suture all cuts while these worms initially as immune
- >Repeat, ensuring the longest worm is left and does not go up the organ too far
- - This method focuses on the smallest worm, and splits two of the second to last stage to minimise tool switching
- - Cuts do around 15 vitals, closer to 20 if the wounds are not treated quickly
- 5-8:
- - Getting no Blue Savato is very tricky here
- - Immature Savato will spawn out of the last left on screen. You should leave a smaller if possible
- - To prevent a Blue Savato, it's best to laser towards one edge (not the centre) of the cut, as they spawn in small clusters that spread out
- - The next set of cuts are purely on a timer, and you don't get all too much breathing space between waves
- - If you get a Blue Savato, you'll get some dialogue. Aim to kill it off quickly, as well as the remnant immatures
- - There are five cuts made where immatures spawn (ignoring the remaining cut)
- - Using HT here can help but it isn't necessary
- 5-9:
- - First, do not kill the immature Savato created, we need them to stay to overload the memory
- - This is to reduce how many webs are made by Savato
- - Cut each web, and avoid swapping tools if you can help it, as even when the scalpel is used up it is still selected, meaning you can cut right away once it is back
- - You should only really need to boost the vitals if they are below 25
- - Every time a Blue Savato is created, it halves the vitals and caps them
- - As mentioned, do not kill these immatures!
- - Keep going on the web phase until it's over. There's no way to know how many webs to be certain sadly
- - In the laser phase, aim to give long bursts, do not aim to laser the immatures
- - When you're going through Savato's health, you it's better to burn out the laser if it's getting low. You need 20% to get through Savato's shield per segment of HP
- - Every time you chip away at Savato's health it will jump and make immatures, stop lasering while it does this
- - Once it is done, laser again. It should do this three times, and on the fourth hit it'll be ready to scalpel
- - If you are lasering and don't see it jump after a bit, the laser is ineffective and you should stop for a few seconds
- - In order to perform a shield phase skip, after using the scalpel, you should use the laser, around 2 seconds after you get the OK with the scalpel. This should prevent the shield from returning to max
- - This will put Savato at a state to scalpel again. You cannot do this glitch twice.
- - You do not need to suture the cuts here
- - If the vitals are getting too low, do the occasional boost
- - If Savato does a triple cut it'll do around 10-12 vitals. Two of these may kill the patient
- - On the injection step, you only need 40% to hit it. If you draw too much, just stop touching the screen once you've injected just over a third!
- - Before HT kicks in, be sure to select HT yourself, just double tap the hand. This means you can draw the star instantly
- - Again for injection, 40% is needed
- 6-2:
- - See 2-9 for suggestions
- - While an immature is making a cut (between the second and third lasering) you can interrupt it with the laser if it is vulnerable
- - This will stop an extra cut from being made and extra damage
- - You'll find this op is generally harder as the Sin is more aggressive. Take extra care to boost and slather gel
- 6-3:
- - See 3-4 for suggestions
- - When you switch from the first area to the second, vitals will reset
- - Vitals will drop quicker here due to this being Sin
- 6-4:
- - See 5-3 for suggestions, same gas clouds apply
- - Pop HT and go fast
- 6-5:
- - See 5-4 for suggestions
- - Colours (left to right): Green, Yellow, Purple (GYP - reverse oink)
- - As you approach the last waves to inject, you'll get less time to do so, ensure you only pull the minimum 20-30% needed
- 6-6:
- - See 4-10 for suggestions
- - Same applies, after four hits on main core, small cores will die and difficulty will spike
- - Be very careful, do not let too many laceration cores get through, Sin does more damage and will quickly kill the patient if left (5 dmg per cut)
- - Same applies if too many tumour cores get through, too much mess causes a big headache and vitals will plummet
- - If you do not have enough time to kill a laceration core, do not keep lasering it. Move onto the new one so that less cuts are made
- 6-7:
- - See 5-6 for suggestions
- - Vital damage will be higher here, so keep this in mind as you split segments apart
- - HT after one half again can be very beneficial, to give time to boost back to maximum
- - Cuts do from 10-16 damage, averaging around 15 vitals, keep this in mind as not to cut and kill the patient
- 6-8:
- - See 5-9 for suggestions
- - Same methodology as previous Savato fight, leave immatures throughout
- - You can do the shield damage skip on either the first or second hit in this op
- - Savato will generally be a bit more aggressive, and so triple cuts may happen more frequently
- - If you notice Savato is not making immatures as you laser, this means it is ineffective. Stop lasering and wait for a few seconds
- - You need around 10-20% of the laser to effectively to chip away it's shield HP (and cause it to jump and make immatures)
- - Let the laser recover between bursts, this gives you a chance to raise vitals if they are too low
- - For final injection(s), you need 40%
- - Ensure you have HT selected as Savato does its spin in the middle of the screen
- GG
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