There is not much in the way of hand holding in the game as many situations can be passed more easily once the payer understands the ins and outs of the game. Things like a green serum not being explained that it helps with a patient bleeding will only be discovered through trial and error, which in the end is rewarding to finally learn all of the mechanics of the game.
In the game the player controls the movements, rotation, raised/lowered stated of the surgeons hand as well as each finger separately. It's purposefully difficult to control the movements of the hand well. The difficulty of controlling actions creates lots of opportunities for slapstick.
Each situation that the player takes part in is varied in looks and tasks, ranging from making coffee to mowing the lawn, the gameplay stays fresh throughout the whole game thanks to the differences found in each section.
The premise of the game allows for many humorous situations in where an octopus is trying to hide in a human world. An outlandish story that sees the main character get into many different every day situations that would normally be mundane made pretty hilarious due to the situation at hand, hide in plain site.
Coming in at $4.99 there is actually quite a few modes of play as well as local multiplayer, not to mention a character editor. For the price there is actually a good bit to do in the game making for a nice amount of longevity.