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In some scenes, it is easy to miss that there are multiple pathways to other places. Swapping mouse buttons of the auto help from left to right does seem to help at least a bit. This clunkiness manifests itself as unresponsiveness when performing an action or just plain badly done navigation.

Though this all might be down to ScummVM. If there's one problem with the game, it is, that the UI does feel a bit clunky. There are no inventory combination puzzles, only looking, using or giving an item. From there you can also access the inventory, where you can examine or use items. You control Holmes with a mouse and choose the desired verbs from a verb menu. The game plays very much like an early '90s Lucasfilm game. In short, it does feel like you are on a genuine investigation. Talking to people is important and at times, you have to examine the scenes thoroughly in order to unlock certain conversation options. All of the puzzles can be solved by exploring the scenes, investigating evidence and clues you find. Unlike many other adventure games from the early '90s, The Case of the Serrated Scalpel is refreshingly logical. After interviewing the witnesses and searching the crime scene, Holmes and Watson head out to the streets of London to track down a brutal killer, whose motives at this point are unclear. While they are clearly made with a sharp knife, there is a noticeable serration in them as well, like if the scalpel had a serrated blade. The biggest clue Holmes finds to point to another culprit is the wounds found from the victim. In fact, Lestrade of Scotland Yard is convinced that the Whitechapel slasher has expanded his territory and is ready to close the case, but still lets Holmes, who disagrees, dig deeper into the case. A young actress is a victim of a brutal murder, reminiscent of the infamous Jack the Ripper. Like most detective stories, the Case of the Serrated Scalpel begins with a murder. One of the entries to sleuthing games was The Case of the Serrated Scalpel, published by Electronic Arts. Long before Frogwares Games started their own line of Sherlock Holmes titles, the great detective had either inspired or starred in several different games, ranging from text games to FMV adventures. The Lost Files of Sherlock Holmes: The Case of the Serrated Scalpel (1992), written by Eric Lindstrom, based on the characters created by Arthur Conan Doyle, developed by Mythos Software, published by Electronic Arts

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