First Cut: A Surgical Residency Simulator

First Cut: A Surgical Residency Simulator

The system is broken. You're the one holding the scalpel.

Survive 10 shifts as a surgical resident in a healthcare system designed to break you. Accept patients, prep for surgery, verify correct procedures, operate, chart, and answer pages — all while managing four meters that determine your fate.

Features:

• 10 shifts of escalating surgical chaos
• 4 meters to manage (Fatigue, Safety, Admin, Reputation)
• 12 surgical procedures from appendectomy to craniotomy
• 7 patient types with distinct behaviors
• Wrong-site surgery prevention mechanics
• 3 difficulty modes (Normal, Hard, Brutal)
• Combo system and permanent career upgrades
• 25 unlockable achievements
• Medical knowledge "pimping" questions
• Original soundtrack and procedural sound effects
• Dark comedy tone rooted in real healthcare dysfunction

Built by Dr. Jeff Bullock, PharmD, who spent 7 years behind the bench and 11 years as a district manager at CVS Health.

A PRISM Studios game. https://prismstudios.app