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** Book 2, Chapter 11 is a big one. [[spoiler: An attempted assassination on the senator via biological warfare leads to multiple characters being KilledOffForReal, the hospital being quarantined, Casey and Rafael almost dying and Rafael's partner breaking up with him after realizing that he will never stop sacrificing himself without hesitation, meaning that Casey is finally free to rekindle their relationship with him (if they had one in Book 1)]]. This chapter also marks the first time in the series where [[spoiler: you get to play as someone other than Casey]].
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** Book 2, Chapter 11 is a big one.real DramaBomb. [[spoiler: An attempted assassination on the senator via biological warfare leads to multiple characters being KilledOffForReal, the hospital being quarantined, Casey and Rafael almost dying and Rafael's partner breaking up with him after realizing that he will never stop sacrificing himself without hesitation, meaning that Casey is finally free to rekindle their relationship with him (if they had one in Book 1)]]. This chapter also marks the first time in the series where [[spoiler: you get to play as someone other than Casey]].
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Not a trope
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* SchmuckBait: More than one person will ''hint'' to Casey that sacrificing Esme to a civil liability suit will be key to saving the hospital. Dr. Naveen Banerji is notably NOT one of those people. [[spoiler: If Casey gives in, Esme will resolve it on her own, but she will be [[MortalEnemy rightfully resentful.]]]] Because it takes multiple chapters for all of this to play out fully, the player will not be able to change course afterwards. And in this game, [[PointOfNoReturn only the immediate chapter can be replayed.]] Have fun starting over!
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* SchmuckBait: More than one person will ''hint'' to Casey that sacrificing Esme to a civil liability suit will be key to saving the hospital. Dr. Naveen Banerji is notably NOT one of those people. [[spoiler: If Casey gives in, Esme will resolve it on her own, but she will be [[MortalEnemy rightfully resentful.]]]] ]] Because it takes multiple chapters for all of this to play out fully, the player will not be able to change course afterwards. And in this game, [[PointOfNoReturn only the immediate chapter can be replayed.]] Have fun starting over!
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* BigStupidDoodooHead: During the premium scene to help Sienna dump Wayne in Book 1, Chapter 14, one of the options is to call Wayne a "moldy bowl of mayonnaise". If Casey can't think of anything to say, Sienna calls Wayne a buttface instead.
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* EasilyForgiven: Casey can take the jerk option to interact with roommates, coworkers, and patients, and at most, people are briefly annoyed, with Nigel Platt and Dr. Esme Ortega being some of the (very few) people who continue to hold a grudge.
** Averted with Dr. Landry Olsen and Dr. June Hirata. None of the other roommates forgives Landry (not even Sienna!), and no one from the diagnostics team ever mentions June again after she jumps ship and goes to Kenmore—not even her former lover, Dr. Carrick.
** Averted with Dr. Landry Olsen and Dr. June Hirata. None of the other roommates forgives Landry (not even Sienna!), and no one from the diagnostics team ever mentions June again after she jumps ship and goes to Kenmore—not even her former lover, Dr. Carrick.
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* EasilyForgiven: Casey can take the jerk option to interact with roommates, coworkers, and patients, and at most, people are briefly annoyed, with Nigel Platt and Dr. Esme Ortega being some of the (very few) people who continue to hold a grudge.
**grudge. Averted with Dr. Landry Olsen and Dr. June Hirata. None of the other roommates forgives Landry (not even Sienna!), and no one from the diagnostics team ever mentions June again after she jumps ship and goes to Kenmore—not even her former lover, Dr. Carrick.
**
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This trope is now YMMV.
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* AluminumChristmasTrees: The ability to adopt a Fennec Fox as a pet may seem far fetched and illegal but they actually are sometimes sold as exotic pets.
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[[quoteright:330:https://static.tvtropes.org/pmwiki/pub/images/8429ca9d_380f_42b4_83f0_b46bae62416e.jpeg]]
[[caption-width-right:330: Casey Valentine and Dr. Ethan Ramsey]]
[[caption-width-right:330: Casey Valentine and Dr. Ethan Ramsey]]
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** All of the scenes with Rafael in Book 2 show him slowly cutting ties with his local community. Initially it appears to be leading up to his departure for Brazil. [[spoiler: It was [[SparedByTheAdaptation originally]] leading up to [[HeroicSacrifice his tragic demise.]]]]
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* BaitAndSwitch: One of the secondary plots of Book 3 is the core group studying for their certifications. Sienna feeling particularly anxious about the board exam. In chapter 16, when everyone gets their results back, she will burst into tears upon seeing her result. Oh no! She must have failed! [[spoiler: … she passed handily, but she’s crying because she has actually ''just'' realized that she no longer wants to practice internal medicine.]]
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* TemptingFate: Dr. Bryce Lahela is renowned (and reviled) for his track record with risky surgeries. His main boast throughout Books 1 and 2 is that his hands never shake, thanks to his unflappable confidence. Then comes Book 3 … [[note]] Not only does he make a very serious mistake during a routine surgery and have his confidence badly shaken, he loses a patient in a surgery where he did everything right. [[/note]]
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* TemptingFate: Dr. Bryce Lahela is renowned (and reviled) for his track record with risky surgeries. His main boast throughout Books 1 and 2 is that his hands never shake, thanks to his unflappable confidence. Then comes Book 3 … [[note]] Not only does he make a very serious mistake during a routine surgery and have his confidence badly shaken, he subsequently loses a patient in a surgery where he did everything right. [[/note]][[/note]]
** Dr. Ramsey will repeatedly butt heads with Leland Bloom in Book 3, and at the first opportunity, Bloom will remove Ethan as the Lead Diagnostician. Ethan will return, gloating that Bloom is [[DontCelebrateJustYet no longer a threat to him]] … [[spoiler: only to reveal at the end of Chapter 12 that he is party to a career-ending malpractice suit.]]
** Dr. Ramsey will repeatedly butt heads with Leland Bloom in Book 3, and at the first opportunity, Bloom will remove Ethan as the Lead Diagnostician. Ethan will return, gloating that Bloom is [[DontCelebrateJustYet no longer a threat to him]] … [[spoiler: only to reveal at the end of Chapter 12 that he is party to a career-ending malpractice suit.]]
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* ForegoneConclusion: The diagnostic team position is presented as an opportunity that any intern could win, but the events of Book 1 will quickly reveal that only Casey, Aurora, and Landry actually stood any chance of getting it.
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* BeachEpisode: Book 3, Chapter 11 features the gang visiting Hawaii to celebrate Ines‘s elopement.
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* BeachEpisode: Book 3, Chapter 11 features the gang visiting Hawaii to celebrate Ines‘s Dr. Ines Delarosa’s elopement.
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* BeachEpisode: Book 3, Chapter 11 features the gang visiting Hawaii to celebrate Ines‘s elopement.
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* TemptingFate: Dr. Bryce Lahela is renowned (and reviled) for his track record with risky surgeries. His main boast throughout Books 1 and 2 is that his hands never shake, thanks to his unflappable confidence. Then comes Book 3 …
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* TemptingFate: Dr. Bryce Lahela is renowned (and reviled) for his track record with risky surgeries. His main boast throughout Books 1 and 2 is that his hands never shake, thanks to his unflappable confidence. Then comes Book 3 …… [[note]] Not only does he make a very serious mistake during a routine surgery and have his confidence badly shaken, he loses a patient in a surgery where he did everything right. [[/note]]
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* TemptingFate: Dr. Bryce Lahela is renowned (and reviled) for his track record with risky surgeries. His main boast throughout Books 1 and 2 is that his hands never shake, thanks to his unflappable confidence. Then comes Book 3 …
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* BaseballEpisode: Book 1, Chapter 5 has Casey and the interns go out to a baseball game where Casey can end up on the kiss cam. Book 2, Chapter 8 is another, with Edenbrook versus Mass Kenmore in a game of baseball.
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* BaseballEpisode: BaseballEpisode:
** Book 1, Chapter 5 has Casey and the interns go out to a baseball game where Casey can end up on the kisscam. cam.
** In Book 2, Chapter8 is another, with 8, Edenbrook versus will play Mass Kenmore in a game of baseball.baseball.
** Book 3, Chapter 5 has a diamond outing with Rafael that lets you go on a date with him to the VIP box of a baseball game.
** Book 1, Chapter 5 has Casey and the interns go out to a baseball game where Casey can end up on the kiss
** In Book 2, Chapter
** Book 3, Chapter 5 has a diamond outing with Rafael that lets you go on a date with him to the VIP box of a baseball game.
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* TooGoodToBeTrue: after all the trauma of Book 2 and the threat of Edenbrook closing down for good, a tech multibillionaire will acquire the hospital and make a very public show of building it into a world- class research facility. He seems to have made good on his word at the outset of Book 3. Most of the speaking characters are happy to finally get top-tier equipment (and better paychecks) but naturally Ethan Ramsey [[Cassandra Truth objects heavily.]] [[spoiler: And as the book shows rather early on, [[TheComplainerIsAlwaysRight he’s completely right to be concerned.]]]]
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* TooGoodToBeTrue: after After all the trauma of Book 2 and the threat of it appears that Edenbrook closing will close down for good, a tech multibillionaire will acquire the hospital and make a very public show of building it into a world- class world-class research facility. He seems to have made good on his word at the outset of Book 3. Most of the speaking characters are happy to finally get top-tier equipment (and better paychecks) but naturally Ethan Ramsey [[Cassandra Truth [[CassandraTruth objects heavily.]] [[spoiler: And as the book shows rather early on, on, [[TheComplainerIsAlwaysRight he’s completely right to be concerned.]]]]
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* TooGoodToBeTrue: after all the trauma of Book 2 and the threat of Edenbrook closing down for good, a tech multibillionaire will acquire the hospital and make a very public show of building it into a world- class research facility. He seems to have made good on his word at the outset of Book 3. Most of the speaking characters are happy to finally get top-tier equipment (and better paychecks) but naturally Ethan Ramsey [[Cassandra Truth objects heavily.]] [[spoiler: And as the book shows rather early on, [[TheComplainerIsAlwaysRight he’s completely right to be concerned.]]]]
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** Book 3, Chapter 5 contains the warning that the chapter dealing with end-of-life planning— essentially, a living will for someone who has a terminal diagnosis.
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** [[spoiler: For the uninitiated: A cement mixer consists of drinking a shot of Bailey’s Irish cream, then following it with a shot of lime juice. The taste is not particularly offensive—think citrusy chocolate—but the ''texture'' is reminiscent of slimy, under-done scrambled eggs. It is very much a prank to be offered one, especially if the offer is being made to someone who is already tipsy.]]
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** [[spoiler: For the uninitiated: A cement mixer consists of drinking taking a shot of Bailey’s Irish cream, then following it with a shot of lime juice. The taste is not particularly offensive—think citrusy chocolate—but the ''texture'' is reminiscent of slimy, under-done scrambled eggs. It is very much a prank to be offered one, especially if the offer is being made to someone who is already tipsy.]]
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* HotterAndSexier: Although the story does not shy away from describing sexual encounters with the various love interests, there is a very noticeable upward trend from Book 1 to book 3. Book 2 has a premium opportunity for a threesome, and Book 3 has an available premium encounter with Dr. Ramsey with full-on BDSM. The love scenes with the other love interests can potentially become aggressive if the player chooses for them to be so.
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* HotterAndSexier: Although the story does not shy away from describing sexual encounters with the various love interests, there is a very noticeable upward trend from Book 1 to book Book 3. Book 2 has a premium opportunity for a threesome, and Book 3 has an available premium encounter with Dr. Ramsey with full-on BDSM. The love scenes with the other love interests can potentially become aggressive if the player chooses for them to be so.
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* GargleBlaster: Jackie will try to talk Aurora into trying a “cement mixer“ shot in book 3. Casey is able to take the shot along with Aurora, although they will be very unhappy if they do so.
**[[spoiler: For the uninitiated: A cement mixer consists of drinking a shot of Bailey’s Irish cream, then following it with a shot of lime juice. The taste is not particularly offensive—think citrusy chocolate—but the ''texture'' is reminiscent of slimy, under-done scrambled eggs. It is very much a prank to be offered one, especially if the offer is being made to someone who is already tipsy.]]
**[[spoiler: For the uninitiated: A cement mixer consists of drinking a shot of Bailey’s Irish cream, then following it with a shot of lime juice. The taste is not particularly offensive—think citrusy chocolate—but the ''texture'' is reminiscent of slimy, under-done scrambled eggs. It is very much a prank to be offered one, especially if the offer is being made to someone who is already tipsy.]]
