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

Blood-Drunk Miners Killed
You've killed HOW many?

Bosses Killed
You've killed HOW many?

Blood-drunk Miner Killer
I guess he couldn't handle his drink that well.

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

Getting an upgrade
Make your first unique material item!

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.

KKKiiilll mmmeee
You were a little too ambitious, but hey, I guess you're still alive?

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?