"...nuttin' like a good clear-out to work up an appetite!"

Known Operations




Initial Heart Rate

60 BPM; 50 BPM (AS1, Act 1; Act 3)
80 BPM (AS2 CF)
60 BPM; 81 BPM; 88 BPM (AS4, lvl 09; lvl 69; lvl 82)

Time Limit

6:39; 2:39 (AS1, Act 1; Act 3)
3:29 (AS2 CF)
4:05; 3:10; 0:50 (AS4, lvl 09; lvl 69; lvl 82)

Junkyard Guts, whose real name is Gus, is a recurring patient throughout the Amateur Surgeon series. He appears in Act 1 and Act 3 of Amateur Surgeon, reappears as a patient in Amateur Surgeon 2: Circus Freak-Out, and is the 9th, 69th, and 82nd patient in Amateur Surgeon 4: Re-Generations.

Amateur Surgeon Edit

Guts appears during Alan's early training of surgery. He complains that he can no longer eat due to being full of "food", where he proceeds to show the inside of his mouth. Although disgusted by Guts, Alan uses this as an opportunity to wield his newly earned chainsaw. With it he is able to explore the innards past Guts' ribs, where he extracts various amounts of metal material. After clearing the junk out of him, Alan quickly bids Guts farewell so he can move on to his next patient.

Later on, after Alan and Bleed have saved the Crime Boss and his henchman, Guts enters into the operating room. He claims to have eaten a peculiar tasting sandwich, which was given to him by a "real pretty" girl. As Guts opens his mouth, a ticking sound can be heard, which is revealed to belong to a bomb when he is cut open. Thankfully with Alan's steady hands and Dr. Bleed's quick thinking, they were able to partially defuse it, removing it from Guts' insides.

Alan's Description Edit

Act 1 Edit

The patient owns a junkyard where he appears to act both as a custodian and some kind of food disposal unit. Excess iron, copper, and other metals have been established in the patient's diet, causing great discomfort and a large quantity of gas, apparently. Scan patient to discover the source of the problem, operate and then explain the difference between a sandwich and a lump of metal.

Guts loves food

Guts' wonderful appetite

Act 3 Edit

At a time when there is a crazy person running around attacking and poisoning people, Guts has eaten an unidentified sandwich presented to him by a stranger...brilliant. The patient is ticking. It COULD be his healthy heartbeat though, right? Right, doc?

No, Alan, it's a bomb. -DR. Bleed

Open him up and find a way to defuse the situation, or we're going to be seeing Guts everywhere we look.

Oh, Alan.....That really is in poor taste! -DR. Bleed

Amateur Surgeon 2: Circus Freak-Out Edit

During his adventure through the circus, Alan follows Mileena Lamia in hopes of finding out who had sent him the distress note. There she introduces him and Bradley to the "Man-Eating Chicken", a man in a chicken suit literally eating pieces of chicken. After removing the various objects and chicken stuck inside his body, the man is revealed to be Guts. He explains to Alan that he was the sender of the note, hoping to receive help for him and his fellow circus-goers from Alan.

Alan's Description Edit

This patient seems...familiar? His act doesn't seem remarkable enough to warrant a place in the circus, however.

Appearance and Personality Edit

Guts appears as an obese man with grey hair and a stubble. In Amateur Surgeon, he wore a blue jumpsuit with a nametag and a matching cap. Later on in Circus Freak-Out, his hair has turned white as he's shown wearing a brown chicken suit. Guts displays a chummy demeanor and has a huge love for food. He's almost always shown holding a food item in his hand. He can be a bit dimwitted since he'll eat anything given to him whether if it's edible or not.


Amateur Surgeon Edit

Act 1 Edit

Guts act 1

Guts' pre-op for Act 1

Here the player will have use the Chainsaw to cut out his ribs. When removed, the player must extract the little bone as normal, then use the etchy sketch to find the hidden magnet. After the player finds and extracts the magnet, it will cause a bunch of metal to appear, which must be extracted as well. Then the player will have patch up the wounds as normal, including the wound from the magnet. After that, all that is needed is to put the ribs back in place with the lighter and gel.

  • In AS4, all the bone and metal pieces, along with the magnet, are already exposed, so use of the scanner is not neccessary.

Act 3 Edit

Guts act 3

Pre-op for Act 3

There's a whole lot of food covering the bomb inside Guts. Due to this, the player must use the tongs to lift up and remove them. In AS, the player will have to use the etchy sketch to find the correct order to cut the wires with the pizza cutter (this was changed in AS4, where the numbers are not only exposed, but the game will literally tell the player which wire they need to cut, which requires the chainsaw). After the wires are cut, the pins must be removed with the tongs, where the player will then be able to burn the fuses after all of them are removed. The player must use the lighter in a rubbing motion to burn the fuses, which are all marked with "3A". When all fuses are burnt, the player will be taken back to close up Guts.

  • This surgery can put a bunch of pressure on the player in AS4 due to the very short time limit. If the player is nervous about that, they might want to use Professor Rippov or Procrastibot 3000 to help save some time.

Amateur Surgeon 2: Circus Freak-Out Edit

Circus freaks man-eating chicken

Guts' pre-op from AS CF

When making the first incision inside Guts, you'll find four objects sticking out from underneath the flesh. However they cannot be extracted until you enter in and slice off the flesh stuck on the end of the objects. When clear of all objects and wounds, you'll be able to cut in deeper into his intestines to find...more objects! Extract and patch up, then cut open his large intestine, where a whole bunch of chicken pieces await to be extracted. However, it's not over yet, for there are 4 hidden objects you'll need to find with the scanner and slice out to extract them. They'll leave behind poison you'll need to suck up with the syringe and vacuum up(absent in AS4.) Afterward Guts can be closed up.

Levels Dialogue Edit



Before Surgery Edit

Guts: I'm Gus, but folks call me "Guts". I run the junkyard downtown - body disposals and whatnot...

Alan: Car bodies? Or...

Alan: Never mind!

Guts: I feel terrible! I can't eats no more! Glaaaaargh!

Guts: See what I means? Can you guys take a look-see?

Alan: (shudder)

After Surgery Edit

Guts: Ahhh... Dat's better! And there's nuttin' like a good clear-out to work up an appetite! T'anks, fellas!

Alan: Well, that was disgusting! Goodbye now, Guts!


Before Surgery Edit

Guts: Doc... Thanks goodness youse are here!

Guts: I think I ate something really bad!

Guts: I means, a girl stopped by and gave me a sandwich! She was real pretty... I ate it in kind of a hurry. But it tasted like metal! And now...

Guts: *tick tick tick*

Alan: Oh wow... I hope that's a clock!

After Surgery Edit

Guts: A bomb? Oh yowzers - so I was nearly blowed up?

Alan: Yes. *shudder*. But don't touch it! We didn't quite manage to defuse it completely!

Girl: So you've done it again, have you?

Girl: Fixed some worthless lowlife criminal?

Guts: You! Youse was at the junkyard! You tried to kill me! You're crazy!

Girl: I'm not crazy!

Bleed: Aureola...

Aureola: What? How do you know my name?

Aureola: Who are you?

*Guts leaves the Building*

Bleed: You don't recognize me, child? Well, maybe that's understandable. I am somewhat gone to ruin...

Bleed: I am the man you're looking for. I was the surgeon who operated on your parents.

Bleed: I am sorry they died.

Bleed: I understand you mean to take your vengeance. I must admit... I have thought about ending it myself.

Bleed: In fact, not too long ago I deliberately stepped out in front of a pizza van! If it weren't for this extraordinary young man Here... Well...

Aureola: Dr. Bleed?

Bleed: ...yes.

Aureola: Oh doctor! I thought... But it's not you I'm looking for!

Aureola: IT'S HIM!


Before Surgery Edit

Alan: Wow! Look at this place! What's with all the police tape?

Mileena: There have been some... issues, recently. The Ringmaster has been a little off his game...

Mileena: First 'High Dave' our high diver plunged to his death. Then 'Cannon Paul', the human cannon ball was-

Alan: Shot into a wall, by any chance?

Mileena: Now our Man Eating Chicken seems to have been poisoned - or something...

Alan: An ACTUAL man-eating chicken?! Does it have large talons?

Mileena: No. But he DOES smell terrible.

Mileena: Here he is. I imagine your disappointment will be palpable.

Guts: GRrrrrooooaaannn...

Alan: ...

Alan: BOOOOO! That's the worst visual joke I ever saw!

Mileena: Yes. It was the Ringmaster's idea. But if you fix him up, he may be able to tell you more.

Alan: Heh! So, if I crack his ass-bone, do you think I'll have a wish come true?

Mileena: ...are you even a real surgeon?

After Surgery Edit

Guts: Ahhhh, 'tanks youse guys!

Alan: So, what's with the chicken suit? And what can you tell me about this note?

Guts: The ringmaster put me in the suit. He said I was a big chicken.

Mileena: Actually, he said that you were a 'massive co-'

Alan: Right, yes! And the note?

Guts: I sent it! I remembered you from years ago! It's me - Guts! You fixed me up years ago, back in the warehouse!

Guts: I ate a bomb?

Alan: I... My word! Yes!

Guts: A lot of the guys here need patching up - but the Ringmaster isn't letting anyone in to help!

Guts: And anyone who tries ends up... well - just look at the police tape!

Alan: Well, if there are weirdos who need my help... Just show me the way!

Trivia Edit

  • In the Frostbite Freakout event in Amateur Surgeon 4, while named "Festive Guts", his power is similar to Filthy Nowe in terms of providing the player extra coins and shiny objects (while stuffed into a fruitcake, then the cake falls apart into slices) inside the patient.


Patients in Amateur Surgeon

Act 1

Dr. Ignacious BleedTommy GracefulsRoadkill CletusInsurance Fraud ClaudeTrent CoatJunkyard GutsLumbar JackEddy the DogMeatsack JackHorrace

Act 2

Officer BrutalityVince BlownapartValerieEdgar StubbingtonDonny DebonairStinkin' Joe GarbageBugeater PeterKarl PuccinoAnimalEddy the Dog

Act 3

Trent CoatBugeater PeterCrime Boss & Ivan HenchmanJunkyard GutsAureolaDr. Ignacious BleedHorrace

Secret Files

Bio-Utility MechanoidStupormanDeLirium
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