ActionIndieSimulation
Surgeon Simulator: Experience Reality
The first 2 hours are a test
Gets good by 2h almost every game dips in hours 2–3
Fully opens up by 3h rated like by long-time players
Started playing 74% of owners
Steam reviews 58% positive of 1,276
What the data shows
- In the first 2 hours 1 in 2 reviews are negative (57%); after 3h it's 1 in 9 (11%).
- Fully opens up by hour 3.
- The opening is criticised more than in 86% of games we track.
- 74% of owners got the first achievement.
When it gets good
Share of positive reviews by how many hours the reviewer had played when writing the review.
before it gets good opening up fully opened up
Based on all 1,287 Steam reviews in every language. Median playtime in a sample of 295 reviews: 2.1h for positive, 0.4h for negative. Almost every game is rated lower in the first 2–3 hours: that window includes refunds and quick first impressions. What matters is how deep the dip is and how fast the game recovers.
Where players quit
Share of players who started the game and reached each story milestone. 100% is the most common achievement (74.2% of owners), so people who bought the game and never launched it don't count.
Story milestones aren't labeled yet; all achievements are listed below.
All achievements (55)
- I Think I Got This Perform a heart transplant. 100%
- Doctor Doctor, Give Me The News Answer the phone. 86%
- What A Load Of Bull Listen to the surgeon rap. 57%
- Don't In-Test My Patience Perform a double kidney transplant in under 3 minutes. 56%
- Kali Mah! Perform a heart transplant in under 1 minute 50 seconds. 54%
- What Have I Done?? Lose the patient within 15 seconds. 51%
- Nothing But Skull Complete a brain transplant by throwing it in. 50%
- Heterochromia Give the patient heterochromia. 50%
- Nigel The Secretary Go about your secretarial duties. 46%
- Nine Nine Nine! Perform a heart transplant in an ambulance. 46%
- I Should Never Have Doubted Myself Get an A++ rating on a procedure. 40%
- Keyhole Surgery Completely remove the rib cage. 39%
- Blink And You'll Miss It Perform an eye transplant in under 2 minutes and 30 seconds. 36%
- Like A Wet Paper Towel Throw the new heart away in the surgery. 35%
- The Goggles Do Nothing Completely smash up the goggles. 34%
- Smash TV Make the TV in the ambulance fall off 32%
- I Can See For Miles... Per Hour Perform an eye transplant in an ambulance in under 2 minutes and 10 seconds. 28%
- Hammer Time Lose 50,000ml of blood using the hammer. 28%
- Spaaaaaaaaace Go where no surgeon has gone before. 27%
- Life's Too Short Perform a heart transplant in an ambulance in under 1 minute 40 seconds. 27%
- It's In! It's In I Tell You! ...and it was going so well. 27%
- A Surgeon's Merit Is Based On Speed Perform a double kidney transplant in an ambulance in under 2 minutes. 26%
- In Space, No One Can Hear You Bleed Perform a heart transplant in space. 26%
- Vworrrp Vworrrp Create a Time Lord. 26%
- Bin there, done that Throw any object into any bin in reception 23%
- You Can't Handle The Tooth! Complete the tooth transplant only removing the rotten teeth. 22%
- Practically Licensed Complete all procedures. 19%
- Screw The Prime Directive Reveal your next patient. 14%
- Best Surgeon In The Universe Complete an alien organ transplant. 14%
- Enter The Code I'm not sure that was worth it... 14%
- You're into that, are you? Tickle Bob's feet 14%
- Expert Space Stalker Perform an eye transplant in space losing less than 1000ml of blood. 14%
- You're Free Now Set the Gobbleshaft free. 13%
- The Surgery Of The Future Perform a double kidney transplant in space losing less than 1500ml of blood. 13%
- Precision Instrument Time Perform a brain transplant in space losing less than 2300ml of blood. 9.8%
- It's Life Jim, But Not As We Know It Perform a heart transplant in space losing less than 1300ml of blood. 9.4%
- Bin Longden Throw any object into the furthest bin in reception 7.7%
- I Immediately Regret This Decision Electrocute and drug yourself at the same time. 6.6%
- Brainstorm Perform a brain transplant in an ambulance in under 30 seconds. 5.7%
- I Have No Idea What I'm Doing Smash all canisters within 10 seconds. 5.7%
- The Beat Of Your Heart Replace the heart with something else. 4.4%
- Lumberjack Cut out the eyes using the surgical axe. 4.0%
- About As Politically Correct As Fur Give the patient a... scarf. 3.9%
- I'm Sure He'll Live Complete a procedure with less than 10ml of blood remaining. 3.4%
- How Long Can You Live Without A Brain? Perform a brain transplant in under 30 seconds. 3.1%
- Call Trisha Now where did you leave her number... 3.1%
- Maintained Healthy Gums At Least Perform a teeth transplant in space losing less than 800ml of blood. 3.1%
- And They Said It Was Impossible! Complete a procedure after being drugged and electrocuted. (Must be afflicted within 20 secs) 2.7%
- Let's See That Sick Filth Again Perform a 180° spoon flip. 2.7%
- Not The Time Or Place For Precision Perform a teeth transplant in an ambulance in under 45 seconds. 2.7%
- You May Feel A Light Tapping Perform a teeth transplant in under 45 seconds. 2.7%
- We're Going On An Adventure! Take your radio with you. 2.2%
- Best Surgeon In The World Get an A++ rating on all procedures. 1.8%
- There Is Nothing More To Teach... Completed every achievement. Now go save lives! 1.8%
- Mass ejection Eject all the tools into space 1.6%
Steam page Updated: 2026-10-20.