With an already difficult task at hand, developer Bossa Studios has taken their clumsy Surgeon Simulator 2013 into the depths of space (thanks Polygon), this time adding some zero-gravity to the mix just to see how well you can extract that kidney.

The new update features not just the zero-gravity missions tasking you with brain and kidney surgery, but also offers up 18 new space-based achievements and a alternate-reality game called Codename: Trisha that is sure to offer some very interesting secrets. If you are stumped for ideas the Steam community is gaining progress on cracking the mysteries but be warned, it may spoil the fun.

Surgeon Simulator 2013 is available for PC, Linux and Mac at a $9.99 price tag.