Initially, the Disturbed slot machine had five reels and 256 chances to win in a 4x2x4x2x4 configuration. Landing three, four, or five matching symbols from left to right, beginning on the leftmost reel (reel 1), results in winning combos. The value of the symbol in the paytable multiplied by the number of ways to win the symbol is how wins are determined.
The rusty tools that Dr. Death uses, including as stethoscopes, scalpels, hand drills, bedpans, and medicine kits, are symbols for lower values on the reels. Blood sacks, biohazard trash bins, patients Mr. Facelift and Ms. Happ, and the notorious Dr. Death (Dr. D. Eath) are some of the higher value symbols. The most lucrative symbol is Dr. Death, which pays out at 0.5, 2, or 10 times the wager for combinations of 3, 4, or 5.
The four Enhancer Cells are used to activate special symbols. First, all paying symbols can be replaced by the Pill Bottle Wild symbol. The xWays, Mr. Split/xSplit Wild, Gravestones, and Disturber are some other symbols.
On reel 3, keep an eye out for the Mrs. Nudge symbol. A woman inside a bin bag represents it. Every time the Mrs. Nudge sign nudges to become completely visible, the win multiplier increases by one.
The locations of the Enhancer Cells are at the top and bottom of reels 2 and 4. Up to four Enhancer Cells can be seen lighted up on each spin.
When three or more Dr. Death ID Card Scatter symbols land anywhere on a base game spin, the Pre-Ops Spins bonus is activated. You can get 12, 15, or 20 free spins when you land 3, 4, or 5 scatters.
When you land 3, 4, or 5 Dr. Death ID Card Scatter symbols with all Enhancer Cells lighted, the Annihilation Spins feature is triggered. You'll receive 12, 15, or 20 bonus spins if you land 3, 4, or 5 scatters, respectively.
The Angel of Death feature is activated if four lighted gravestones land next to a stacked Dr. Death symbol on reel three. This results in Six Feet Under, which implies you will receive a good amount of prize.