Thunderful, Headup, and Team Meat have announced Dr. Fetus' Mean Meat Machine, a spin-off game that takes place within the Super Meat Boy universe. It'll come to PC, PS4, PS5, Nintendo Switch, Xbox One, and Xbox Series X|S in 2023.

Dr. Fetus' Mean Meat Machine is a Puyo Puyo and Tetris-like puzzle game that includes traps like chainsaws, missiles, and other deadly hazards into the fray from Dr. Fetus. It features familiar levels from the Super Meat Boy and Super Meat Boy Forever locations, as well as over 100 hand-crafted levels for players to take on and beat.

The events of Dr. Fetus' Mean Meat Machine take place right after those in Super Meat Boy Forever. He has collected a DNA sample of Meat Boy and wants to make clones of him, but since the sample isn't perfect, the clones come out less than ideal. Through his levels and traps, Dr. Fetus will do away with the imperfect Meat Boy clones until he finds the perfect one.