Surgeries that are done without anesthetic or painkillers now have a chance to cause extra damage

code/__DEFINES/traits.dm

@@ -221,6 +221,7 @@ Remember to update _globalvars/traits.dm if you're adding/removing/renaming trai
 #define TRAIT_ABDUCTOR_TRAINING "abductor-training"
 #define TRAIT_ABDUCTOR_SCIENTIST_TRAINING "abductor-scientist-training"
 #define TRAIT_SURGEON "surgeon"
+#define TRAIT_SURGERY_PREPARED "surgery_prepared"
 #define TRAIT_STRONG_GRABBER "strong_grabber"
 #define TRAIT_MAGIC_CHOKE "magic_choke"
 #define TRAIT_SOOTHED_THROAT "soothed-throat"

code/datums/brain_damage/special.dm

@@ -234,11 +234,13 @@
 /datum/brain_trauma/special/tenacity/on_gain()
 	ADD_TRAIT(owner, TRAIT_NOSOFTCRIT, TRAUMA_TRAIT)
 	ADD_TRAIT(owner, TRAIT_NOHARDCRIT, TRAUMA_TRAIT)
+	ADD_TRAIT(owner, TRAIT_SURGERY_PREPARED, TRAUMA_TRAIT)
 	..()
 
 /datum/brain_trauma/special/tenacity/on_lose()
 	REMOVE_TRAIT(owner, TRAIT_NOSOFTCRIT, TRAUMA_TRAIT)
 	REMOVE_TRAIT(owner, TRAIT_NOHARDCRIT, TRAUMA_TRAIT)
+	REMOVE_TRAIT(owner, TRAIT_SURGERY_PREPARED, TRAUMA_TRAIT)
 	..()
 
 /datum/brain_trauma/special/death_whispers

code/modules/reagents/chemistry/reagents/medicine_reagents.dm

@@ -400,10 +400,15 @@
 				to_chat(M, "<span class='danger'>You feel your wounds fade away to nothing!</span>" )
 	..()
 
+/datum/reagent/medicine/mine_salve/on_mob_metabolize(mob/living/L)
+	..()
+	ADD_TRAIT(L, TRAIT_SURGERY_PREPARED, type)
+
 /datum/reagent/medicine/mine_salve/on_mob_end_metabolize(mob/living/M)
 	if(iscarbon(M))
 		var/mob/living/carbon/N = M
 		N.hal_screwyhud = SCREWYHUD_NONE
+	REMOVE_TRAIT(M, TRAIT_SURGERY_PREPARED, type)
 	..()
 
 /datum/reagent/medicine/synthflesh
@@ -753,9 +758,11 @@
 /datum/reagent/medicine/morphine/on_mob_metabolize(mob/living/L)
 	..()
 	L.add_movespeed_mod_immunities(type, /datum/movespeed_modifier/damage_slowdown)
+	ADD_TRAIT(L, TRAIT_SURGERY_PREPARED, type)
 
 /datum/reagent/medicine/morphine/on_mob_end_metabolize(mob/living/L)
 	L.remove_movespeed_mod_immunities(type, /datum/movespeed_modifier/damage_slowdown)
+	REMOVE_TRAIT(L, TRAIT_SURGERY_PREPARED, type)
 	..()
 
 /datum/reagent/medicine/morphine/on_mob_life(mob/living/carbon/M)

code/modules/reagents/reagent_containers/borghydro.dm

@@ -26,7 +26,7 @@ Borg Hypospray
 	var/bypass_protection = 0 //If the hypospray can go through armor or thick material
 
 	var/list/datum/reagents/reagent_list = list()
-	var/list/reagent_ids = list(/datum/reagent/medicine/dexalin, /datum/reagent/medicine/kelotane, /datum/reagent/medicine/bicaridine, /datum/reagent/medicine/antitoxin, /datum/reagent/medicine/epinephrine, /datum/reagent/medicine/spaceacillin, /datum/reagent/medicine/salglu_solution)
+	var/list/reagent_ids = list(/datum/reagent/medicine/dexalin, /datum/reagent/medicine/kelotane, /datum/reagent/medicine/bicaridine, /datum/reagent/medicine/antitoxin, /datum/reagent/medicine/epinephrine, /datum/reagent/medicine/spaceacillin, /datum/reagent/medicine/salglu_solution, /datum/reagent/medicine/morphine)
 	var/accepts_reagent_upgrades = TRUE //If upgrades can increase number of reagents dispensed.
 	var/list/modes = list() //Basically the inverse of reagent_ids. Instead of having numbers as "keys" and strings as values it has strings as keys and numbers as values.
 								//Used as list for input() in shakers.

code/modules/surgery/bone_repair.dm

@@ -20,6 +20,7 @@
 		TOOL_WRENCH = 40)
 	preop_sound = 'sound/surgery/bone1.ogg'
 	success_sound = 'sound/surgery/bone3.ogg'
+	fuckup_damage = 20 //meowzers
 
 /datum/surgery_step/set_bone/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	if(target_zone == BODY_ZONE_HEAD)

code/modules/surgery/brain_surgery.dm

@@ -24,6 +24,7 @@
 	success_sound = 'sound/surgery/hemostat1.ogg'
 	failure_sound = 'sound/surgery/organ2.ogg'
 	experience_given = 0 // per_trauma
+	fuckup_damage = 20
 
 /datum/surgery/brain_surgery/can_start(mob/user, mob/living/carbon/target)
 	var/obj/item/organ/brain/B = target.getorganslot(ORGAN_SLOT_BRAIN)

code/modules/surgery/coronary_bypass.dm

@@ -28,6 +28,7 @@
 	preop_sound = 'sound/surgery/scalpel1.ogg'
 	success_sound = 'sound/surgery/scalpel2.ogg'
 	failure_sound = 'sound/surgery/organ2.ogg'
+	fuckup_damage = 20
 
 /datum/surgery_step/incise_heart/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to make an incision in [target]'s heart...</span>",
@@ -69,6 +70,7 @@
 	success_sound = 'sound/surgery/hemostat1.ogg'
 	failure_sound = 'sound/surgery/organ2.ogg'
 	experience_given = MEDICAL_SKILL_ORGAN_FIX
+	fuckup_damage = 20
 
 /datum/surgery_step/coronary_bypass/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to graft a bypass onto [target]'s heart...</span>",

code/modules/surgery/gastrectomy.dm

@@ -29,6 +29,7 @@
 		/obj/item/shard = 10)
 	time = 52
 	experience_given = (MEDICAL_SKILL_ORGAN_FIX*0.8) //for consistency across organ surgeries
+	fuckup_damage = 15
 
 /datum/surgery_step/gastrectomy/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to cut out a damaged piece of [target]'s stomach...</span>",

code/modules/surgery/healing.dm

@@ -35,6 +35,7 @@
 	var/brutehealing = 0
 	var/burnhealing = 0
 	var/missinghpbonus = 0 //heals an extra point of damager per X missing damage of type (burn damage for burn healing, brute for brute). Smaller Number = More Healing!
+	fuckup_damage = 0 //When the reckoning is not postponed indefinitely
 
 /datum/surgery_step/heal/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	var/woundtype

code/modules/surgery/hepatectomy.dm

@@ -28,6 +28,7 @@
 		/obj/item/shard = 25)
 	time = 52
 	experience_given = (MEDICAL_SKILL_ORGAN_FIX*0.8) //repeatable so not as much xp
+	fuckup_damage = 20
 
 /datum/surgery_step/hepatectomy/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to cut out a damaged peice of [target]'s liver...</span>",

code/modules/surgery/lobectomy.dm

@@ -30,6 +30,7 @@
 	success_sound = 'sound/surgery/organ1.ogg'
 	failure_sound = 'sound/surgery/organ2.ogg'
 	experience_given = MEDICAL_SKILL_ORGAN_FIX
+	fuckup_damage = 20
 
 /datum/surgery_step/lobectomy/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to make an incision in [target]'s lungs...</span>",

code/modules/surgery/organic_steps.dm

@@ -124,6 +124,7 @@
 	time = 2.4 SECONDS
 	preop_sound = 'sound/surgery/cautery1.ogg'
 	success_sound = 'sound/surgery/cautery2.ogg'
+	fuckup_damage_type = BURN
 
 /datum/surgery_step/close/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to mend the incision in [target]'s [parse_zone(target_zone)]...</span>",
@@ -166,6 +167,7 @@
 		/obj/item = 'sound/surgery/scalpel1.ogg',
 	)
 	success_sound = 'sound/surgery/bone3.ogg'
+	fuckup_damage = 20
 
 /datum/surgery_step/saw/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to saw through the bone in [target]'s [parse_zone(target_zone)]...</span>",
@@ -203,6 +205,7 @@
 		TOOL_SCREWDRIVER = 33,
 		/obj/item/kitchen/spoon = 4.13) //i made this as awful as possible.
 	time = 30
+	fuckup_damage = 15
 
 /datum/surgery_step/drill/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)
 	display_results(user, target, "<span class='notice'>You begin to drill into the bone in [target]'s [parse_zone(target_zone)]...</span>",

code/modules/surgery/organs/lungs.dm

@@ -231,8 +231,10 @@
 			if(prob(20))
 				H.emote(pick("giggle", "laugh"))
 				SEND_SIGNAL(owner, COMSIG_ADD_MOOD_EVENT, "chemical_euphoria", /datum/mood_event/chemical_euphoria)
+				ADD_TRAIT(owner, TRAIT_SURGERY_PREPARED, GAS_NITROUS)
 		else
 			SEND_SIGNAL(owner, COMSIG_CLEAR_MOOD_EVENT, "chemical_euphoria")
+			REMOVE_TRAIT(owner, TRAIT_SURGERY_PREPARED, GAS_NITROUS)
 
 
 	// BZ

code/modules/surgery/remove_embedded_object.dm

@@ -8,6 +8,7 @@
 	time = 32
 	accept_hand = 1
 	experience_given = MEDICAL_SKILL_MEDIUM
+	fuckup_damage = 0 // unrealistic but the alternatives are yanking the thing out or waiting for it to fall out which are both less intensive
 	var/obj/item/bodypart/L = null
 
 /datum/surgery_step/remove_object/preop(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery)

code/modules/surgery/surgery_step.dm

@@ -1,3 +1,6 @@
+#define SURGERY_FUCKUP_CHANCE 50
+#define SURGERY_DRUNK_MOD 50
+
 /datum/surgery_step
 	var/name
 	/// What tools can be used in this surgery, format is path = probability of success.
@@ -16,6 +19,11 @@
 	var/list/chems_needed = list()
 	/// If *chems_needed* requires all chems in the list or one chem in the list.
 	var/require_all_chems = TRUE
+	/// Base damage dealt on a surgery being done without anesthetics on SURGERY_FUCKUP_CHANCE percent chance
+	var/fuckup_damage = 10
+	/// Damage type fuckup_damage is dealt as
+	var/fuckup_damage_type = BRUTE
+	/// If cyborgs autopass success chance
 	var/silicons_obey_prob = FALSE
 	/// Sound played when the step is started
 	var/preop_sound
@@ -116,8 +124,15 @@
 			if(failure(user, target, target_zone, tool, surgery, fail_prob))
 				play_failure_sound(user, target, target_zone, tool, surgery)
 				advance = TRUE
-			if(chem_check_result)
-				return .(user, target, target_zone, tool, surgery, try_to_fail) //automatically re-attempt if failed for reason other than lack of required chemical
+		if(!HAS_TRAIT(target, TRAIT_SURGERY_PREPARED) && target.stat != DEAD && !IS_IN_STASIS(target) && fuckup_damage) //not under the effects of anaesthetics or a strong painkiller
+			if(!HAS_TRAIT(user, TRAIT_SURGEON)) // The patient needs more mouse bites
+				var/obj/item/bodypart/operated_bodypart = target.get_bodypart(target_zone) ? target.get_bodypart(target_zone) : target.get_bodypart(BODY_ZONE_CHEST)
+				if(operated_bodypart?.bodytype & BODYPART_ORGANIC) //robot limbs are built to be opened and stuff
+					commit_malpractice(user, target, target_zone, tool, surgery, advance)
+
+		if(chem_check_result && !advance)
+			return .(user, target, target_zone, tool, surgery, try_to_fail) //automatically re-attempt if failed for reason other than lack of required chemical
+
 		if(advance && !repeatable)
 			surgery.status++
 			if(surgery.status > surgery.steps.len)
@@ -225,10 +240,29 @@
 			chems += chemname
 	return english_list(chems, and_text = require_all_chems ? " and " : " or ")
 
-//Replaces visible_message during operations so only people looking over the surgeon can tell what they're doing, allowing for shenanigans.
+/// Replaces visible_message during operations so only people looking over the surgeon can tell what they're doing, allowing for shenanigans.
 /datum/surgery_step/proc/display_results(mob/user, mob/living/carbon/target, self_message, detailed_message, vague_message, target_detailed = FALSE)
 	var/list/detailed_mobs = get_hearers_in_view(1, user) //Only the surgeon and people looking over his shoulder can see the operation clearly
 	if(!target_detailed)
 		detailed_mobs -= target //The patient can't see well what's going on, unless it's something like getting cut
 	user.visible_message(detailed_message, self_message, vision_distance = 1, ignored_mobs = target_detailed ? null : target)
 	user.visible_message(vague_message, "", ignored_mobs = detailed_mobs)
+
+/// Lacking anesthetic, a surgery has a chance to cause Complications, which this handles
+/datum/surgery_step/proc/commit_malpractice(mob/user, mob/living/carbon/target, target_zone, obj/item/tool, datum/surgery/surgery, success)
+	var/ouchie_mod = 1
+	ouchie_mod *= clamp(1-target.drunkenness/SURGERY_DRUNK_MOD, 0, 1) //Drunkenness up to 50% (points? idk) will improve chances of avoiding horrible pain and suffering
+	if(target.stat == UNCONSCIOUS) //Being "normally" asleep (or getting choked out) will SLIGHTLY improve your chances since it's intuitive behavior barring access to anything else
+		ouchie_mod *= 0.8
+	if(!success) //Failing the surgery increases the chance of causing harm significantly
+		ouchie_mod *= 1.5
+	var/final_ouchie_chance = SURGERY_FUCKUP_CHANCE * ouchie_mod
+	if(!prob(final_ouchie_chance))
+		return
+	. = TRUE
+	user.visible_message("<span class='boldwarning'>[target] flinches, bumping [user]'s [tool ? tool.name : "hand"] into something important!</span>", "<span class='boldwarning'>[target]  flinches, bumping your [tool ? tool.name : "hand"] into something important!</span>")
+	target.apply_damage(fuckup_damage, fuckup_damage_type, target_zone)
+	if(istype(target) && fuckup_damage_type == BRUTE)
+		var/obj/item/bodypart/BP = target.get_bodypart(check_zone(surgery.location))
+		if(BP)
+			BP.adjust_bleeding(min(fuckup_damage * BLOOD_LOSS_DAMAGE_BASE, BLOOD_LOSS_DAMAGE_MAXIMUM)) //Increased bleeding because you are getting stabbed on the inside