Enter Surgeon Simulator: the video game that places the fate of likely Republican presidential nominee Donald Trump is now (virtually) in your hands.

The game allows you to operate on Trump in a surgical room. The Trump level launched for Surgeon Simulator: Anniversary Edition this week, which comes with updated graphics, new environments, additional achievements, stat tracking, and more compared to previous versions.

The players perform various tasks that a surgeon would do in a hospital on Trump. The developers are also keeping track of whether people give Trump a gold-plated heart or one made of stone when doing a heart transplant. So far, stone hearts are winning (so play the game and vote gold!). The video trailer can be watched below:

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Surgeon Simulator Trailer: