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Each step alone doesn't seem that bad yeah, but all together I would say its hard to get as you have to roll the correct event twice, kill two bosses, and be able to perform the surgery. Although I usually play on "Losing is fun" so my perspective might be a bit off.
I do see your point, if there are any suggestions that I might be able to implement that balance it better, I'm definitely open to them. I'm just not very good at making mods yet so don't expect too much.
@Endersaiyan
I'm having trouble deciding because having downsides that happen randomly I find not very fun, I'll look into spawning something on death but no promises. I would rather change how hard it is to acquire but my issue is that if I make it too difficult and/or endgame there's basically no point as you've had to do everything there is to do before you get it, and you don't get to enjoy progression with the buff.
Any suggestions people have about this would be appreciated.