Surgeon Simulator

Surgeon Simulator

64 ratings
A Small Loan From My Father
By Zozano
A guide to aid those lost souls farming for their final achievement.
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Introduction
Hello everyone,

This guide aims to assist those who have struggled to obtain the most difficult achievement in the game; A Small Loan From My Father.

There has been speculation in the community that there may be GPU physics irregularities that make this achievement impossible for some people. I completed this achievement with the settings shown here. Maximum sensitivity really helps to one-shot the ribs, but more on that later.

 
This achievement is completely dependent on luck / RNG.

Please refer to the table below for minimum requirement in ten increments. write this down on a piece of paper to sit in front of you.

$0.00 - 5600ml
$100k - 5040ml
$200k - 4480ml
$300k - 3920ml
$400k - 3360ml
$500k - 2800ml
$600k - 2240ml
$700k - 1680ml
$800k - 1120ml
$900k - 560ml
$1M - >0ml
 
The Procedure
 
Load up the level, remove the sheet, and grab the axe, so it's rigid (not from the bottom of the handle, you don't want it to sway at all)
 
 
If you have a DPI switch on your mouse, set it for maximum speed, and swing towards the ribs. If you're lucky you will glitch the ribs and it will come off in one big piece. Set the axe aside for later use. (if you can't get the ribs in one piece, or with enough room to operate; restart)
 
 
Check that he's not bleeding, wait a few seconds and confirm he's not haemorrhaging slightly (<1ml doesn't show on the counter) if he is, grab the vodka and make him drink a bit.
 
Pull out his lungs and set them aside, you will need them for a later step. Ensure the lungs are loose, if they are still 'attached' they will cause bleeding when hit.
 
Use the gold scalpel to cut the heart arteries in these places, be careful not to make him bleed via oesophagus or wall lining. If you do, use vodka.
 
(I prefer to do this now to avoid risks later, and avoid wasting my time if I'm not on par with the chart)
 
 
I like to keep the heart inside (but cut) for the time being, it helps to keep the lungs stationary.
 
Put the lungs back inside, but on a slight angle so one of them sits above the cavity. (You could put the lungs on the table, but I think they move around far too much. If you set the lungs up well in the chest you might need to reposition once or twice)
 
 
Pick up the axe again and start hitting one of the lungs (I prefer the right side) until your money counter is even at one of the hundred thousand increments.
 
Now, refer to the chart in the introduction, if you have LESS than the minimal blood level, just restart. In all my experience farming for this achievement, I've never ended up with more buffer blood than the previous $100k.
 
You can see in the picture above, I have $600k, and my blood ml is 2265ml (25ml of buffer blood according to the chart)
 
Continue whacking the lung with the axe, check every $100k. Most times you will be unlucky, don't let that deter you. You can get so fast doing it this way, the previous screenshot was taken at 4:43!
 
Eventually you will hit $1,000,000! MAKE SURE HE'S NOT BLEEDING!
 
It's super important at this stage to take a screenshot of you flipping off Drumpf so you can share it on the Steam community to enduce rage in others who haven't got it.
 
 
Remove the lungs and heart you cut earlier, choose either heart, I chose stone, because there's no way this dullard deserves a gold one after all the trouble he's caused me.
 
Conclusion
 
Congratulations! (maybe) I wish you the best of luck.
 
 
Ps. Bossa, fix this achievement, I almost punched a hole through my monitor attempting this, this is not challenging, it's tedious.
 
29 Comments
Coolsy101 22 Jun @ 11:13pm 
This achievement is absolute ass and I'm glad I managed to get it after so many hours. My fingers and wrists hurt so much from doing this.

Here's some values with 50k intervals instead of just 100k so you know exactly if you need to restart or not:
$0.00 - 5600ml
$50k - 5320ml
$100k - 5040ml
$150k - 4760ml
$200k - 4480ml
$250k - 4200ml
$300k - 3920ml
$350k - 3640ml
$400k - 3360ml
$450k - 3080ml
$500k - 2800ml
$550k - 2520ml
$600k - 2240ml
$650k - 1960ml
$700k - 1680ml
$750k - 1400ml
$800k - 1120ml
$850k - 840ml
$900k - 560ml
$950k - 280ml
$1M - >0ml
Vilo_le_Loup 25 Mar @ 6:15am 
I made it now! Phew ... I had to gain some kind of lead with the axe to the face. I still had over 580ml after the heart removal at $900,000 and yet I lost more than others by beating my lungs. Like I just said. The ratio doesn't work for me. When I won, he only had 6 ml of blood left. I almost lost it anyway, despite the big advance (580ml). If I had started hitting the lungs earlier, it wouldn't have been enough to the end. The developers should really be ashamed of themselves for this Achievement. I don't think I'll be buying anything from them again. That's just malicious.
Vilo_le_Loup 25 Mar @ 5:30am 
My biggest problem is. Even if I am in sync with the points table at one point, it becomes more and more asynchronous as the surgery progresses. I don't know if this is normal, but how is this supposed to work and how should I change it?
Vilo_le_Loup 24 Mar @ 4:10pm 
It does not work. I've been banging on the lungs for an hour and it barely does any damage, but he loses blood. In the end it's just never enough! Maybe it's due to current systems or FPS. But the achievement is not doable. I tried for 6-7 hours.
Mara$$$ 14 Feb @ 1:46pm 
After 50-60 attemps i finally get this fricking achievement by this great guide.:ss13ok:
kapupa 12 Feb @ 3:03am 
turning off v-sync and getting into windowed mode is your way to go, fuck this achievement
Gregorius1337 2 Nov, 2024 @ 1:44pm 
I have just earned that, it was a nightmare, but with 7200 dpi mouse, lowest graphics settings and resolution settings and 2 hrs constant trying, 10 hrs of all attempts, it was possible.
Mord Fustang 15 Aug, 2024 @ 4:17pm 
Thank you mate. Just completed the game cause of you. I wasn't able to do the swing axe to head way, this way is much easier. :steamhappy:
Karoti Cubby 10 Jan, 2024 @ 6:50pm 
Got it 1st try using frozengriever's tip
Pansen 30 Dec, 2023 @ 2:01pm 
yes! unlosing space roboto's method worked best for me