Firstly, there was a lot less blood than I expected. Actually, for the most part, this game is more or less bloodless which is especially surprising when you consider that "Blood Loss" is a key losing mechanic in this game. Sure, you get little blood spots on your hands and arms during a procedure, but as far as drops, puddles, pools, squirts, or sprays of blood, I was surprised by their complete absence. It was a good surprise.
The surprise that I didn't like was just how obscene the entire game felt at all times. Ripping out a person's lungs with my bare hands does not feel good, even when I know it's fake. It just felt very wrong, like I was desecrating something sacred. I've been a gamer all my life, so I've done some terrible things in the name of high scores and victory screens, but this was one of the actions I have felt least comfortable with. The somewhat cartoony visuals made it feel even more bizarre, and I can't decide if more realism would have been an improvement or not.

All in all, I'd put this game at a solid "Try it." I have no intention of ever playing it again, but it was a pretty fun time for a little while. Even better, I'd say to play it with a couple of friends, so there's someone to enjoy the antics with (just like the original Operation! :O).
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