Yeah everything online states that you are to kill him before he can actually perform the surgery attack on you with a surgical implement which he is supposed to get from his nurses. You have to actually be in combat for this achievement to happen. I checked my combat log and there was never a time he performed that skill because I kept his nurses dead and hammered him with Karlach and Gale. Karlach with her barbarian rage and double attack and Gale with fireballs. Astarion provided ranged support with sneak attack damage and my main just hit him with magic missiles.
Still won't pop up for some reason.
Last edited by hlee11; 28/12/23 11:33 PM.