Given these considerations, here is a general approach to creating or using a guide for enhancing gameplay in "Tower of Trample" or similar games with Cheat Engine:
How to target for stat boost items The steps to save your Cheat Engine table for future use Which bosses are most susceptible to stat manipulation tower of trample cheat engine better
The game will actively slow down, giving you ample time to perfectly react to prompts and avoid losing health. Given these considerations, here is a general approach