Amateur Surgeon 4 Dwayne Pipe

Amateur Surgeon 4 Walkthrough Levels 43-60 Walkthroughs Tim December 17, 2016 And we’re back with more Amateur Surgeon 4 for you, as we continue to play through the different levels of the game and talk about what you have to do in order to complete these levels.

Amateur Surgeon is a series of medical based action puzzle games on Adult Swim.com (or to put it simply, Trauma Center with idiots). The series centers around former pizza boy Alan Probe and his life after discovering the world of surgery, by accidentally running over his would-be mentor, Dr. Ignacious Bleed.

The games provide plenty of examples of morbid, gross-out humor with a unique difficulty curve. However, the game manages to have a quite deep storyline behind all the wacky operations. The series goes for more scatological and dark humor, easily seen with Alan's arsenal of improvised medical tools. The most iconic is a pizza slicer he uses as a scalpel.

There's the games as a whole:

- Amateur Surgeon

Persona 4 golden psn. - Amateur Surgeon Christmas Edition

- Amateur Surgeon 2

- Amateur Surgeon 3: Tag Team Trauma

- Amateur Surgeon 4: Re-Generations

• Affably Evil: Most, if not all, the criminals Alan and Bleed operate are this. Some of the criminals, like Claude and Jack, even give things to help them in retaliation (chainsaw and organs, respectively)
• Affectionate Parody: Of Trauma Center.
• Anti-Villain: Aureola. All the people she attacked were unrepentant criminals, and the reason she did that is to track down her parents' murderer. This is pointed out by Alan himself.
  • Bradley in the second game. He's anything but evil, but he's working for the President. And in the climax, is pretty clear he's on Alan's side.
• Arch Enemy: Alan has one in Dwayne Pipe, who gives him hell throughout the entire series.
• Asshole Victim: Deconstructed with Aureola's rampage against criminals. The criminals are portrayed as sympathetic Punch Clock Villains, and her rampage, while having sympathetic motives, is portrayed as an awful thing that has to be stopped.
  • By contrast, Dwayne Pipe plays this straight. Anytime he's shown in pain or having bad things happening to him it's extremely satisfying and well-deserved.
• Assist Character: The third game features Tag Team Partners, who can grant various abilities, such as healing the patient for a set amount of health, stopping time and even bringing the patient back to life with voodoo magic.
• Back-Alley Doctor: The premise for the whole shabang. And we should also mention Back Warehouse Doctor, Back Old Folks Home Bathroom Doctor, Back Chicken Coop Doctor, Back North Pole Doctor.. the one time Alan performs onscreen in a hospital it's an Abandoned Hospital!
• Berserk Button: The Old Hospital incident, for Dr. Bleed. Until he learns the truth about it, anyways.
  • Alan is a pretty easygoing guy unless his loved ones are hurt. He incriminated Dwayne for Aureola's crimes as revenge for ruining her and Bleed's lives in the first game, and in the second, he was pissed after witnessing poor Bradley beaten up by the President.
• Big Bad: Dwayne Pipe, the responsible (directly and indirectly) of all the shit that happens to Alan Probe and his companions.
  • Greater Scope Villain: From the third game onwards. His incarcelation prompted his 'son' Hubris to take revenge on Alan Probe and become the new Big Bad. He's also this to Aureola in the first game.
• Bonus Boss: Stuporman, the H.O.B.O., and.. a secret.
• Break the Cutie: Poor, poorBradley.
• Broken Bird: Aureola. Dr. Bleed is a Rare Male Example. Both of them get better.
• Cain and Abel: A surrogate example with Bleed's students. His former student Dwayne is the faux-pleasant, depraved Cain who betrayed him; while Alan is the cocky but nice Abel who is undyingly loyal to him. Bonus points for Dwayne constantly trying to kill Alan.
• Cerebus Retcon: The 'pizza van' scene, in which Alan met Bleed by running him over due to distractions. In the beginning, it was treated as hilarious, until the climax reveals that Bleed stepped on the van on purpose, wanting to end his miserable life.
• Cerebus Rollercoaster: The games as a whole. Amateur Surgeon begins as a wacky medical Black Comedy, but the plot develops to be more dark and serious as the game goes on. The Christmas Special is very much zany and comedic. The sequel is Darker and Edgier, but not lacking the game's Black Comedy. The third is Lighter and Softer than the previous games, in the sense the serious moments are few and far between compared to the previous games. The fourth installment maintains the third's wackiness, but explores the previous games' storylines.
• Chainsaw Good: Good for getting past that pesky ribcage, anyways.
  • And removing organs like lungs and livers.
• Chekhov's Skill: More like Chekhov's Lack Of Skill in this case. Alan ends up removing a bug infestation from Dwayne Pipe early in the game without Dr. Bleed there to overlook the surgery, only to find out that he accidentally overlooked the worst one.. which ends up incapacitating the guy when he tries to make his escape at the end of the game.
  • The same thing happens in the second game: President Dwayne threatens the life of both Alan and his grandson, but it turns out that Alan has forgotten again to deal with the worst bug in his system, which he uses to blackmail Dwayne into giving up the vendetta.
• Cloning Blues: In the third game, there's several of Dwayne's clones. One of them is Hubris, the game's Big Bad.
  • The protagonist in Re-Generations is a wackier clone of Dr. Bleed.
• The Cutie: Bradley, oh so much.
• Crapsack World: Hooo boy.
• Darker and Edgier: The second game. Is still zany, but the story is far darker than in the previous game. Still has a happy ending, though.
• Dramedy: Surprisingly. The games have a dark and serious storyline behind its gags, parodies, and overall wackiness. This is especially true with the first two games (Since Christmas is full-blown comedy and the third and fourth are Denser and Wackier)
• Denser and Wackier: The games get wackier and less serious, especially in Tag Team Trauma and Re-Generations. Overlaps with Reverse Cerebus Syndrome.
• Earn Your Happy Ending: Alan gets this in the second game. After being put through decades of pain and misery by Dwayne Pipe, Alan manages to rebuild his reputation and reconnect with his family at the end, even gaining his posthumous mentor's approval along the way.
  • Bleed gets his too. He had to deal with past tragedies, disgraced status and even near-death experiences, but he gets his old reputation back thanks to Alan's efforts. Even after his death, he's shown to be very happy in Heaven, being immensely proud of his pupil Alan.
  • Bradley. Just.. Bradley. He manages to accomplish his goal after much grievances: find his grandfather Alan and make him and his family reunite at last.
• The Eeyore: Dr. Bleed was this in the first game, but he gets better.
• Even Evil Has Standards: While Affably Evil, most of the patients are still criminals who committed things like theft, murder and even cannibalism. Yet none of them committed something as atrocious as poisoning and killing millions of innocent patients in an hospital For the Evulz. Anytime this incident is mentioned, they react with shock and disgust over it.
  • Aureola is a vicious vigilante, but she targets only criminals out of revenge for her parents' tragic deaths. Which is why she doesn't target Dr. Bleed despite being the man who operated on her parents. She knows he didn't do it.
• Exact Time to Failure: If the clock hits 0:00, the patient dies immediately. Doesn't matter what their vitals looked like at 0:01.
  • Somewhat justified, in that the longer it takes an operation to finish, particularly to fix a life-threatening problem, the less chance of survival. (Complications setting in, and all that.) But this justification is partly subverted, because in Real Life, there is no exact Point of No Return. Not time-based, anyhow.
• Excuse Plot: The fourth game's plot is clearly an excuse to explore the previous games' storylines and operate all previous patients.
• Extreme Omnivore: Junkyard Guts from the first game. You have to remove a magnet from his stomach. And it draws out screws as well.In the last act, he even eats a bomb that was disguised as a sandwich using two pieces of bread.
• Flawed Prototype: All the clones in the games have some variety of this. In the fourth game, it's revealed that, because of this, they're dying, applying to Blue Hubris and clone!Bleed himself.
• Foil: Alan has one in Dwayne Pipe, his nemesis. Alan is a kind-hearted, clumsy and chubby apprentice who uses his skills to save people. In contrast; Dwayne is a skinny, manipulative and evil sociopath who kills people for thrills. The fact they were both Bleed's students helps.
  • In the third game, there's Ophelia and Hubris. Both are apprentices of the aforementioned foils, but contrast with them in different ways: Ophelia serves as the voice of reason of the wacky Alan, while Hubris is more of a lunatic than the calculating Dwayne.
• Framing Device: The third game's story is Ophelia and Alan narrating the events of the past few weeks.
• Generation Xerox: A surrogate example with Alan and Dr. Bleed. Both were fallen graces (caused by the same man), were poisoned and had to be saved by their students, and were able to go back to the top and get better.
  • Also Dwayne and Hubris.
• Genius Ditz: Alan is a goofball, sure, but when it comes to surgery, he's a total pro.
• The Gift: Alan Probe is a natural genius when it comes to trauma surgery, capable of even performing brain surgery using a lighter, a chainsaw, a pair of tongs, a corkscrew, and a bottle of liquid pain reliever.
• Grey and Gray Morality: The main characters are kind people, but have their flaws and work outside the law; and the criminals aren't as bad and unpleasantas they're supposed to be. In fact, the only truly evil characters in this game are DwaynePipe, and his presumed son, Hubris. And Hubris is very much the embodiment of Stupid Evil, so..
• Guide Dang It: Unless you know that you can shock the tapeworm more than once each time he pops his head out, (and you need to shock it like 5 times) you are not going to beat 2nd Bleed (file 3, patient 6), because the tapeworm's going to make just too many little bleeding cuts that will drop his heart rate really fast. You need to be careful, though, lest you miss and stop Dr. Bleed's heart instead. If that happens, you're basically screwed.. unless you react quickly enough. It's not so much a problem with Joe (file 2, patient 6), because his tapeworm only needs zapped 3 times.
  • The final regular patient, Horrace aka Dwayne, has a millipede crawling around inside him. It makes little bleeding cuts just like a tapeworm does, but it doesn't pop its head out. You have to chainsaw a little ahead of the last cut it makes, then you can deal with the bug queens and Mooks it spawns in the various body cavities.
  • The Bio-Utility Mechanoid, or B.U.M., is the first Bonus Boss you unlock. To even get inside him, you need to gel his red button.
  • Not to mention, you don't zap the scorpions - you chainsaw them.
• Groin Attack: In the third game, Mr. Gibblits does an awesome one against Hubris.
• Halfway Plot Switch: The first game starts being a medical comedy of two guys healing up wacky criminals. It switches later to healing criminals from a Vigilante Manand later dealing with a depraved Serial Killer.
• Happy Ending Override: The original Amateur Surgeon has Alan fulfilling his own dream of becoming a surgeon, cleans his mentor's name by imprisoning the true criminal, and gets the girl. Then, the sequel happened..
  • To be fair, though, it ended with a 'To Be Continued' segment, so it's not that much of a surprise. Besides, the sequel has a happy ending that actually sticks.
• Hate Sink: Dwayne 'Douchebag' Pipe. Since the criminals in this series tend to be verysympathetic, Dwayne only exists to be a murderousmonsterwith no redeeming qualities who is responsible, directly and indirectly for everything awful that happens in the series. His levels are designed to be Nintendo Hard just to emphasize this trope. It doesn't workfor some, though.
• Heal It with Fire: One of Alan's tools is a lighter, a respectable cauterization method. Yet this also repairs bones, cuts in vital organs, and metal. The guy is a frickin' genius.
  • In the christmas sequel, it's a match and a can of spray paint. Very precise.
• Healing Shiv: In the third game, Officer Brutality's special ability is to beat injuries out the victims by whacking them with his police baton.
• Heterosexual Life Partners: Bleed and Alan. They're practically father and son.
• Hoist by His Own Petard: All of Dwayne's actions will eventually bite him in the ass sometime later.
• I'm a Humanitarian: Case 2, Patient #9: Animal the Cannibal.
  • In the third game, we have Sweetmeat Pete.
• If You Kill Him You Will Be Just Like Him: The reason Alan Probe doesn't leave Dwayne Pipe to die. Despite all the shit he pulled on him, he still tries to save him, knowing full well this trope. Could also count as Cruel Mercy, since Dwayne ends up in jail for his crimes.
• Intergenerational Friendship: Alan is 19 years old (in the first game at least), and Bleed is in his fifties. As guessed, the tworeallymean the world to each other.
  • In the third game, there's Alan and his apprentice Ophelia.
• Jerk with a Heart of Gold: Downplayed with Alan, in that his 'jerkishness' rangs between saying rude and inconsiderate things (in the first game) or being a bit of a Grumpy Old Man (in the second). Either way, he is a kind and caring man who will risk his own life to save others.
  • A straighter example would be OfficerBrutality.
• Karma Houdini Warranty: Dwayne Pipe from the first two games. Oh sure, he may commit atrocities and become a Karma Houdini for some time, but when Alan gets involved, his warranties expire in spectacular ways (his Stupid Evil decisions and inner bugs also help).
• Kick the Dog: Dwayne just loves doing this. Admitting being the culprit of the Old Hospital incident is awful enough, but poisoning your former mentor and taunt his new pupil about it? That is low.
  • And if he didn't top that already, what about beating upBradley to near death in the sequel just for being his archnemesis' grandson? This guy isn't just a douche.. He's a monster.
• Kick the Son of a Bitch: Alan does this to Dwayne at the end of the first game by scapegoating Dwayne as the responsible of the criminals' attacks, making Aureola a Karma Houdini in the process. Given that Dwayne was a depraved bastard who poisoned Bleed and killed Aureola's parents, leading to her rampage, it's extremely satisfying and well-deserved.
  • Even better, Dwayne made Bleed The Scapegoat for the atrocious Old Hospital incident, and now he's been The Scapegoat for things that wouldn't have happened if not for his actions in the first place.Karma is indeed a bitch, Dwayne.
• Knight in Sour Armor: Bleed in the first game. He gets better.
  • Alan himself in the second game.
• Knight of Cerebus: While Aureola does bring up some seriousness into the plot, it's Dwayne Pipe's appearance what sends everything to hell, being the direct and indirect responsible of everything that happens in the games.
  • Hubris plays with this. He does kick off the seriousness with his serial poisoning, but is nowhere near as sinister as Dwayne, being a cartoony Mad Scientist instead.
• Kudzu Plot: The plot of the first two games is pretty straightforward, but the third and fourth installments make the plot even more complicated and absurd as a result of being Denser and Wackier.
• Laughably Evil: Every criminal patient, due to being Affably Evil.
  • Dwayne does have his moments of being this, but Hubris embodies this trope full-time.
• Leaning on the Fourth Wall: In the sequel, Alan tells Bradley that they made a video game about him at the height of his fame. Bradley's played it, but laments that he never got the hang of the corkscrew and hopes that if a sequel is ever made they replace it with 'something less awful.' Then they both wordlessly look at the player. This is followed almost immediately by the level that introduces the syringe, which replaces the corkscrew.
• Lighter and Softer: Amateur Surgeon Christmas.
  • Also, the third and fourth, in the sense that less serious and more wacky compared to the two previous games.
• Living Emotional Crutch: Alan for Dr. Bleed. This is better illustrated in the Old Hospital encounter with Aureola:

Dr. Bleed: I understand you mean to take your vengeance. I must admit.. I have thought about ending it myself. In fact, not too long ago I deliberately stepped out in front of a pizza van! If it weren't for this extraordinary young man here [Alan].. Well..

• Luke, You Are My Father: Bradley in the sequel eventually reveals that he is Alan's grandson.
  • From the third game, it turns out Ophelia, Alan's apprentice, is Dr. Bleed's grandniece.
• Mad Doctor: Alan is pretty much a good guy version of this by the second game.
• Manly Tears: Bleed sheds this twice in the first game. First when confessing to Alan his greatest failure, and second when he confesses to Aureola he was the one who operated her parents.
  • In the second game, Alan cries after the resurrected Bleed goes back to heaven.
• Mentor Occupational Hazard: Dr. Bleed is shown to have died in the Amateur Surgeon sequels. He can be resurrected briefly in Act 2's bonus level in Amateur Surgeon 2.
• Must Have Caffeine: Karl of Case 2, Patient #8 suffers from this. Unfortunately, this makes the requirements for beating the level to Nintendo Hard levels. See No Damage Run.
• My Greatest Failure: The Old Hospital fiasco, in which many, many people died for Dr. Bleed. Turns out it wasn't his fault at all.
• No Damage Run: Required in file 2, patient 8 (Karl) of the original game (once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and drain (and suction out) the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (that means any unnecessary damage) will kill Karl. He also dies if you let his heart rate get to 200. Add that to the fact that each patient is a Timed Mission anyway, and you've got yourself a Nintendo Hard level.
• Noodle Incident: Played for Drama with the Old Hospital incident. The only thing known is that many people died in Bleed's hospital for unknown reasons, leading to his fall into vagrancy. It's revealed Bleed's former student Dwayne Pipe poisoned them for shits n' giggles, and Bleed was his unwilling scapegoat.
• Official Couple: Alan and Aureola. They're shown to be married in the sequels.
• Only Sane Man: Dr. Bleed seems to be the only thing closest to a normal person. Given he's a cough-syrup addicted vagrant, it says a lot about the rest.
  • Ophelia in the third game. While Alan generally doesn't ask any questions and comes off as barely smarter than his patients, Ophelia is constantly shocked and amazed by the situations they get themselves into and is quick to call them out on their stupidity/insanity. She definitely inherited it from her granduncle Bleed.
• Open-Heart Dentistry: Alan is the only source for criminals to get medical care, ranging from lacerations to poisonings. With the occasional extreme body piercing and mechanical restoration.
• Parental Substitute: Dr. Bleed is implied to be this for Alan.
• Poison Is Evil: My God, is it evil.
• Punny Name: Tons and tons of them. Not surprising considering this company's track record.
• The Reveal: Lampshaded with Alan's mystery patient in the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal.

• Running Gag: Alan seems to have problems when it comes to dealing with exterminanting bugs. Especially when it comes to Dwayne's bugs.
• Saving Christmas: The plot of the Christmas Edition game. Alan goes to save christmas after he utterly decimated it! (see Turbine Blender below). After crashing his private jet into the North Pole Alan sets about pulling christmas lights out of an elf, reanimating a reindeer carcass with candy canes and coat hangers, and patching up Santa with wrapping paper.
• Shared Universe: With Spiritual Successor games Amateur Ninja and Gigolo Assassin
• Shout-Out: One level has the player trying to disarm a bomb, like in Trauma Center.
  • The Bonus Bosses in the first game are pretty much walking Shout Outs, from Back to The Future to Superman to Short Circuit.
• Significant Anagram: Flip the lan in Alan's name and you get.. well, at least it's not called Amateur Proctologist.
  • Names to Run Away From Really Fast: You usually don't want to go to someone named Dr. Probe.. And his Mentor is called Dr. Bleed, of all the people. The name of his clinic? 'Bleed Everywhere'. It's averted in that they're benevolent doctors.
• So Proud of You: In the second game: A resurrected Bleed says this word for word to Alan before going back to the dead world. A truly emotional scene.
• The Stoic: While the original Dr. Bleed was a Perpetual Frowner pre-Character Development; clone!Bleed is very much this, until turning Not So Stoic later on.
• Stupid Evil: Hubris, while a Mad Scientist, fits this trope. His clones also inherited this, as seen with Blue Hubris.
• Surprise Creepy: Amateur Surgeon focuses on over-the-top surgeries on incredibly wacky characters. Which makes the introduction of Bleed and Aureola's tragic pasts caused by a depraved Serial Killer all the more shocking.
• Too Dumb to Live: Almost all of Alan's clientele fit into this category, with this trope being what got them to him in the first place.
• Trigger: Bleed really flips out when someone asks about his past. He gets better.
• Tsunshun: Bleed in the first game, Alan in the second. They're cynical and surly, but they're also very broken men who had been suffering and can barely cope with themselves. Both of them get better.
  • It's lampshaded in Aureola's case, as Bleed says she has become 'mad with grief'.
• Turbine Blender: In the introduction of the Christmas Edition (a sendup of the intro to the first game) Alan Probe, flying his private jet distractedly while reading an article about his rise to fame, collides with Santa's Sleigh. One of the reindeer is sucked into the turbines and shredded, causing Alan's jet to crash into Santa's Workshop.
• Vigilante Man: The end of the 2nd part and most of the 3rd part of the first game have Alan patching up characters from earlier in the game, who this time are the victims of a rampaging vigilante whose parents turn out to be among the people who died in the Old Hospital fiasco.
• Walking Spoiler: The Big BadsDwayne and Hubris, at least until they become a Late Arrival Spoiler in ReGenerations.
  • It also applies to non-characters. Case in point: If a mysterious character presents insects, chances are you're dealing with Dwayne Pipe.
• Wham! Line: From Aureola: 'It's not you who I'm looking for.. IT'S HIM!' Cue Horrace/Dwayne appearing and showing what a monster he is.
  • From the second game:

The President: *to Bradley* Take him to a little place he can call his own, somewhere out of the way. Then shoot him in the back of the head.

• • Again in the second, Alan doesn't get why the President is so angry with him, 'till he mentions their deceased mentor, Dr. Bleed. Then, Alan realizes that the President is his old archenemy, Dwayne Pipe.
• Why Don't You Marry Him?: The President says this to Bradley when he's talking about how amazing Alan is. Gets a bit of Squick once known Alan is Bradley's grandfather.
• Worst Aid: Separating the hemispheres of a woman's brain with a chainsaw, while using a dumpster as an operating table. And she survives.. long enough to pay Alan, anyways.
  • You actually have to remove the brain temporarily, destroy some.. things (Cancer growths? Warts? Mold?) to cure her mental disorder, then put the brain and skullpan back and heal them both with your lighter.
• Worthy Opponent: Subverted with Dwayne. Alan mentions that a good nemesis keeps himself young.. except Dwayne wasn't a good nemesis to begin with.
• You Killed My Father: Aureola's motive for attacking criminals is to find out her parents' murderer, the doer of the Old Hospital incident. Bleed decides to confess he was the one who operated on her parents to stop her rampage. It turns out Aureola wasn't targeting him at all. She was targeting Bleed's former pupil Dwayne.
• You Monster!: Aureola calls Dwayne a 'murderer' and an 'animal' upon seeing him. Justified since he was the doer of the Old Hospital incident that killed her parents.
  • Alan also calls him this, but in a more subdued way.

• You Will Be Spared: Napoleon Trotterski says this to Alan after being operated.

http://tvtropes.org/pmwiki/pmwiki.php/VideoGame/AmateurSurgeon

Ossakel's main weapon is a Beamer that also heals. His secondary weapon is a burst of delayed explosives similar to Sticky Bombs. These stick to the player detonating all at once and deal massive damage. This attack can be neutralized by using the Harden Shield ability or killing him before the explosion.

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Amateur Surgeon is a series of medical based action puzzle games on AdultSwim.com (or to put it simply, Trauma Center with idiots). The series centers around former pizza boy Alan Probe and his life after discovering the world of surgery. The games provide plenty of examples of morbid, gross-out humor with a unique difficulty curve. The series goes for more scatological and dark humor, easily seen with Alan's arsenal of improvised medical tools. The most iconic is a pizza slicer he uses as a scalpel. The third game is available for mobile devices and deals with Alan's apprentice, Ophelia Payne. There's also a Facebook game focusing on running one of Alan's 'Bleed Everywhere' clinics. The 4th game, titled 'Regeneration' has you play as a clone of Bleed, who must reintroduce 'Improvised Surgery' into the world and to try to cure 'Clone disease'.

Available here. Also has a Christmas edition.

This series provides examples of:

• Assist Character: The third game onward features Tag Team Partners, who can grant various abilities, such as healing the patient for a set amount of health, stopping time and even bringing the patient back to life with voodoo magic.
• Ascended Fanboy: A Let’s Player of the series, Spicy Waffle, was featured in a cameo in the fourth game. In the Iron Wang surgery, you had to extract chili peppers and a waffle.
• Amusing Injuries:
  • Just somehow the patient will always survive your Meatgrinder Surgery (if you beat the stage that is), and always turn out completely healthy and good-as-new afterwards, no matter how serious their injuries were.
  • There's one level where you give a woman 'body modifications' (which includes sticking large piercings into her lungs and heart) and it doesn't harm her in the slightest.

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• Artistic License – Medicine: Let's see..you use a pizza cutter to cut into organs, a stapler to stitch a wound together, a chainsaw to cut out bones and organs, and a syringe to suck out poison. You can also perform transplants on vital organs such as hearts, brains, and stomachs and fasten bones together using nothing but a chainsaw, lighter, and some healing gel. Some surgeries even involve using a car battery, and it won't harm the patient at all as long as you aim it correctly. Basically, any injury that would otherwise require more serious medical attention in real life can be fixed in this game with simple household objects with no ill-effects. Granted, if the games were realistic, then they wouldn't be fun.
• Back-Alley Doctor: The premise for the whole shebang. And we should also mention Back Warehouse Doctor, Back Old Folks Home Bathroom Doctor, Back Chicken Coop Doctor, Back North Pole Doctor.. the one time Alan performs onscreen in a hospital it's an Abandoned Hospital! After the events of the first game, Alan started opening back alley clinics.
• Big Bad: Dwayne Pipe, responsible, direct or indirect, of most of all the bad things which happen to Alan Probe.

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  • Hubris, Dwayne's Clone-Son..Thing, takes Dwayne's place in the third. While he is a major character in the fourth and still a Jerkass, however, there is No Antagonist in the fourth game.
• Body Horror: A lot of the injuries are this. Anthills, barnacles, and boils filled with poison formed on the body, animals and bugs burrowing into organs (including one Partner Special that has earthworms protruding from the patient’s heart), and large foreign objects puncturing the flesh including some hidden beneath the skin that you have to cut to get out.
• Bonus Boss: Stuporman, the H.O.B.O., and.. a secret.
  • In the second game, we have Vladimir Ampire and the corpse of Dr. Ignacious Bleed.
• Chainsaw Good: Good for getting past that pesky rib cage, anyway.
  • And removing organs like lungs and livers.
• Chekhov's Skill: More like Chekhov's Lack Of Skill in this case. Alan ends up removing a bug infestation from Dwayne Pipe early in the game without Dr. Bleed there to overlook the surgery, only to find out that he accidentally overlooked the worst one.. which ends up incapacitating the guy when he tries to make his escape at the end of the game.
  • The same thing happens in the second game: President Dwayne threatens the life of both Alan and his grandson, but it turns out that Alan has again forgotten to deal with the worst bug in his system, which he uses to blackmail Dwayne into giving up the vendetta.
• Compilation Re-release: Regenerations contains all surgeries from previous games, with the justification that you're a clone of Dr. Bleed viewing Alan's memories so that you can get yourself back up to speed.
• Earn Your Happy Ending: After being put through decades of misery by Dwayne Pipe, Alan's manages to rebuild his reputation and reconnects with his family.
• Exact Time to Failure: If the clock hits 0:00, the patient dies immediately. Doesn't matter what their vitals looked like at 0:01.
  • Somewhat justified, in that the longer it takes an operation to finish, particularly to fix a life-threatening problem, the less chance of survival. (Complications setting in, and all that.) But this justification is partly subverted, because in Real Life, there is no exact Point of No Return. Not time-based, anyhow.
• Extreme Omnivore: Junkyard Guts from the first game. You have to remove a magnet from his stomach. And it draws out screws as well. In the last act, he even eats a bomb that was disguised as a sandwich using two pieces of bread.
• The Faceless: Your partner, Ted Rando, has never been seen without a mask and is reported to not know what his own face looks like.
• Formally Named Pet: Bug-Eater Peter's pet komodo dragon is known as 'Mister Caruthers.'
  • One of your partners, a cat, is called 'Lord Meowington.'
• Framing Device: The third game's story is Ophelia and Alan narrating the events of the past few weeks.
  • The fourth game has all the surgeries from the previous games and is a due to Dr. Bleed reliving Alan's and Ophelia's memories.
• Enemy Mine: Occurs early on in 4, which Bleed 2.0 and Fake Hubris must find a cure for 'Clone Disease'.
• The Gift: Alan Probe is a natural genius when it comes to trauma surgery, capable of even performing brain surgery using a lighter, a chainsaw, a pair of tongs, a corkscrew, and a bottle of liquid pain reliever.
• Guide Dang It!: Unless you know that you can shock the tapeworm more than once each time he pops his head out, (and you need to shock it like 5 times) you are not going to beat 2nd Bleed (file 3, patient 6), because the tapeworm's going to make just too many little bleeding cuts that will drop his heart rate really fast. You need to be careful, though, lest you miss and stop Dr. Bleed's heart instead. If that happens, you're basically screwed.. unless you react quickly enough. It's not so much a problem with Joe (file 2, patient 6), because his tapeworm only needs zapped 3 times.
  • The final regular patient, Dwayne, has a millipede crawling around inside him. It makes little bleeding cuts just like a tapeworm does, but it doesn't pop its head out. You have to chainsaw a little ahead of the last cut it makes, then you can deal with the bug queens and mooks it spawns in the various body cavities.
  • The Bio-Utility Mechanoid, or B.U.M., is the first Bonus Boss you unlock. To even get inside him, you need to gel his red button.
  • Not to mention, you don't zap the Scorpions - you chainsaw them.
  • The fourth game tries its best to avert this, by making all the surgeries more straightforward. They even outright removed the 'Napoleon' mission. The only missions that really require trial-and-error gameplay are those with bugs and poison.
• Healing Shiv: In the third game, Officer Brutality's special ability is to beat injuries out the victims by whacking them with his police baton.
• Heal It with Fire: One of Alan's tools is a lighter, a respectable cauterization method. Yet this also repairs bones, cuts in vital organs, and metal. The guy is a frickin' genius.
  • This applies to potential partners Chad Burnem and Iron Wang, who respectively use a flamethrower and a clothes iron.
  • In the Christmas sequel, it's a match and a can of spray paint. Very Precise.
• I'm a Humanitarian: Case 2, Patient #9: Animal the Cannibal.
  • The third game has Sweetmeat Pete.
• I Was Quite a Looker: Ignacious Bleed the II in 4 is essentially Dr. Bleed when he was younger, and boy, he got a magnificent beard and killer chest hair.
• Late-Arrival Spoiler: 4 casually reveals that Dwane and Hubris is Big Bads early on.
• Leaning on the Fourth Wall: In the sequel, Alan tells Bradley that they made a video game about him at the height of his fame. Bradley's played it, but laments that he never got the hang of the corkscrew and hopes that if a sequel is ever made they replace it with 'something less awful.' Then they both wordlessly look at the player. This is followed almost immediately by the level that introduces the syringe, which replaces the corkscrew.
  • Fourth-Wall Observer: Alan becomes this in the third game, generally when it comes to the concept of DLC.
• Luke, You Are My Father: Bradley in the sequel eventually reveals that he is Alan's grandson.
  • Also, Ophelia of the third game reveals herself to be Dr. Bleed's grandniece.
• Mad Doctor: Alan is pretty much a good guy version of this by the second game. Dwayne Pipe plays this straight as he poisons his victims.
• Meat Grinder Surgery: The Series
• Must Have Caffeine: Karl of Case 2, Patient #8 suffers from this. Unfortunately, this makes the requirements for beating the level to Nintendo Hard levels. See No-Damage Run.
• My Greatest Failure: The Old Hospital fiasco, in which many, many people died for Dr. Bleed. Turns out it wasn't his fault after all.
• No-Damage Run: Required in file 2, patient 8 (Karl) of the original game (once you get inside him). Karl is a coffee addict, and as a result, his heart rate gets faster as time passes, rather than slower. You have to remove the coffee beans and drain (and suction out) the poison to stabilize his heart rate, then heal all the cuts you had to make. Dr. Bleed warns that the slightest injury (that means any unnecessary damage) will kill Karl. He also dies if you let his heart rate get to 200. Add that to the fact that each patient is a Timed Mission anyway, and you've got yourself a Nintendo Hard level. In the third game, certain missions have this as a requirement in challenge missions.
  • The later games feature 'Sudden Death' versions of missions where you must complete a surgery without any mistakes whatsoever.
• Nostalgia Level: Many of the stages in 4 are revamped stages from the first 3 games.
• Only Sane Man: Ophelia in the third game. While Alan generally doesn't ask any questions and comes off as barely smarter than his patients, Ophelia is constantly shocked and amazed by the situations they get themselves into and is quick to call them out on their stupidity/insanity.
• Open Heart Dentistry: Alan is the only source for criminals to get medical care, ranging from lacerations to poisonings. With the occasional extreme body piercing and mechanical restoration.
• Punny Name: Doctor I. Bleed, Lumbar Jack, Ophelia Payne, and the list goes on.
• Significant Anagram: Flip the lan in Alan's name and you get.. well, at least it's not called Amateur Proctologist.
  • Names to Run Away from Really Fast: You usually don't want to go to someone named Dr. Probe.. And his Mentor is called Dr. Bleed, of all the people. The name of his clinic? 'Bleed Everywhere' The protagonist of the third game is Dr. Ophelia Payne.
• Punny Name: Tons and tons of them. Not surprising considering this company's track record.
• The Reveal: Lampshaded with Alan's mystery patient in the second game. After Alan leaves the room, the patient tells Bradley to turn the lights on before he leaves, so he can have his dramatic reveal.
  President Dwayne Pipe: DUN DUN DUN!
• Revive Kills Zombie: In this case, vampire. Applying Pain-Away on Vladimir Ampire hurts him, but his heart rate is always zero, so it doesn't matter.
• Running Gag: Alan seems to have problems when it comes to dealing with exterminating bugs. Especially when it comes to Dwayne's bugs.
• Saving Christmas: The plot of the Christmas Edition game. Alan goes to save Christmas after he utterly annihilated it! (see Turbine Blender below). After crashing his private jet into the North Pole Alan sets about pulling Christmas lights out of an elf, reanimating a reindeer carcass with candy canes and coat hangers, and patching up Santa with wrapping paper.
• Screams Like a Little Girl: Alan, in both the first game and the Christmas Edition. Ironically, both situations happen to involve driving a vehicle and running someone over while reading a surgery magazine.
• Sequel Difficulty Drop: Amateur Surgeon 2 is considerably easier than its predecessors, particularly when going for a high score as combos are much easier to keep up. Though this is Subverted for the Mystery Boss, which requires you to use a flashlight as opposed to seeing everything at once. OH, and in the mobile port, the light moves when you tilt the device.
• Shared Universe: With Spiritual Successor games Amateur Ninja and Gigolo Assassin
• Shout-Out: One level has the player trying to disarm a bomb, like in Trauma Center.
  • The Bonus Bosses in the first game are pretty much walking Shout Outs, from Back to the Future to Superman to Short Circuit.
  • The sequel has you giving a pig named Napoleon opposable thumbs and a voice, in a reference to Animal Farm.
• Suck Out the Poison: You do this with syringes, and it will automatically cure the person of their poisoning for some reason.
• Giant Space Flea Out Of Nowhere: In the final mission of the main story of the fourth game where you perform surgery on Alan Probe, you must extract a weird tentacled one eyed psychic Eldritch Abomination from his brain. It's never quite explained what is it, how it got inside his head, nor there is any comment by anyone about it once it's destroyed.
• Too Dumb to Live: Almost all of Alan's clientele fit into this category, with this trope being what got them to him in the first place.
• Turbine Blender: In the introduction of the Christmas Edition (a send-up of the intro to the first game) Alan Probe, flying his private jet distractedly while reading an article about his rise to fame, collides with Santa's Sleigh. One of the reindeer is sucked into the turbines and shredded, causing Alan's jet to crash into Santa's Workshop.
• Vigilante Man: The end of the 2nd part and most of the 3rd part of the first game have Alan patching up characters from earlier in the game, who this time are the victims of a rampaging vigilante whose parents turn out to be among the people who died in the Old Hospital fiasco.
• Walking Spoiler: Insects, Any time they appear in a mystery character, it's guaranteed to be Dwane Pipe.
• Warmup Boss: Dr. Bleed in the first game, Tommy Gracefuls in the second, Generic the Elf in the Christmas Edition, and Mr. Giblets in the third.
• Women Are Wiser: Ophelia is the only female protagonist of the series and perhaps the only character in the series with anything resembling common sense.
• Worst Aid: Separating the hemispheres of a woman's brain with a chainsaw, while using a dumpster as an operating table. And she survives.. long enough to pay Alan, anyways.
  • You actually have to remove the brain temporarily, destroy some.. things (Cancer growths? Warts? Mold?) to cure her mental disorder, then put the brain and skull pan back and heal them both with your lighter.