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* EpicRocking: "Dreams Don't Stop", the fifth boss song, is more than six minutes long.



* FlatWhat: In 5-X, "Dreams Don't Stop", [[spoiler:Lucky's reaction to Samurai asking him to teach him how to play baseball is "wait what" with no capitalization or punctuation]].



* TrainingMontage: "Dreams Don't Stop", the Chapter 5 boss, has one part showing [[spoiler:Lucky teaching the Middlesea Hospital patients how to play baseball and training them into competent athletes, which pays off when they win the game against the University]].

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* TrainingMontage: "Dreams Don't Stop", the Chapter 5 boss, has one part showing [[spoiler:Lucky teaching the Middlesea Hospital patients how to play baseball and training them into competent athletes, which with Samurai hitting home runs, playing Beans Hopper, and "jogging", or rather rolling, with Lucky, (with other patients joining them as they're recruited to the team). This pays off when they win the game against the University]].

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* OminousVisualGlitch: A recurring theme, relating to the fact that you're operating a remote connection that may be disrupted.



* OminousVisualGlitch: A recurring theme, relating to the fact that you're operating a remote connection that may be disrupted.


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* PhlebotinumOverdose: It is revealed in act 5 that [[spoiler:the connectifia abortus virus may be a side effect of the Rhythm Doctor treatment itself.]]

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* OminousVisualGlitch: A recurring theme, relating to the fact that you're operating a remote connection that may be disrupted.


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* OminousVisualGlitch: A recurring theme, relating to the fact that you're operating a remote connection that may be disrupted.


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* NonStandardGameOver: In most stages, you are given a rank at the end of the song, with B or greater being required to advance to the next stage, therefore anything less can be considered a failure. Boss stages, however, are not ranked. Your patient instead has a health meter, and you will instantly fail the song if this meter runs out.
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* BookEnds: At least in the first early access build, [[spoiler:the Insomniac is both the first and final boss]].

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* BookEnds: At least in the The first early access build, build ended at act 4, meaning [[spoiler:the Insomniac is was both the first and final boss]].boss at that time]].
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* NotThatKindOfDoctor: Ada and Ian begin running into this problem with increasing frequency due to the hospital's staff being slashed to the bone. It especially becomes an issue in Act 5, where they have to service the Physiotherapy ward, despite neither of them being qualified PT's and the Rhythm Doctor machine having a negligible-at-best effect on such injuries. Sure enough, the treatment in this chapter is used mostly to regular the patient's stress-induced arrhythmia as he struggles with the fact his busted shoulder won't heal in time to save his budding baseball career.

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* NotThatKindOfDoctor: Ada and Ian begin running into this problem with increasing frequency due to the hospital's staff being slashed to the bone. It especially becomes an issue in Act 5, where they have to service the Physiotherapy ward, despite neither of them being qualified PT's and the Rhythm Doctor machine having a negligible-at-best effect on such injuries. Sure enough, the treatment in this chapter is used mostly to regular regulate the patient's stress-induced arrhythmia as he struggles with the fact his busted shoulder won't heal in time to save his budding baseball career.
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* NotThatKindOfDoctor: Ada and Ian begin running into this problem with increasing frequency due to the hospital's staff being slashed to the bone. It especially becomes an issue in Act 5, where they have to service the Physiotherapy ward, despite neither of them being qualified PT's and the Rhythm Doctor machine having a negligible-at-best effect on such injuries. Sure enough, the treatment in this chapter is used mostly to regular the patient's stress-induced arrhythmia as he struggles with the fact his busted shoulder won't heal in time to save his budding baseball career.
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** In Act 5, Dr. Edega is openly pushing for the Rhythm Doctor treatment to be used as a MagicalDefebrillator, insisting to Lucky that it's a miracle cure while foisting the actual details on Ian. Ian's insistence that Edega's promises are dangerous, irresponsible, and also physically impossible doesn't appear to faze him.

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** In Act 5, Dr. Edega is openly pushing for the Rhythm Doctor treatment to be used as a MagicalDefebrillator, MagicalDefibrillator, insisting to Lucky that it's a miracle cure while foisting the actual details on Ian. Ian's insistence that Edega's promises are dangerous, irresponsible, and also physically impossible doesn't appear to faze him.

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* MeanBoss: Dr. Edega almost constantly hounds Ian and Ada so that they don't take unsolicited breaks, and uses the Rhythm Doctor program as a crutch to avoid hiring more employees, leaving everyone stressed out.

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** In Act 5, Dr. Edega is openly pushing for the Rhythm Doctor treatment to be used as a MagicalDefebrillator, insisting to Lucky that it's a miracle cure while foisting the actual details on Ian. Ian's insistence that Edega's promises are dangerous, irresponsible, and also physically impossible doesn't appear to faze him.
* MeanBoss: Dr. Edega almost constantly hounds Ian and Ada so that they don't take unsolicited breaks, and uses the Rhythm Doctor program as a crutch to avoid hiring more employees, leaving everyone stressed out. Later begins pushing the program as an outright miracle cure, which the other doctors worry will result in ineffective or even harmful treatments.
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* GimmickLevel: The boss levels have the gimmick of a LifeMeter that instantly ends the level if you miss too many notes, but more importantly pile on loads of InterfaceScrew:
** The first boss, "Battleworn Insomniac", introduces a signal-jamming virus which causes {{Ominous Visual Glitch}}es, static, and skipping/looping audio.
** The second boss, "All The Times", [[spoiler:has the game window shrink itself, then move around your monitor]].
** The third boss, "One Shift More", averts this, as its gimmick is simply that it's a MusicalEpisode mainly from Dr. Paige's perspective.
** The fourth boss, "Super Battleworn Insomniac", is a DarkReprise of the first boss with the added twist of [[spoiler:falling into UncommonTime while ramping up the InterfaceScrew to extreme levels]].
** The fifth boss, "Dreams Don't Stop", combines the gimmicks of the first and second levels and adds in [[spoiler:the game window changing in shape and size throughout the song]].


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* LifeMeter: Boss levels differ from normal songs in that there's a life meter, which instantly causes a game over if it empties, forcing you to restart the song. Most of them also have a second life meter representing the virus' strength, but this is mostly for show as it's not possible to finish the song without that meter getting empty.
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* CareerEndingInjury: Maximo "Lucky" Jonronero, a baseball player, has a {{downplayed|trope}} case in that he tore his rotator cuff. While it's possible for him to make a full recovery, this would take months of physical therapy, and spending this much time not playing would seriously set his career back. As such, he is desperate for a miracle cure, which Dr. Edega offers him. [[spoiler:However, in the end, he turns it down, realizing that while he'll likely never become the star player he nearly was, he can definitely become a great ''coach'' when he whips the Middlesea Hospital patients into a talented team of amateur baseball players.]]


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* TrainingMontage: "Dreams Don't Stop", the Chapter 5 boss, has one part showing [[spoiler:Lucky teaching the Middlesea Hospital patients how to play baseball and training them into competent athletes, which pays off when they win the game against the University]].
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Up To Eleven is a disambiguation; word cruft


** The early boss level "Battleworn Insomniac" has no real changes to one's input timings, unlike any other level in the game... but becomes severely chopped-and-screwed due to the patient's connectifia abortus infection damaging the wi-fi. [[spoiler:"Super Battleworn Insomniac" dials it up to eleven with not only more glitches, but a grueling 7/8 time signature represented by the patient's heart ''having a fragment broken off''.]]

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** The early boss level "Battleworn Insomniac" has no real changes to one's input timings, unlike any other level in the game... but becomes severely chopped-and-screwed due to the patient's connectifia abortus infection damaging the wi-fi. [[spoiler:"Super Battleworn Insomniac" dials it up to eleven with has not only more glitches, but a grueling 7/8 time signature represented by the patient's heart ''having a fragment broken off''.]]



** [[spoiler:The night shift version of the first boss goes [[UpToEleven even further]] with its glitching, to the point of making even the stage intro glitch out.]]

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** [[spoiler:The night shift version of the first boss goes [[UpToEleven even further]] further with its glitching, to the point of making even the stage intro glitch out.]]
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sorry


** "Worn Out Tapes" is a collaboration with upcoming game ''VideoGame/Unbeatable'', featuring a collection of patients from the game and set to the titular song composed for it.

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** "Worn Out Tapes" is a collaboration with upcoming game ''VideoGame/Unbeatable'', ''{{VideoGame/Unbeatable}}'', featuring a collection of patients from the game and set to the titular song composed for it.



** "Meet & Tweet" is a reference to ''VideoGame/BitsAndBops'', in which the blue wren from that game's minigame of the same name meets the canary from this game. It borrows the minigame's song for the level, as well as its gimmick of ShowDontTell speech bubbles depicting stories the birds are telling each other.

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** "Meet & Tweet" is a reference to ''VideoGame/BitsAndBops'', in which the blue wren from that game's minigame of the same name meets the canary cockatiel from this game. It borrows the minigame's song for the level, as well as its gimmick of ShowDontTell speech bubbles depicting stories the birds are telling each other.

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* {{Crossover}}: One of the minigames is largely a reference to ''VideoGame/BitsAndBops'', in which the birds from that game's minigame "Meet & Tweet" meet the bird from this game. It borrows the minigame's song for the level, as well as its gimmick of ShowDontTell speech bubbles depicting stories the birds are telling each other.

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* {{Crossover}}: One The game has a handful of optional levels based on other rhythm games, marked as "Collaboration" on the level select.
** "Worn Out Tapes" is a collaboration with upcoming game ''VideoGame/Unbeatable'', featuring a collection of patients from the game and set to the titular song composed for it.
** ''VideoGame/MuseDash'' gets three stages for an optional mini-act, where you treat Rin, Buro, and Marija to the tunes of Blackest Luxury Car, tape/stop/night, and The 90's Decision. This crossover was also the first appearance
of the minigames "multi" SVT beats that would later be formally introduced in Act 5.
** "Meet & Tweet"
is largely a reference to ''VideoGame/BitsAndBops'', in which the birds blue wren from that game's minigame "Meet & Tweet" meet of the bird same name meets the canary from this game. It borrows the minigame's song for the level, as well as its gimmick of ShowDontTell speech bubbles depicting stories the birds are telling each other.
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sorry


* Leitmotif: The central guitar riff for 1-2 "Intimate" becomes representative of Logan and Hailey as a whole, notably appearing later in 4-4N, "Murmurs", when the two characters become involved in the song.

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* Leitmotif: {{Leitmotif}}: The central guitar riff for 1-2 "Intimate" becomes representative of Logan and Hailey as a whole, notably appearing later in 4-4N, "Murmurs", when the two characters become involved in the song.

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* DreamTellsYouToWakeUp: [[spoiler:In the latter half of Lucky Break, after the midway intermission reveals the level to be a dream and begins to take a turn for the nightmarish, the scoreboard flashes "WAKE UP" a couple times among the [[OminousVisualGlitch garbled symbols]] it displays.]]



* TheFaceless: Dr. Edega is always seen with his face buried in a clipboard, never showing what he looks like.

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* TheFaceless: Dr. Edega is always seen with his face buried in a clipboard, or from the back, never showing what he looks like.



** The effect present in 2-X also reappears in a more extreme form during 5-X, where it [[spoiler:goes as far as ''resizing'' the window as it moves around]], as well as during 4-1N.



* Leitmotif: The central guitar riff for 1-2 "Intimate" becomes representative of Logan and Hailey as a whole, notably appearing later in 4-4N, "Murmurs", when the two characters become involved in the song.



* MagicalDefibrillator: Subverted. Although your defibrillator helps with the abnormal heart rhythms caused by Cole and Nicole's caffeine and cigarette addictions, it's only a stopgap solution: it's mentioned that the problem needs to be solved at its root for their addictions to go away. The game's premise is based on managing clearly dysfunctional heart rhythms, and mismanagement will mangle hearts regardless of defibrillator use.

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* MagicalDefibrillator: Subverted. Although your defibrillator helps with the abnormal heart rhythms caused by Cole and Nicole's caffeine and cigarette addictions, the patients' various ailments, it's only a stopgap solution: it's mentioned that the problem needs to be solved at its root for their addictions the condition to go away.fully subside (for example, Cole's caffeine addiction). The game's premise is based on managing clearly dysfunctional heart rhythms, and mismanagement will mangle hearts regardless of defibrillator use.



* OminousVisualGlitch: About halfway through "Battleworn Insomniac", the patient is confirmed to have connectifia abortus which apparently [[InterfaceScrew causes your visual (and sometimes, audio) signals to become glitched]]. [[spoiler:"Super Battleworn Insomniac" takes this up to eleven with the ''intro screen'' undergoing InterfaceScrew from the get-go. It only gets worse from there.]]
** Expect this wherever connectifia abortus goes. Even on the pad showing the intro notes for a level where it interferes, it will occasionally glitch out to a test screen.

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* OminousVisualGlitch: About halfway through "Battleworn Insomniac", A recurring theme, relating to the patient fact that you're operating a remote connection that may be disrupted.
** This
is confirmed to have connectifia abortus which apparently the central gimmick of the first "boss" level, Battleworn Insomniac: Despite being a consistent 7th-beat pattern all the way through, a [[ArtisticLicenseBiology wifi-hampering virus]] named "''Connectifia abortis''" begins [[InterfaceScrew causes causing the visuals and audio of the stage to glitch]] while you must keep the beat in your visual (and sometimes, audio) signals to become glitched]]. [[spoiler:"Super Battleworn Insomniac" takes this up to eleven head. The virus later reappears during the boss levels of Act 2 and Act 5.
** [[spoiler:The night shift version of the first boss goes [[UpToEleven even further]]
with its glitching, to the ''intro screen'' undergoing InterfaceScrew from point of making even the get-go. It only gets worse from there.stage intro glitch out.]]
** Expect this wherever connectifia abortus goes. Even on In an example unrelated to explicit technical issues, "Lucky Break" begins to digitally break down after [[spoiler:the reveal that the pad showing the intro notes for a level where it interferes, it will occasionally glitch out to is a test screen.dream]].



* OneSteveLimit: Lampshaded. Both the tutorial character and one of the patients later in the game are named Hugh. The latter does not like this, and demands that the former change his name.

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* OneSteveLimit: Lampshaded. Both the tutorial character and one of the patients later in the game are named Hugh.Hugh (the former by first name, and the latter by last name). The latter does not like this, and demands that the former change his name.



* SuddenlyVoiced: "One Shift More", as part of being a sudden musical number, switches from textboxes to voiced lyrics for the doctors.

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* SuddenlyVoiced: SuddenlyVoiced:
**
"One Shift More", as part of being a sudden musical number, switches from textboxes to voiced lyrics for the doctors.doctors, as well as Mr. and Mrs. Stevenson.
** "One Slip Too Late" provides singing voices for Logan and Hailey as they briefly appear in the song.



* TriumphantReprise: The final Act 7 song uses parts of "One Shift More" to once again take the patients' perspective, but this time it's used to show that they ''don't mind'' not getting treatment immediately because they know how hard the rhythm doctors are working for them. The rest of the song carries a positive tone, with the patients appreciating all they do.

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* TriumphantReprise: The final Act 7 song credits song, "Helping Hands", uses parts of "One Shift More" to once again take the patients' perspective, but this time it's used to show that they ''don't mind'' not getting treatment immediately because they know how hard the rhythm doctors are working for them. The rest of the song carries a positive tone, with the patients appreciating all they do.
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* {{Crossover}}: One of the minigames is largely a reference to ''VideoGame/BitsAndBops'', in which the birds from that game's minigame "Meet & Tweet" meet the bird from this game. It borrows the minigame's song for the level, as well as its gimmick of ShowDontTell speech bubbles depicting stories the birds are telling each other.

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* MostWritersAreWriters: Cole's alternate song, "i wish i could care less", is basically about him trying and failing to get back into regularly composing music presented in musical form. The song also shows him going through computer files filled with tracks and failed songs.



* MostWritersAreWriters: Cole's alternate song, "i wish i could care less", is basically about him trying and failing to get back into regularly composing music presented in musical form. The song also shows him going through computer files filled with tracks and failed songs.
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* MustHaveNicotine: Nicole often smokes on the job, and even smokes ''on the hospital floor''.



* MustHaveNicotine: Nicole often smokes on the job, and even smokes ''on the hospital floor''.
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The spider's still there in-universe; it's just hidden by a doctor's hand


* AdjustableCensorship: In one tutorial, it is possible to abort the summoning of a spider to scare a patient by pressing the spacebar twice when prompted, in case the player is arachnophobic.

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* AdjustableCensorship: In one tutorial, it is possible to abort the summoning of hide a summoned spider to scare a patient by pressing the spacebar twice when prompted, in case the player is arachnophobic.
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* WorkInfoTitle: The first stage's song, "Samurai Techno" and its night shift version, "Samurai Dubstep" are named after their genres.

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* WorkInfoTitle: The first stage's song, "Samurai Techno" and its night shift version, "Samurai Dubstep" are named after their genres.genres.
----
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* TriumphantReprise: The final Act 7 song uses parts of "One Shift More" to once again take the patients' perspective, but this time it's used to show that they ''don't mind'' not getting treatment immediately because they know how hard the rhythm doctors are working for them. The rest of the song carries a positive tone, with the patients appreciating all they do.

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* LoveEpiphany: There seems to be one in the Act 2 boss stage, since Cole sprints out of his room once he realizes that we wants to know Nicole better and accept her as his muse. The end of the song even shows a big heart in the electrocardiogram just as he finally reaches her cafe.



* MeanBoss: Dr. Edega almost constantly hounds Ian and Ada so that they don't take unsolicited breaks, and uses the rhythm doctor program as a crutch to avoid hiring more employees, leaving everyone stressed out.

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* MeanBoss: Dr. Edega almost constantly hounds Ian and Ada so that they don't take unsolicited breaks, and uses the rhythm doctor Rhythm Doctor program as a crutch to avoid hiring more employees, leaving everyone stressed out.
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None


* MostWritersAreWriters: Cole's alternate song, "Write More, Care Less", is basically about him trying and failing to get back into regularly composing music presented in musical form. The song also shows him going trough computer files filled with tracks and failed songs.

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* MostWritersAreWriters: Cole's alternate song, "Write More, Care Less", "i wish i could care less", is basically about him trying and failing to get back into regularly composing music presented in musical form. The song also shows him going trough through computer files filled with tracks and failed songs.
Is there an issue? Send a MessageReason:
None

Added DiffLines:

* MostWritersAreWriters: Cole's alternate song, "Write More, Care Less", is basically about him trying and failing to get back into regularly composing music presented in musical form. The song also shows him going trough computer files filled with tracks and failed songs.


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* TranslatedCoverVersion: Some songs will be available in an English and a Chinese version. Most of these sounds will show up after Act 2 starts.
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Up To Eleven is a defunct trope


** The early boss level "Battleworn Insomniac" has no real changes to one's input timings, unlike any other level in the game... but becomes severely chopped-and-screwed due to the patient's connectifia abortus infection damaging the wi-fi. [[spoiler:"Super Battleworn Insomniac" dials it UpToEleven with not only more glitches, but a grueling 7/8 time signature represented by the patient's heart ''having a fragment broken off''.]]

to:

** The early boss level "Battleworn Insomniac" has no real changes to one's input timings, unlike any other level in the game... but becomes severely chopped-and-screwed due to the patient's connectifia abortus infection damaging the wi-fi. [[spoiler:"Super Battleworn Insomniac" dials it UpToEleven up to eleven with not only more glitches, but a grueling 7/8 time signature represented by the patient's heart ''having a fragment broken off''.]]



* OminousVisualGlitch: About halfway through "Battleworn Insomniac", the patient is confirmed to have connectifia abortus which apparently [[InterfaceScrew causes your visual (and sometimes, audio) signals to become glitched]]. [[spoiler:"Super Battleworn Insomniac" takes this UpToEleven with the ''intro screen'' undergoing InterfaceScrew from the get-go. It only gets worse from there.]]

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* OminousVisualGlitch: About halfway through "Battleworn Insomniac", the patient is confirmed to have connectifia abortus which apparently [[InterfaceScrew causes your visual (and sometimes, audio) signals to become glitched]]. [[spoiler:"Super Battleworn Insomniac" takes this UpToEleven up to eleven with the ''intro screen'' undergoing InterfaceScrew from the get-go. It only gets worse from there.]]

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* AdjustableCensorship: In one tutorial, it is possible to abort the summoning of a spider to scare a patient by pressing the spacebar twice when prompted, in case the player is arachnophobic.



* MustHaveCaffeine: Cole, one of the two main patients of Act 2, is dependent on coffee to be able to produce his music.

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* MustHaveCaffeine: Cole, one of the two main patients of Act 2, is dependent on coffee to be able to produce his music. This does a number on his heart, and is the main reason he's in need of care.


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** Expect this wherever connectifia abortus goes. Even on the pad showing the intro notes for a level where it interferes, it will occasionally glitch out to a test screen.


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* PlayerNudge: At the end of "One Shift More", there's a note that doesn't have a timing, and the player can hit it at any time...but in case a player waits for an additional prompt for too long, Richard Hugh will pop up and goad them to just press the button and get on with it.
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Fixed spoiler tags


* GratuitousPanning: In [[2-X, "All The Times", as the window moves around the screen, the music also pans from speaker to speaker.]]

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* GratuitousPanning: In [[2-X, [[spoiler:2-X, "All The Times", as the window moves around the screen, the music also pans from speaker to speaker.]]
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Added new trope: Gratuitious Panning

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* GratuitousPanning: In [[2-X, "All The Times", as the window moves around the screen, the music also pans from speaker to speaker.]]
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* HateSink: Richard Hugh is sleazy ungrateful bastard that cuts the doctors pay … while still expecting them to help him.
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"Bomb-Sniffing Pomeranian" is the night shift version of stage 2-3, not 2-4


* ShoutOut: The night shift version of stage 2-4, "Bomb-Sniffing Pomeranian", has Cole and Nicole playing a fighting game that is strongly implied to be ''VideoGame/SuperSmashBros''.

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* ShoutOut: The night shift version of stage 2-4, 2-3, "Bomb-Sniffing Pomeranian", has Cole and Nicole playing a fighting game that is strongly implied to be ''VideoGame/SuperSmashBros''.

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