A Complete Vorax Surgical Preparation How-To!

Vorax Surgical Preparation: Key Points

• Collect Vorax vials by defeating the large red monsters that appear on maps. Vials are used to enter Surgical Preparation; starting a run costs 12.
• If you’ve already completed a surgery and want to start another, you must abandon the current preparation to exit the mechanic. Abandoning a run forfeits the vials spent on it, so decide whether to fight or restart before leaving.
• A preparation has 13 rounds: 10 rounds of card choices, followed by three opportunities to adjust difficulty. The goal is to build monster groups with enough activity and quantity to reach better rewards. A group’s total activity is calculated as activity × quantity.
• The monster archetypes mentioned include pests, patrol guards, heretical scholars, and emberons. Cards and surgical instruments interact with these types in different ways, so check their effects and symbols before choosing.

Building a Stronger Run

• Surgical instruments are persistent bonuses, separate from the regular round cards. They can provide powerful effects when their conditions are met—for example, adding quantity when you have multiple pest groups or adding activity when a rare or boss group is present.
• Instruments become available as you reach activity milestones. The video highlights 8,000 and 20,000 as important targets for gaining more options.
• Add, mutate, and fuse carefully:
  • Adding monsters may trigger bonuses tied to your instruments.
  • Mutating can change a group’s archetype while retaining or improving its activity and quantity.
  • Fusing combines selected groups’ activity or quantity into a new group. Fuse high-value groups when doing so supports your build.
• Before taking a card that removes or transforms groups, check whether it could eliminate a monster type that your instruments depend on.
• If none of the offered cards are useful, rerolling is an option. Prioritize improving whichever groups are lagging in activity or quantity, and take advantage of effects that boost multiple groups.
• Don’t automatically raise monster rarity. Elites, rares, and bosses can increase the challenge substantially; choose higher difficulty only if your character’s damage and defenses can handle it.

Fighting the Surgery and Claiming Rewards

• The combat encounter has three phases, with later phases bringing more ground hazards and elite monsters. Watch your position and avoid standing on spikes and other dangerous ground effects.
• Completing the fight can add reward progress and experience beyond what the preparation cards provided. The selected difficulty can also contribute to extra progress.
• Even a run that falls short of the best reward tier can still provide worthwhile loot, so the video recommends using your vials rather than letting them accumulate unused.

Featured gamer/source: Cliptis (video creator). Bing 2 is mentioned as a build the creator played in a previous season.