The Adult Swim Games Skin Pack was released without any associating episode or possibly alongside of Ep 47: Apocalypse Ow!. It can be bought for 99 cents in the Customization store.
- Meteor - turns into Amateur Surgeon Cutter
- Dodo Bird - turns into Reginald Starfire Dodo
- Doodler - turns into Mr. Shigoto Doodler
- T-Rex Egg - turns into Tommy G Egg
- Coconut - turns into Cut Out Heart
- Outhouse - turns into Condo Stack Outhouse
- Spear - turns into Amateur Scalpel
- Volcano - turns into Boat Head Volcano
- Sand Island Statue - turns into Lord Ferocious (A Monster Ate My Condo), Robot Unicorn (Robot Unicorn Attack, Alan Probe (Amateur Surgeon)
- Underwater Statue - turns into Fat Lady Statue
- Moon - turns into Robot Unicorn Star
- Shark - turns into Geisha Finger Shark
- The Pygmies have a cameo in Amateur Surgeon 3 in exchange for this.
- This is the first skin pack to contain blood and gore.