"Mr. Mickey, hello."
Power Lamp Surgery is a rare event that can occur when entering a Nightmare Orb randomly found within the Nightmare.
Instead of combat, players assume the role of Mickey, a medical 'expert' with the unique ability to perform precise surgeries on lamps.
After introducing themselves to the Lampshade, Mickey appears in a small room filled with a few Rat Tokens, many lamps, and a toaster that allows them to leave if they feel they are unable to succeed.
In order for Mickey to successfully to complete the surgery, they must retrieve the correct lamp, avoiding as many of the fake ones as possible. There is no known way to tell the real lamp from the fake ones.
When Mickey attempts to collect up a fake lamp, it explodes dealing a large amount of damage (affected by Armor) before leaving flaming residue for a short time, which can further damage the doctor if they do not back away afterwards.
Upon finding the correct one, the Power Lamp is added to Mickey's inventory, and the surgery is finished allowing them to leave satisfied. Trying to collect any more lamps is pointless as it will only result in taking more damage.
Without any armor or healing methods, it is very likely Mickey will fail the task and be forced to quit the surgery or risk an early retirement.