The update to Surgeon Simulator by the British games designer Bossa Studios was released on to the online gaming platform Steam.
Players win the game by successfully giving the 69-year- old presumptive Republican presidential nominee a heart transplant, but they can also apply makeup, or add some Trump vodka, or Trump steak during the procedure.
Of the 23,195 'operations' carried out so far, only 5,460 have been successful. Unfortunately for Trump supporters, his avatar died the remaining 17,735 times, BBC reported.
"We have had 6,000 'votes' so far. 2,500 gold hearts versus 3,500 stone hearts and over the past 24 hours it has remained a fairly constant 40/60 split," he said.
"Since our initial launch of Surgeon Simulator in 2013, this Donald Trump update has been our most popular so far," Earl said.
"It's been exciting to start with Trump," Earl said, "but we haven't yet made any decision on whether or not to include other politicians such as Hillary Clinton or Bernie Sanders.'
In February, a Swedish advertising agency released TrumpDonald.Org where members of the public could blow Donald Trump's hair off with a trumpet. Four months later, more than 124 million 'Trumps' have been blown.
The Democratic candidate Bernie Sanders was featured in a video arcade game on his re-election campaign website while running for the Senate in 2006.
The 74-year-old flies a by-plane while trying to avoid obstacles such as 'The Extreme Right Wing' and 'Mud Slingers'.
The game does not feature on his Presidential campaign site, but is archived online.
In 2005 she lead a legislative campaign to have violent video games banned.