Mods / Very Tough

• Ffizzd (Hafiz Azman) - Supraventricular Tachycardia but every cue changes the speed by 1.5xby PopEetTooYahCole is a caffeholic105 downloadsupdated 3 y ago
• FFrums - dropdead/ETERNALLLLby 76561199108833378my first rhythm doctor level i called this level ETERNALLLL cus i liked the name and wanted to put it in a level but i also liked the song name so i put both in96 downloadsupdated 3 y ago
• Ffizzd (Hafiz Azman) - Classy EX(night)by 76561198366732059患者：サムライ、不眠症の武士、ローガン、スティーヴンソン夫人、フクロウ、リチャード・ヒュー、ヘイリー、オカメインコ ペイジの書き置き：多数の患者の容態を観察しよう。患者の体調はまったく異なるので並行して一度に治療する必要がありそうだ。93 downloadsupdated 3 y ago
• KKey After Key - Ready or notby 76561199188841202Ready or not~ HERE I COME!92 downloadsupdated 10 mo ago
• VVane - Six Feet Underby 76561199066203362hey intern, wanna hear a joke?88 downloadsupdated 10 mo ago
• Ffizzd - Samurai Techno but there's 8 patients and its very hardby PolentaWarning: Loud sounds I dont know what i can do anymore so i did this lol87 downloadsupdated 4 y ago
• NNekoStix - Azaria///Second - Trial by Glacierby NekoStixThe second track of the Azaria Series. This track was made with vocals in mind first, and i wanted to share it with everyone as best as i could. the first track will be made into a level eventually.86 downloadsupdated 3 y ago
• 原原口沙輔 (Haraguchi Sasuke) - 医学 (イガク)by 7656119974198997686 downloadsupdated 10 mo ago
• Ffizzd (Hafiz Azman) - Supraventricular Tachycardiaby 76561198750068750Supraventricular Tachycardia but very harder two button83 downloadsupdated 7 mo ago
• VVince Kaichan - Rollerdisco Rumble EXby 76561198366732059患者：鉱夫、ヘイリー、コール・ブリュー、サムライ、リチャード・ヒュー イアンの書き置き：コールが車内で音楽をかけている。鉱夫を治療しよう。83 downloadsupdated 3 y ago
• FFrums - Optionsby 76561198970201643IMPOSSIBLE TO S+83 downloadsupdated 2 y ago
• TThe ruiner of story mode - The first level but I ruined itby 76561199468758487I recomend Doing with the easy buttom and on 2Player but the chose is yours82 downloadsupdated 13 mo ago
• Ffizzd (Hafiz Azman) - Thanks For Playing My Gameby 7656119907672078380 downloadsupdated 3 y ago
• Ffizzd - Samurai Technoby 76561198882839372*My first level* Did you think the samurai was easy well here's a level for you. With constantly changing tempos and a noobie level creator this beat is simply hard to get the timing of. Overall pretty bad but hey give it a try anyways.75 downloadsupdated 4 y ago
• Ffizzd & riya - Boss Fightby 76561199639693748马克居然有两个心脏分裂成四个轨道！你能做到的，实习生75 downloadsupdated 5 mo ago
• FFrums - Wavetapper（但疑似自制2026愚人节谱）by SHIHANYIYOU这个谱会出现很多的偏移、对不上节奏和很难读谱的画面。所以把它看成一个自己出的节奏医生未来2026年的愚人节谱，最后祝你玩的愉快。75 downloadsupdated 11 mo ago
• Ll'avenir proche (432pro) - heptagrammeby 7656119916486644473 downloadsupdated 11 mo ago
• WWaterflame - The Race Around The Worldby 76561199442168741they do be racing tho72 downloadsupdated 3 y ago
• FFrums - CreditsEXby 76561199225909117Hugh is having a heart GENEVA CONVENTION71 downloadsupdated 3 y ago
• Ffizzd (Hafiz Azman) - classyby 7656119947821916067 downloadsupdated 3 y ago
• Ffizzd - Samurai Techno but spamby 7656119916398496965 downloadsupdated 4 y ago
• TTobu - Higherby 76561199782246182为马克的五拍子量身定做的音乐。我尝试用到的不规则单发拍子真的很神奇。(新人制谱，如有不足还请多多包涵！)希望你能在这个关卡玩得开心。64 downloadsupdated 9 mo ago
• LLollipop - calming patterns to soothe the mindby 76561199094975927a really calm piano song with a regular gimmick[<color=blue>citation needed</color>] also before you'll play this level, make sure to find two keys for P1 and two keys for P2. if not then you will regret it. 4k classybeat created by Purple Croc, everything else by me61 downloadsupdated 19 mo ago
• FFLAVOR FOLEY - Human FT. SF-82 MIKIby 76561199000764400Always waiting... This is the third out of three of my first levels Hope you enjoy!58 downloadsupdated 9 mo ago
• HHeaven Pierce Her (Hakita) - Dead Heat Pulse (A Heart of Cold)by 76561199063641377Treat Mr. and Mrs. Stevenson While fighting off the heat56 downloadsupdated 8 mo ago
• SShirobon - Sonderby 7656119947051900055 downloadsupdated 21 mo ago
• Ffizzd - samurai technoby 7656119923417476354 downloadsupdated 4 y ago
• NNightHawk22 - Isolationby 76561198966830238FOCUS Hi, this level has been updated a lot. This most recent one (3/1) changes some of the charting to be more sensical and makes the scoring less harsh. Also updated to Very Tough Difficulty)54 downloadsupdated 8 mo ago
• FFrums - Credits EXby 7656119927085016454 downloadsupdated 3 y ago
• MMYUKKE. - FULi AUTO BUSTERby 76561199664334525这里没有繁杂的场景与闪烁的特效，只有那响亮的节奏等待着你的挑战。 (注意：请最好打过一遍《“响亮节奏综合症”简单教学》关卡再来挑战此关卡。)52 downloadsupdated 7 mo ago
• 11980woodpixie - PANDEMONIUM!!!by 7656119839853983250 downloadsupdated 4 y ago
• Ffizzd - Samurai Techno but not samurai or technoby 7656119907714655148 downloadsupdated 4 y ago
• Aanswearingmachine - It Goby 76561199180876974If You Are Bad At Rhythm Doctor, Yeah Good Luck Trying This. I Bet You Can't Get S Rank On This.48 downloadsupdated 10 mo ago
• SSe-U-Ra - Chaos-Rybdisby 76561198954748325"Are we too late already...?" == Special Thanks == Filry : VFX Help46 downloadsupdated 10 mo ago
• Ffizzd (Hafiz Azman) - Super battleworm inssomniac but even glithierby 76561199241545134Sound warning46 downloadsupdated 3 y ago
• Ffizzd (Hafiz Azman) - All the timesby 7656119947821916045 downloadsupdated 3 y ago
• NNightHawk22 - Isolationby 76561199521525206If you played any of the Geometry Dash LIMBO levels, then you might enjoy this one.44 downloadsupdated 6 mo ago
• SSoup Time - Gravity Of My Realityby 76561198422264182This was supposed to be a level I finish later, but I really wanted to play with act 5 mechanics, so I made this song to showcase them! Dedicated 2P mode charted like 5-2N43 downloadsupdated 3 y ago
• GGezebelle Gaburgably - Quarter Pounderby 76561198855850911tw: flashing lights, eyestrain43 downloadsupdated 2 y ago
• BBljak1 - Insomnical Erradicationby 76561199027897665Poor Insomniac... He probably has the most deadly virus. Doesn't help the fact that it has not been resolved yet.43 downloadsupdated 2 y ago
• HHeaven Pierce Her (Hakita) - Pandemoniumby 76561199066203362FOLLOW PROTOCOL DO NOT APPROACH IT DO NOT LET IT LOOK AT YOU STAY VIGILANT AND MOST IMPORTANTLY h a v e f u n !42 downloadsupdated 6 mo ago
• Ffizzd (Hafiz Azman) - DistatantDuet EX(night)by 76561198366732059患者：スティーブンヴンソン夫人、フクロウ ペイジの書き置き：ムクドリに房室ブロックの症状が出ている。注意しながら治療しよう。41 downloadsupdated 3 y ago
• RRhythm Doctor OST - 1-X - Battleworn insomniac but its a boss rushby 76561199642570897tuns out if a patient used to have connectifia abortus vitus cursus is stronger...40 downloadsupdated 9 mo ago
• 77th Beat Games - sndOrientalTechnoby 76561199223748732This is a hard challenge level, see if you can beat it (2P reccomended)38 downloadsupdated 2 y ago
• Mmeganeko - POSSESION SEASON 2 PART 1by 76561199188841202well i made it,if u wanna go in hard mode you will have to go in 2P31 downloadsupdated 3 y ago

141 very tough mods, most downloaded first. Each one has its own page here with what it needs to run and where its author publishes it; the files themselves stay with the author and are never re-hosted on this site.