Achievements Unlocked
Don't worry, metagaming is all that matters.

Bosses Killed
You've killed HOW many?

Hierophants Killed
You've killed HOW many?

Boss Killer
You've come a long ways from asking how to switch hands.

Hierophant Killer
Hierophant, but not triumphant.

How Do I Switch Hands???
If you saw someone casually club themselves upside the head with a toolbox anywhere in the galaxy but here, you'd probably be pretty concerned for them.

Mister Sandman
Mechanically speaking, there's no real benefit to being unconscious during surgery. Weird how insistent this doctor is about using the N2O anyway though, huh?

WHAT JUST HAPPENED
As a blood cultist, be part of a team that summons 3 shuttle curses within 10 seconds. Imagine cleaning up after them, g r o s s!