It’s the Insides That Count turns alien surgery into chaotic co-op comedy
It’s the Insides That Count is an upcoming PC co-op surgery game that asks a simple question: what happens when four poorly trained aliens try to operate on a human and somehow keep them alive?
Developed and published by Cracked Cannoli, the game puts players in charge of a bizarre medical procedure where teamwork, panic, and questionable decision-making all collide. The patient is suspended in the operating room, and each alien has a specific job to perform. One player scans the body for dangerous attachment points, another mixes strange compounds using eight different reagents, a third keeps the patient stable, and the fourth handles the laser.
Of course, nothing about this operation is simple. Organs need to be removed, inspected, and placed back somewhere close to where they belong. The scanner helps reveal which connections are safe to cut and which ones could trigger bleeding or far worse consequences. If something goes wrong, players may need to improvise with unusual materials, such as hull sealant, to stop the damage before the patient’s condition spirals out of control.
The real fun comes from how quickly the situation can fall apart. The alien crew’s tractor beam has destabilized the human specimen’s DNA, meaning new organs and limbs can suddenly start growing in the middle of surgery. As if that were not enough, space hazards like asteroid fields and solar flares can shake the entire operating room, turning a delicate medical task into a frantic scramble to avoid disaster.
It’s the Insides That Count clearly leans into the same kind of physics-based comedy that made absurd surgery games so memorable, but its role-based design gives the chaos a more cooperative twist. Players are not just flailing around with tools; they are trying to interpret strange instructions, communicate under pressure, and trust that their teammates know what they are doing. Naturally, they probably do not.
The game supports both solo play and online co-op for up to four players, making it suitable for anyone who wants to test their multitasking skills or destroy friendships through alien medical malpractice. Cracked Cannoli has not yet announced a release date, but the Steam page is available for wishlisting.
For fans of chaotic co-op games, physics-based comedy, and ridiculous sci-fi surgery scenarios, It’s the Insides That Count looks like a messy, unpredictable, and hilarious PC game to keep an eye on.
