I could not pass the Randy Marsh abortion mini game. Part 1- a little tricky but doable. Part 2- just use the joystick ( no button mashing). Part 3- impossible as the on screen prompts do not appear telling you when to move the joystick, so Randy keeps dying.
TURN ON THE TEXT CAPTIONS IN OPTIONS.
Part 3- on screens prompt appear, and while a little tricky it can be solved.
I was ready to quit the game after 30 failures with no prompts.
Once the on screen prompts appeared solved it after the 2nd try.