The fate of likely Republican presidential nominee Donald Trump is now (virtually) in your hands, thanks to Surgeon Simulator.

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The Donald Trump stage is part of the launch for Surgeon Simulator: Anniversary Edition, which comes with updated graphics, new environments, additional achievements, stat tracking, and more.

There are two ways to get access to Trump’s surgical table:

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  1. If you own Surgeon Simulator, upgrade to the Anniversary Edition ($3)
  2. If you don’t own Surgeon Simulator, buy the Anniversary Edition ($13)

The developers are also keeping track of whether people give Trump a gold-plated heart or one made of stone. So far, stone hearts are winning.