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The addition of a fellow doctor streamlined everything. I never took advantage of that option-this is not the sort of game you want to play with randoms-but I did complete about half the levels with a friend. The campaign can be completed all by your lonesome, but at every turn, Surgeon Simulator 2 strongly encourages taking advantage of its up-to-four player co-op-to the point that the player is sorted into a public, matchmaking-friendly party when loading up a mission. There's not a ton of meat on these bones, but if nothing else, the story will make you consider if the right to conduct surgery, no matter who you are, ought to be unimpeachable natural law. The origins of the school get increasingly convoluted as the narrative is doled out like a System Shock-style radio play, through dueling voices over the intercom. The player is a fresh recruit in a shabby, enigmatically conceived "surgery training school," which aims to democratize the art of operation from the moneyed private-school elites. The bulk of your experience in Surgeon Simulator 2 will probably be spent in its story mode, which lasts 11 missions, and follows a playful, well-acted mystery that lays some of the foundational blocks of Bossa Studio's new extended universe. Once you have your ingredients, it's all about keeping a steady hand.

In one case, I found myself on the third floor of the hospital, pulling a lever that caused a payload of spare legs to slam onto the operating floor with a huge, viscerally horrifying splat. Those puzzles are generally well designed.