The game is packaged in a lime green box depicting the blue version of Fred operating on a green patient lying on the table, with blue electric sparks referencing the game's buzzer. The game's title is written in dark-green letters on the side of the box.
The game's board is yellow with a blue border. The board depicts a pink female fish with metal holes containing plastic ailments.
During Sandy's turn, she pulls a card saying to remove the fin bone from the player to the left. She puts Squidward down while he explains that he is an octopus, and therefore doesn't have a fin bone. It it then revealed that she is pulling a toy from the game.