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* MaximumHPReduction: Several operations or circumstances can reduce your patient's maximum Vitals.
** If Savato's larvae are allowed to combine into a larger blue one, the presence of that will reduce maximum vitals until it's destroyed.
** Operation X-6 in ''Second Opinion'' [[ArbitraryMissionRestriction caps the patient's vitals to 50 with no in-universe justification]], ensuring that the player can only divide Paraskevi once before having to stabilize the patient.
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* AdaptationDeviation: While ''Second Opinion'' mainly follows the story of ''Under the Knife'', it has some significant differences:
** Applying membranes no longer requires you to massage them into the tissue; once you apply the gel, it's set in.
** Triti no longer requires cutting them out with the scalpel.
** Resuscitating patients is now done with [[MagicalDefibrillator (artistic use of) a defibrillator]], rather than massaging the heart.
** The bomb in the bomb-defusal "operation" is completely different, designed to take advantage of the Wii Remote and Nunchuk's motion sensors.
** The original Chapter 6 is [[AdaptationDistillation compressed down to a cutscene]] in order to make way for an entirely new chapter.
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* ArtisticLicenseMedicine: Naturally, since [[RuleOfFun this is a video game, not a training tool for aspiring real-life surgeons]]. You'd have to be really lucky to come out of an O.R. with debilitating tumors, viruses, or lacerations treated in less than five or even ten minutes.

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* ArtisticLicenseMedicine: Naturally, since [[RuleOfFun this is a video game, not a training tool for aspiring real-life surgeons]]. You'd have to be really lucky to come out of an O.R. with debilitating tumors, viruses, or lacerations treated in less than five or even ten minutes.minutes; even "minor" surgeries take at least 30 minutes.
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** ...Sort of. In one mission of ''Under The Knife'' / ''Second Opinion'', Derek has to perform an operation on an airplane. There's a gimmick where the plane flies into turbulence occasionally, and if you do anything while the plane is shaking, a laceration appears. So why is this here? Pretty much because that if you use the Ultrasound, a laceration still appears. The freaking ULTRASOUND.

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** ...Sort of. In one mission of ''Under The Knife'' / ''Second Opinion'', Derek has to perform an operation on an airplane. There's a gimmick where the plane flies into turbulence occasionally, and if you do anything while the plane is shaking, a laceration appears. So why is this here? Pretty much because that if you use the Ultrasound, a laceration still appears. The freaking ULTRASOUND.



* DivingSave: [[spoiler:Little Guy tackles Naomi when the bombs strapped to a suspect goes off.]]

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* DivingSave: [[spoiler:Little Guy tackles Naomi when the bombs strapped to a suspect goes go off.]]



* EvilIsNotAToy: In the 6th chapter of ''Second Opinion'', Nozomi expresses this sentiment about [[spoiler:The Z-Cells, which are derived from Adam's own body. According to her, even Blackwell understood that GUILT cannot be controlled, and the Z-Cell treatment is bound to backfire at some point. Right after she says that, the Z-Cell treatment gives rise to a GUILT outbreak right before her very eyes.]]

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* EvilIsNotAToy: In the 6th chapter of ''Second Opinion'', Nozomi expresses this sentiment about [[spoiler:The [[spoiler:the Z-Cells, which are derived from Adam's own body. According to her, even Blackwell understood that GUILT cannot be controlled, and the Z-Cell treatment is bound to backfire at some point. Right after she says that, the Z-Cell treatment gives rise to a GUILT outbreak right before her very eyes.]]



** Usually avoided with [[SceneryCensor tasteful placing of the patients bodies]] or [[ModestyBedsheet a blanket]] in the right place. Still, Dr. Myers' operation for Paraskevi definitely qualifies, what with the camera starting out right on her exposed (undetailed) breasts before zooming in on her chest cavity. She is significantly reduced in cup size and more tastefully covered in the ''Second Opinion'' version of the same operation.

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** Usually avoided with [[SceneryCensor tasteful placing of the patients patients' bodies]] or [[ModestyBedsheet a blanket]] in the right place. Still, Dr. Myers' operation for Paraskevi definitely qualifies, what with the camera starting out right on her exposed (undetailed) breasts before zooming in on her chest cavity. She is significantly reduced in cup size and more tastefully covered in the ''Second Opinion'' version of the same operation.



** In the First 'First Response' scenario, you end up with someone who suddenly starts having convulsions after you treat her wounds. [[spoiler:She has a black bruise mark on her neck. It could be mistaken for a sort of burn or soot marks if you're not looking at it directly. The bruise and the convulsions are ''both'' symptoms of the Rosalia virus. The weirdness of it all states 'Yep, Trauma Team has a super virus of it's own'.]]

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** In the First first 'First Response' scenario, you end up with someone who suddenly starts having convulsions after you treat her wounds. [[spoiler:She has a black bruise mark on her neck. It could be mistaken for a sort of burn or soot marks if you're not looking at it directly. The bruise and the convulsions are ''both'' symptoms of the Rosalia virus. The weirdness of it all states 'Yep, Trauma Team has a super virus of it's its own'.]]



** The third Diagnostics level, and it's followup Surgery likewise deal with [[spoiler: An early meeting with the Rosalia Virus.]]

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** The third Diagnostics level, and it's its followup Surgery likewise deal with [[spoiler: An [[spoiler:an early meeting with the Rosalia Virus.]]Virus]].
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---> '''CR-S01''': "Let this disease pass from this world."

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---> '''CR-S01''': "Let Let this disease pass from this world."



---> '''Hank''': "Rock solid!"

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---> '''Hank''': "Rock solid!"Rock solid!



---> '''Tomoe''': "______ path of honor."

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---> '''Tomoe''': "______ ______ path of honor."



--->'''Naomi''': "The dead shall speak. Let's put together the truth of what happened here."
* CentralTheme: ''Trauma Team'' deals heavily with how one determines their life and the way they live and all six doctors confronts this theme in one way or another:

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--->'''Naomi''': "The The dead shall speak. Let's put together the truth of what happened here."
here.
* CentralTheme: ''Trauma Team'' deals heavily with how one determines their life and the way they live and all six doctors confronts confront this theme in one way or another:



** Naomi: With her life slowly coming to an end due to her genetic disease, she does all she can to ensure a future that she knows she won't be apart of.

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** Naomi: With her life slowly coming to an end due to her genetic disease, she does all she can to ensure a future that she knows she won't be apart a part of.
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** Diagnostics: Gabe is by far the most normal of the cast, but he's still a BrilliantButLazy DrJerk, with his weirdnes quotient partially being picked up by RONI, his AI assistant.

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** Diagnostics: Gabe is by far the most normal of the cast, but he's still a BrilliantButLazy DrJerk, with his weirdnes weirdness quotient partially being picked up by RONI, his AI assistant.
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* BrutalBonusLevel: Completing the main storyline in all games except ''Trauma Team'' unlock the X missions, which take the super-pathogens encountered across the storyline and crank the difficulty up to eleven. ''Team'' unlocks a difficulty that lets you play ''every level as if it were an X opersation.''

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* BrutalBonusLevel: Completing the main storyline in all games except ''Trauma Team'' unlock the X missions, which take the super-pathogens encountered across the storyline and crank the difficulty up to eleven. ''Team'' unlocks a difficulty that lets you play ''every level as if it were an X opersation.operation.''
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** The games makes no attempt whatsoever to portray surgery realistically. Sutured wounds heal near-instantly, antibiotic gel mends small wounds instantly, vitals can be stabilized with a quick injection of a serum, among other fantastical depictions of surgical procedures. This is justified in the game's near-future setting; medicine has advanced immensely, making surgical procedures such as these feel routine.

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** The games makes make no attempt whatsoever to portray surgery realistically. Sutured wounds heal near-instantly, antibiotic gel mends small wounds instantly, vitals can be stabilized with a quick injection of a serum, among other fantastical depictions of surgical procedures. This is justified in the game's near-future setting; medicine has advanced immensely, making surgical procedures such as these feel routine.

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* HesBack: [[spoiler:Dr. Hoffman]] finally returns to active surgery work in chapter 5-1 of ''Under the Knife'' and ''Second Opinion'' after [[spoiler:two decades of refusing to practice surgery, ready to unleash the Healing Touch as if nothing has happened]].
--> '''[[spoiler:Dr. Hoffman]]''': [[spoiler: How can I help?]]

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* HesBack: HesBack:
**
[[spoiler:Dr. Hoffman]] finally returns to active surgery work in chapter 5-1 of ''Under the Knife'' and ''Second Opinion'' after [[spoiler:two decades of refusing to practice surgery, ready to unleash the Healing Touch as if nothing has happened]].
--> ---> '''[[spoiler:Dr. Hoffman]]''': [[spoiler: How can I help?]]



--> '''[[spoiler:Dr. Hoffman''']]: How can I help? [...] My medical license has been an ornament for far too long... It's time I made good on the Hippocratic Oath.

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--> ---> '''[[spoiler:Dr. Hoffman''']]: How can I help? [...] My medical license has been an ornament for far too long... It's time I made good on the Hippocratic Oath.

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* EvilIsNotWellLit: The GUILT research labs in ''Under the Knife'' and ''Under the Knife 2''.

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* EvilIsNotAToy: In the 6th chapter of ''Second Opinion'', Nozomi expresses this sentiment about [[spoiler:The Z-Cells, which are derived from Adam's own body. According to her, even Blackwell understood that GUILT cannot be controlled, and the Z-Cell treatment is bound to backfire at some point. Right after she says that, the Z-Cell treatment gives rise to a GUILT outbreak right before her very eyes.]]
* EvilIsNotWellLit: The GUILT research labs in ''Under the Knife'' and ''Under the Knife 2''.2'' are all dimly lit.



** [[spoiler: In the fourth case, when Naomi sends a guitar broken by one of the bomber's bombs to be analyzed by Little Guy, he realizes it is a musical legend's guitar valued at about $100,000. Needless to say, he also isn't amused. (And yes, he literally says the trope name.)]]

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** [[spoiler: In the fourth case, when Naomi sends a guitar broken by one of the bomber's bombs to be analyzed by Little Guy, he realizes it is a musical legend's guitar valued at about $100,000. Needless to say, he also isn't amused. (And yes, he literally says he's not amused, and drops the trope name.)]]name verbatim.]]



* LuckBasedMission: The GUILT Deftera, Pempti and to a lesser extent Tetarti, which include a random element in the GUILT's movement or attack.

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* LuckBasedMission: The GUILT Deftera, Pempti pathogens' attacks and movements are slightly randomized, and sometimes getting a great rank (or just being able to a lesser extent Tetarti, which include a random element in save the GUILT's movement or attack.patient) can boil down to the right things happening at the right time.

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* NighInvulnerable: Pempti generates a large amount of gelatinous fluid, all produced and maintained by its core. If the core is burned down by normal medical tools, it can regenerate rapidly. As Victor puts it, it has a lot of contingency plans to become really tenacious. Half a chapter is devoted to Victor developing new devices to combat this thing, and when it's cornered, it starts attacking.



* ScienceHero: The main character is part of an organization dedicated to advancing medical science enough to eradicate disease, while the bad guys are a KnightTemplar organization who believe that medicine violates God's will by denying humans "the blessing of death".
** Of course, said science hero also uses [[MaybeMagicMaybeMundane superhuman focus abilities inherited from a Greek demigod]] which he activates by [[DoesThisRemindYouOfAnything drawing a pentagram]], and he can apparently lose these abilities if he "loses faith".

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* SaveTheVillain:
** [[spoiler:In the first game, Derek confronts Blackwell, one of the lead scientists behind the development of GUILT, who's been infected with the seventh strain -- Savato. Derek cures his GUILT so that he can face his crimes and make amends with Angie.]]
** [[spoiler:In ''Under the Knife 2'', when the HOA's anti-GUILT serum causes Heinrich's mutant GUILT to activate and ravage his body, Derek jumps in to save Heinrich by curing the GUILT through the tried-and-true methods, keeping it from causing more havoc and to allow Heinrich to be brought to justice.]]
** [[spoiler:At the very end of ''Under the Knife 2'', Derek is forced to save Mayuzumi from the activated Neo-GUILT because the culture tanks around her are rigged to explode and spread havoc if she were to die. He also tries to save a despondent Mercer, but the UN soldiers have shot him through the heart and Angie tells him there's no saving him.]]
** The final mission in the Orthopaedics chapter of ''Trauma Team'' sees Hank confront a mall shooter who has an inoperable spinal tumor. The shooter injures himself in an attempt to escape, and despite the crowd's protests, Hank opts to get him to a hospital to treat his wounds and his cancer so that the shooter can face justice.
* ScienceHero: The main character is part of an organization dedicated to advancing medical science enough to eradicate disease, while the bad guys are a KnightTemplar organization who believe that medicine violates God's will by denying humans "the blessing of death".
** Of course,
death". It's zigzagged when you notice said science hero also uses [[MaybeMagicMaybeMundane superhuman focus abilities inherited from a Greek demigod]] which he activates by [[DoesThisRemindYouOfAnything drawing a pentagram]], and he can apparently lose these abilities if he "loses faith".



** [[https://www.youtube.com/watch?v=M1d_ct6nI_8 The opening sequence]] of ''New Blood'' is probably a shout out to the [[https://www.youtube.com/watch?v=a6zJ9dEwNek opening credits]] of ''House''.

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** [[https://www.youtube.com/watch?v=M1d_ct6nI_8 The opening sequence]] of ''New Blood'' is probably a shout out bears resemblance to the [[https://www.youtube.com/watch?v=a6zJ9dEwNek opening credits]] of ''House''.
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This series has a [[Characters/TraumaCenter character sheet]]. Put tropes related to the characters there.

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This series has a [[Characters/TraumaCenter [[Characters/TraumaCenterAtlus character sheet]]. Put tropes related to the characters there.
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A series of five {{Medical Game}}s (2005-2010) by Creator/{{Atlus}} for the UsefulNotes/NintendoDS and Nintendo UsefulNotes/{{Wii}} consoles (released in Japan as ''Choushittou Caduceus'', "Caduceus: The Great Surgical Operation"), where you get to save the world's health, one person at a time.

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A series of five {{Medical Game}}s (2005-2010) by Creator/{{Atlus}} for the UsefulNotes/NintendoDS Platform/NintendoDS and Nintendo UsefulNotes/{{Wii}} Platform/{{Wii}} consoles (released in Japan as ''Choushittou Caduceus'', "Caduceus: The Great Surgical Operation"), where you get to save the world's health, one person at a time.
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* RedEyesTakeWarning: In ''Under the Knife 2'', all Delphi terrorists have red eyes (except for their leader Heinrich).

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Example Indentation In Trope Lists. The final example lacks context, has word cruft, and is worded in a way that suggests it's a shoehorn.


* AssholeVictim: The series has a fair amount of patients who are jerks and/or outright villains. For example, the first patient in ''Under the Knife 2'' is said to be a member of a criminal organization that poaches rhinoes, before he was injured by being [[LaserGuidedKarma bitten by a crocodile.]]

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* AssholeVictim: The series has a fair amount of patients who are jerks and/or outright villains. For example, the
** The
first patient in ''Under the Knife 2'' is said to be a member of a criminal organization that poaches rhinoes, before he was injured by being [[LaserGuidedKarma bitten by a crocodile.]]



** Additionally, you can consider the Rosalia-ridden [[spoiler:Lieberman]] to be this as well.

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okay done now


* AssholeVictim: The series has a fair amount of patients who are jerks and/or outright villains. For example, the first patent in ''Under the Knife 2'' is said to be a member of a criminal organization that poaches rhinoes, before he was injured by being [[LaserGuidedKarma bitten by a crocodile.]]

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* AssholeVictim: The series has a fair amount of patients who are jerks and/or outright villains. For example, the first patent patient in ''Under the Knife 2'' is said to be a member of a criminal organization that poaches rhinoes, before he was injured by being [[LaserGuidedKarma bitten by a crocodile.]]


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* {{Cult}}: Delphi, who are medical terrorists that see medicine as being against nature and developed GUILT as a sort of counter-balance. Explicitly inspired by the [[https://en.wikipedia.org/wiki/Aum_Shinrikyo Aum Shinrikyo]] cult that infamously committed the 1995 Tokyo subway sarin attack. And by "explicitly" we mean it: X-3 in ''Under the Knife'' (but not ''Second Opinion'') has Adam state that he studied the attack for his own research.

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* AssholeVictim: Two of the victims in the Forensics section in Trauma Team.
** [[spoiler:Dennis Taylor, in the very first case of Forensics]], was actually murdered because he was a drug dealer.
** The more notable example of this is [[spoiler:Stephen Eldred]], in the penultimate Forensics case (pre-Patient Zero). He is found dead in a bombing and believed to have been the serial bomber; however, Naomi and Little Guy eventually deduce that in reality, [[spoiler:Eldred was receiving money to voice the auditory bomb threats by the ''real'' bomber, Sandra Lieberman. When the money-hungry Eldred attempted to blackmail Lieberman, the bomber made Eldred [[DeathByIrony describe his own self (a Caucasian male) in the final bomb threat]] before [[BlackmailBackfire killing him off for good]].]]

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* AssholeVictim: The series has a fair amount of patients who are jerks and/or outright villains. For example, the first patent in ''Under the Knife 2'' is said to be a member of a criminal organization that poaches rhinoes, before he was injured by being [[LaserGuidedKarma bitten by a crocodile.]]
**
Two of the victims in the Forensics section in Trauma Team.
** *** [[spoiler:Dennis Taylor, in the very first case of Forensics]], was actually murdered because he was a drug dealer.
** *** The more notable example of this is [[spoiler:Stephen Eldred]], in the penultimate Forensics case (pre-Patient Zero). He is found dead in a bombing and believed to have been the serial bomber; however, Naomi and Little Guy eventually deduce that in reality, [[spoiler:Eldred was receiving money to voice the auditory bomb threats by the ''real'' bomber, Sandra Lieberman. When the money-hungry Eldred attempted to blackmail Lieberman, the bomber made Eldred [[DeathByIrony describe his own self (a Caucasian male) in the final bomb threat]] before [[BlackmailBackfire killing him off for good]].]]



* AssholeVictim: There's a fair amount of jerks and outright villains that you'll still have to operate on throughout the games.
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* AssholeVictim: There's a fair amount of jerks and outright villains that you'll still have to operate on throughout the games.

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Added an entry for Medical Horror, and lightly edited the Nintendo Hard entry


* MedicalHorror: Being a series developed by the same company behind the Mega Ten games, the entire series has ''bucketloads'' of it. TheVirus and BodyHorror are especially prominent.



* NintendoHard: It's an Creator/{{Atlus}} game, what did you [[ThatOneBoss/{{Atlus}} expect]]. They finally had to cave and add an easy mode in the sequels. It'll still break your arm. It seems that many of the operations in ''New Blood'' were designed around having two players, ''and'' both Healing Touches available, so operating alone can be a daunting task even though it is possible.

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* NintendoHard: It's an Creator/{{Atlus}} game, series, what did you [[ThatOneBoss/{{Atlus}} expect]]. expect]]? They finally had to cave and add an easy mode in the sequels. It'll still break your arm. It seems that many of the operations in ''New Blood'' were designed around having two players, ''and'' both Healing Touches available, so operating alone alone, though possible, can be a daunting task even though it is possible.ESPECIALLY hard.

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* EasyLevelTrick: By tapping A instead of holding it, Cheir becomes stunlocked and is unable to attack. This works for both normal and fused variants, meaning any operations starring it become effortless until X-1, and any that feature it alongside other things become much easier.

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* EasyLevelTrick: EasyLevelTrick:
**
By tapping A instead of holding it, Cheir becomes stunlocked and is unable to attack. This works for both normal and fused variants, meaning any operations starring it become effortless until X-1, and any that feature it alongside other things become much easier.easier.
** If one doesn't care about rank, Triti becomes much easier to deal with if the player activates Healing Touch right away and removes all the triangles before they have a chance to spread.
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Naomi receives the victim's last words through her phone, but it's not an interactive call


** Developers aimed for more realism in ''Trauma Team''. The result was less BulletTime and killer parasites, but more ghosts, flying superheroes, cell phone calls from dead people, and [[ButlerSpace teleporting]] [[NinjaZombiePirateRobot ninja butlers]].

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** Developers aimed for more realism in ''Trauma Team''. The result was less BulletTime and killer parasites, but more ghosts, flying superheroes, cell phone calls voicemail from dead people, and [[ButlerSpace teleporting]] [[NinjaZombiePirateRobot ninja butlers]].
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* HardModeFiller: Chapter 6 in ''Under the Knife'' requires the player to fight all the GUILT strains that had been defeated earlier on the game, but with the difficulty dialed up a fair few notches. Justified in-story as the patients being incubators for GUILT. ''Second Opinion'' replaces this with a new chapter entirely.
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** The GameOver messages that state the characters resigned in shame and disappeared aren't present, instead it's just a simple "Retry?" prompt over an image of Stiles sadly wandering the street.
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* FatalFlaw: Discussed by Dr. Hoffman in ''Second Opinion'' and ''Under the Knife 2''. A doctor cannot operate on themselves both physically or mentally. This is also a test for them as well, that the bonds they forged and the training and wisdom they imparted on their fellow doctors, is enough to save them.

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* FatalFlaw: Discussed by Dr. Hoffman in ''Second Opinion'' and ''Under the Knife 2''. A doctor cannot operate on themselves both physically or mentally. This is also a test for them as well, that the bonds they forged and the training and wisdom they imparted on their fellow doctors, is enough to save them. In ''Second Opinion'' in particular, [[spoiler:the protagonist Derek Stiles comes down with GUILT, and it's up to the new PlayerCharacter Nozomi to save him.]]
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** The only method of restarting a patient's heart is through a hand massage minigame where you have to follow a bouncing horizontal bar. Later games drop this mechanic in favor of a [[MagicalDefibrillator defibrillator]], and even when ''New Blood'' brought back CPR-based resuscitation, it's done differently as a "press the buttons in time with the rhythm" minigame as opposed to following a bouncing bar.
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* AdaptationDistillation: The original final chapter of ''Under the Knife'' is boiled down to a cutscene in ''Second Opinion'' that summarizes the events thereof. This is mainly to introduce a ''Second Opinion''-exclusive chapter without padding out the game. The original version's operations are basically just a BossRush of the seven GUILT types anyway, which is a bit redundant since both versions of the game feature another boss rush chapter as a post-game series of {{Brutal Bonus Level}}s.
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* ''Trauma Team'' (released in Japan as ''Hospital: 6 Doctors'')- The third Wii game, released in 2010. In a radical shift in gameplay, ''Trauma Team'' spans 5 other professions. Alongside the standard surgery gameplay, other professions include Orthopedics, Endoscopy, First Response, Diagnostics, and [[ForensicDrama Forensics]]. The latter two professions have a notable GenreShift in that they both play like a text-based adventure.

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* ''Trauma Team'' (released in Japan as ''Hospital: 6 Doctors'')- Doctors'') - The third Wii game, released in 2010. In a radical shift in gameplay, ''Trauma Team'' spans 5 other professions. Alongside the standard surgery gameplay, other professions include Orthopedics, Endoscopy, First Response, Diagnostics, and [[ForensicDrama Forensics]]. The latter two professions have a notable GenreShift in that they both play like a text-based adventure.
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** The games makes no attempt whatsoever to portray surgery realistically. Sutured wounds heal near-instantly, vitals can be stabilized with a quick injection of a serum, among other fantastical depictions of surgical procedures. Given the game takes place in the near future, it can be easily read as high-tech medical advancements that make surgery feel more routine.

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** The games makes no attempt whatsoever to portray surgery realistically. Sutured wounds heal near-instantly, antibiotic gel mends small wounds instantly, vitals can be stabilized with a quick injection of a serum, among other fantastical depictions of surgical procedures. Given the game takes place This is justified in the near future, it can be easily read game's near-future setting; medicine has advanced immensely, making surgical procedures such as high-tech medical advancements that make surgery these feel more routine.
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** The games makes no attempt whatsoever to portray surgery realistically.

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** The games makes no attempt whatsoever to portray surgery realistically. Sutured wounds heal near-instantly, vitals can be stabilized with a quick injection of a serum, among other fantastical depictions of surgical procedures. Given the game takes place in the near future, it can be easily read as high-tech medical advancements that make surgery feel more routine.

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