You might want to try spawning in a synthetic heart in dev mode, and see if the surgery pops up, because that would mean the items on the ground not the actual surgery are the problem.
I tested myself, as expected it's some sort of mod incompatibility as I can install the synthetic heart fine. If you want yeastus I can put here my mod list but I have no idea how to copy it. So I may have an incompatibility here (I will try to find it on my mod list). However, the two purple organs I put on the floor are my two synthetic hearts and they have the vanilla icons, not the one with organs. You can see that I have several organs (grey for natural, purple for synthetic), with the organ icon visible (lung and liver on this case) If you look on the right side of the picture, at my organ storage room. Originally posted by Neothardus:I however I found something weird when taking the picture. If not on commitment, just make a separate save to test in. If on commitment mode, duplicate your save in your files and give the test save a new name. If you wish you can send the mod list here and I'd be fine looking over it, though I can't guarantee I will look over it and be able to identify possible culprit mods with the same accuracy as you.Īs for testing, to have no chance to screw up your save, make a save separate from your current one to test on. Anything that affects surgeries, medical in general, so on, try disabling that mod and loading a test save to see if the heart becomes transplant-able. If no solution is presented, I would look through your mod list. With the synthetic heart, you should be able to install it regardless, as it is an improvement from the normal heart. Make sure if you do this, when you make the colonist to test on that they have some sort of heart problem (you can force one onto them with dev mode), because AFAIK the heart transplant option will not show if there is no problem with the original heart.
I recommend duplicating your save and attempting to replace the heart of a human colonist, as if this is successful you now know the cause. You did say the colonist you were trying on wasn't human. If install heart is grayed out, you should be able to hover over it and it should say "need better medicine" or something akin to that if a different requirement isn't met. Also, check grayed out surgeries, because you may possibly need better medicine. In vanilla, as Astasia said, no research is required for installing a heart. I'm not well versed in EPOE research tree so I can't be sure. On the research end, I'm not sure, you should look over the research tree for EPOE.
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