A soulless rehash of the other three amateur surgeon games with an awful upgrade system, abhorrent partner system, and the most tedious progression imaginable

MICROTRANSACTIONS

this is one of those games that you cannot find a second person who actually knows what the fuck this is (especially now that its been taken off the app stores and the in game shop servers shut down) but if you can find a save file for things like maxed equipment/partners just so you can play through the full thing its actually fairly solid