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* DisappointingLastLevel: The last non-bonus chapter of ''Under the Knife'' is basically a BossRush of all seven GUILT. While this part of the story does feature some suitably dramatic reveals and exposition, namely in that it reveals that [[spoiler:[[BigBad Adam]] cultivates GUILT in seven kidnapped children]], from a gameplay standpoint there's nothing the player hasn't seen before except for more difficult GUILT than in past chapters. Furthermore, the X operations are just another round of doing all seven GUILT again, this time each at the peak of their difficulty, making this chapter feel redundant. ''Second Opinion'' boils this segment down to a cutscene and features an entirely new chapter with new challenges to shake things up.

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* NeverLiveItDown: The fandom is not going to let Angie live down the moment in ''Second Opinion'' where she [[spoiler:[[SuicideDare tells a suicidally depressed teenager to "just die".]]]] The fact that she is [[KarmaHoudini never punished for this]] (at least on screen) makes it even worse, although that could be chalked up to Derek helping Linda through things shortly after.

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* NeverLiveItDown: NeverLiveItDown:
**
The fandom is not going to let Angie live down the moment in ''Second Opinion'' where she [[spoiler:[[SuicideDare tells a suicidally depressed teenager to "just die".]]]] The fact that she is [[KarmaHoudini never punished for this]] (at least on screen) makes it even worse, although that could be chalked up to Derek helping Linda through things shortly after.after.
** Adel from ''Under the Knife 2'' will always be remembered for the time he remarked that [[spoiler:the Healing Touch is also good for [[GoodPowersBadPeople "KILLING!"]]]], even though [[spoiler:he was brainwashed by a strain of Neo-GUILT]].
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* UnintentionallyUnsympathetic: One of the major reasons that Angie is seen as [[TheScrappy The Scrappy]] to so many players. We're intended to sympathize with her because of her [[DarkAndTroubledPast tragic childhood]] as Dr. Blackwell's daughter, and her strong commitment to saving lives. The problem is that Angie's [[{{Tsundere}} hot temper and emotional immaturity]] just make her too frustating for people to want to sympathize with. It ''definitely'' didn't help that she once lashed out at a depressed teenager and got [[KarmaHoudini no comeuppance for it.]]

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* UnintentionallyUnsympathetic: One of the major reasons that Angie is seen as [[TheScrappy The Scrappy]] to so many players. We're intended to sympathize with her because of her [[DarkAndTroubledPast tragic childhood]] as Dr. Blackwell's daughter, and her strong commitment to saving lives. The problem is that Angie's [[{{Tsundere}} hot temper and emotional immaturity]] just make her too frustating frustrating for people to want to sympathize with. It ''definitely'' didn't help that she once lashed out at a depressed teenager and got [[KarmaHoudini no comeuppance for it.]]

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* JerkassWoobie: Master Vakhushti from ''New Blood'' is no saint, but isn't quite far-gone enough to qualify as a CompleteMonster. Once a successful and noble surgeon, he was betrayed by his own government when trying to save lives,[[MaddenIntoMisanthropy went insane]], and became an arms dealer specializing in the bioweapon Stigma. And speaking of Stigma, said bioweapon was the only thing keeping his diencephalic sclerosis (aka, brain petrification) at bay, though it made him even ''more'' delirious.

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* JerkassWoobie: Master Vakhushti from ''New Blood'' is no saint, but isn't quite far-gone enough to qualify as a CompleteMonster.is nonetheless one of the most sympathetic antagonists in the series. Once a successful and noble surgeon, he was betrayed by his own government when trying to save lives,[[MaddenIntoMisanthropy went insane]], and became an arms dealer specializing in the bioweapon Stigma. And speaking of Stigma, The real tragedy is that said bioweapon was the only thing keeping his diencephalic sclerosis (aka, brain petrification) at bay, though it made also ''amplified'' his mental instability, effectively forcing the main characters to MercyKill him even ''more'' delirious.via removing the Stigma. Due to all of this, it's pretty hard not to feel bad for Vakhushti.
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* UnintentionallyUnsympathetic: Many players view Angie's hot temper and emotional immaturity to far outweigh her sad past and father issues even after her backstory is further revealed in the narrative.

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* UnintentionallyUnsympathetic: Many players view One of the major reasons that Angie is seen as [[TheScrappy The Scrappy]] to so many players. We're intended to sympathize with her because of her [[DarkAndTroubledPast tragic childhood]] as Dr. Blackwell's daughter, and her strong commitment to saving lives. The problem is that Angie's [[{{Tsundere}} hot temper and emotional immaturity to far outweigh immaturity]] just make her sad past too frustating for people to want to sympathize with. It ''definitely'' didn't help that she once lashed out at a depressed teenager and father issues even after her backstory is further revealed in the narrative.got [[KarmaHoudini no comeuppance for it.]]
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** In a manner not too dissimilar from a ShootEmUp, ''Under The Knife'' has a tendency to heavily lag when the screen gets too hectic, sometimes approaching [[BulletTime Healing Touch]] levels of slow down on its own. While this can sometimes be disorienting, it also makes some operations much more managable than they would be otherwise. Especially true for Kyriaki operations, where the optimal strategy happens to already involve [[ViolationOfCommonSense letting it open up so many lacerations that the game will stop spawning them.]]

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*** 5-2, the eponymous "''Under The Knife''" in the original, can be this for players if they're not paying attention, or completionists if they are. You only ''have'' to take out 3 Kyriaki to progress the story. But the mission involves ''five'', and they become geometrically more difficult as you progress, leading to a functional ''plague'' of the accursed things in the last stage. And have we mentioned that you have to take care of all of them within 10 minutes? (On the plus side, if you ''do'' manage to clear all five patients in that horrifyingly tight time limit, you automatically achieve an S-rank, no matter the actual score. A job well done.)

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*** 5-2, the eponymous "''Under The Knife''" in the original, can be this for players if they're not paying attention, or completionists if they are. You only ''have'' to take out 3 Kyriaki to progress the story. But the mission involves ''five'', and they become geometrically more difficult as you progress, leading to a functional ''plague'' of the accursed things in the last stage. And have we mentioned that you have to take care of all of them within 10 minutes? (On the plus side, if you ''do'' manage to clear all five patients in that horrifyingly tight time limit, you automatically achieve an S-rank, no matter the actual score. A job well done. Furthermore, as long as you get to the third patient in time, reinforcements will arrive to take care of any remaining patients even if the timer runs out.)
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* ItWasHisSled: Few go into ''Under the Knife/Second Opinion'' these days without knowing that you have to defuse a time bomb at one point. It's even the image for UnexpectedGameplayChange.
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Doesn't qualify for this trope, she is the game's tritagonist. The franchise's Characters page even lists her as one of the Main Characters.


** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[{{Tsundere}} harsh and abrasive]] attitude.
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Example Indentation In Trope Lists - If there is more than one example of the trope in the work, each of them gets two bullets on their own line. There is no context or explanation on how Victor fits this trope.


** Victor Niguel and "Little Guy". The latter becomes surprisingly popular within the fandom, despite his very minor role.

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** Victor Niguel and "Little Guy". The latter Guy" becomes surprisingly popular within the fandom, despite his very minor role.
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Geez.


** Victor Niguel and "Little Guy". The latter is surprisingly popular within the fandom, despite his very minor role.
** Linda Reid (a patient) in ''Under the Knife''. The major reasons are that she's at the center of Derek's character development, she's the first GUILT patient, and [[UnintentionallySympathetic for how much sympathy she garners]]. In fact, Linda's popularity is probably one of the bigger reasons Angie developed such a vocal hatedom, thanks to losing her temper with Linda's GUILT-induced suicidal tendencies and [[SuicideDare openly telling Linda to "just die"]].
** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[{{Jerkass}} harsh and abrasive]] attitude.

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** Victor Niguel and "Little Guy". The latter is becomes surprisingly popular within the fandom, despite his very minor role.
** Linda Reid (a patient) in ''Under the Knife''. The major reasons are that she's at the center of Derek's character development, development and she's the first GUILT patient, and [[UnintentionallySympathetic for how much sympathy she garners]]. In fact, patient. Linda's huge popularity is probably one of the bigger reasons Angie developed such a vocal hatedom, thanks to losing her temper with Linda's GUILT-induced suicidal tendencies and [[SuicideDare openly telling Linda her to "just die"]].
just die.
** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[{{Jerkass}} [[{{Tsundere}} harsh and abrasive]] attitude.



* UnintentionallyUnsympathetic: Many players view Angie's hair-trigger temper and emotional immaturity -- to the point where [[spoiler:[[KickTheDog she tells a teenage girl with severe depression to her face]] that [[SuicideDare "she should just die"]]]] and [[spoiler:directly blames Derek for Emilio's death despite him having to save three GUILT-infected patients before he could make it to him, [[HeroicBSoD sending him into a deep depression]] and [[NiceJobBreakingItHero causing him to lose his Healing Touch]]]] -- to far outweigh her sad past and father issues, even after her backstory is further revealed in the narrative.

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* UnintentionallyUnsympathetic: Many players view Angie's hair-trigger hot temper and emotional immaturity -- to the point where [[spoiler:[[KickTheDog she tells a teenage girl with severe depression to her face]] that [[SuicideDare "she should just die"]]]] and [[spoiler:directly blames Derek for Emilio's death despite him having to save three GUILT-infected patients before he could make it to him, [[HeroicBSoD sending him into a deep depression]] and [[NiceJobBreakingItHero causing him to lose his Healing Touch]]]] -- to far outweigh her sad past and father issues, issues even after her backstory is further revealed in the narrative.

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** Victor Niguel and "Little Guy". The latter becomes surprisingly popular within the fandom, despite his very minor role.
** Linda Reid (a patient) in ''Under the Knife''. The major reasons are that she's at the center of Derek's character development and she's the first GUILT patient. Linda's huge popularity is probably one of the bigger reasons Angie developed a hatedom, thanks to losing her temper with Linda's suicidal tendencies and telling her to just die.
** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[{{Tsundere}} harsh and abrasive]] attitude.

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** Victor Niguel and "Little Guy". The latter becomes is surprisingly popular within the fandom, despite his very minor role.
** Linda Reid (a patient) in ''Under the Knife''. The major reasons are that she's at the center of Derek's character development and development, she's the first GUILT patient. patient, and [[UnintentionallySympathetic for how much sympathy she garners]]. In fact, Linda's huge popularity is probably one of the bigger reasons Angie developed such a vocal hatedom, thanks to losing her temper with Linda's GUILT-induced suicidal tendencies and [[SuicideDare openly telling her Linda to just die.
"just die"]].
** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[{{Tsundere}} [[{{Jerkass}} harsh and abrasive]] attitude.



* UnintentionallyUnsympathetic: Many players view Angie's hair-trigger temper and emotional immaturity -- to the point where [[KickTheDog she tells a teenage girl with severe depression to her face]] that [[SuicideDare "she should just die"]] and directly blames Derek for Emilio's death despite him having to save three GUILT-infected patients before he could make it to him, [[HeroicBSoD sending him into a deep depression]] and [[NiceJobBreakingItHero causing him to lose his Healing Touch]] -- to far outweigh her sad past and father issues, even after her backstory is further revealed in the narrative.

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* UnintentionallyUnsympathetic: Many players view Angie's hair-trigger temper and emotional immaturity -- to the point where [[KickTheDog [[spoiler:[[KickTheDog she tells a teenage girl with severe depression to her face]] that [[SuicideDare "she should just die"]] die"]]]] and directly [[spoiler:directly blames Derek for Emilio's death despite him having to save three GUILT-infected patients before he could make it to him, [[HeroicBSoD sending him into a deep depression]] and [[NiceJobBreakingItHero causing him to lose his Healing Touch]] Touch]]]] -- to far outweigh her sad past and father issues, even after her backstory is further revealed in the narrative.

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* UnintentionallyUnsympathetic: Many players view Angie's hot temper and emotional immaturity to far outweigh her sad past and father issues even after her backstory is further revealed in the narrative.

to:

* UnintentionallyUnsympathetic: Many players view Angie's hot hair-trigger temper and emotional immaturity -- to the point where [[KickTheDog she tells a teenage girl with severe depression to her face]] that [[SuicideDare "she should just die"]] and directly blames Derek for Emilio's death despite him having to save three GUILT-infected patients before he could make it to him, [[HeroicBSoD sending him into a deep depression]] and [[NiceJobBreakingItHero causing him to lose his Healing Touch]] -- to far outweigh her sad past and father issues issues, even after her backstory is further revealed in the narrative.
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** ''Under the Knife 2'' punches you with [[spoiler:Emilio's death. He was a sinner, he survived a new form of GUILT that was dormant in a transplanted liver for him, and then he gets infected with GUILT again. Derek plans to operate on him after taking care of several other patients, but when he's ready to operate on Emilio, he dies]].

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** ''Under the Knife 2'' punches you with [[spoiler:Emilio's death. He was a sinner, he survived a new form of GUILT that was dormant in a transplanted liver for him, and then he gets infected with GUILT again. Derek plans to operate on him after taking care of several other patients, but when he's ready to operate on Emilio, he dies]].dies. The operation [[FissionMailed fails no matter what you do]] and Derek is locked out of his lifesaving Healing Touch for a while.]]
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** In ''Second Opinion'', [[spoiler:Derek Stiles, who's been the protagonist and PlayerCharacter for much of the game]], comes down with GUILT. Fail to save this patient and [[spoiler:there is no mention of calling in a backup surgeon; Director Miller straight up tells Naomi to contact Caduceus USA and that Derek Stiles will be missed.]]
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* UnintentionallyUnsympathetic: Many players view Angie's hot temper and emotional immaturity to far outweigh her sad past and father issues even after her backstory is further revealed in the narrative.
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** The infamous [[spoiler:operation on a time bomb]] for both the concept and the "justification" for Derek even being able to pull it off despite his lack of expertise...the nurse walking him through it just offhandedly mentions that she "[[spoiler:[[ContrivedCoincidence used to date a guy on the bomb squad]]]]", and that's apparently all the explanation required.
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*** 5-2, the eponymous ''Under The Knife'', can be this for players if they're not paying attention, or completionists if they are. You only ''have'' to take out 3 Kyriaki to progress the story. But the mission involves ''five'', and they become geometrically more difficult as you progress, leading to a functional ''plague'' of the accursed things in the last stage. And have we mentioned that you have to take care of all of them within 10 minutes?

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*** 5-2, the eponymous ''Under "''Under The Knife'', Knife''" in the original, can be this for players if they're not paying attention, or completionists if they are. You only ''have'' to take out 3 Kyriaki to progress the story. But the mission involves ''five'', and they become geometrically more difficult as you progress, leading to a functional ''plague'' of the accursed things in the last stage. And have we mentioned that you have to take care of all of them within 10 minutes?minutes? (On the plus side, if you ''do'' manage to clear all five patients in that horrifyingly tight time limit, you automatically achieve an S-rank, no matter the actual score. A job well done.)
Is there an issue? Send a MessageReason:
None

Added DiffLines:

*** 5-2, the eponymous ''Under The Knife'', can be this for players if they're not paying attention, or completionists if they are. You only ''have'' to take out 3 Kyriaki to progress the story. But the mission involves ''five'', and they become geometrically more difficult as you progress, leading to a functional ''plague'' of the accursed things in the last stage. And have we mentioned that you have to take care of all of them within 10 minutes?
Is there an issue? Send a MessageReason:
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** The fact that the X operations in ''Second Opinion'' have two versions where the only key difference is which doctor, and thus which Healing Touch, is used ''and'' that using a Healing Touch disqualifies you from an XS rank. If you're trying to nail OneHundredPercentCompletion, that means that [[FakeLongevity you have to get XS twice on each operation]], one for each of the two barely-different versions (since you can't use either doctor's Healing Touch) of the operation.

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** The fact that the X operations in ''Second Opinion'' have two versions where the only key difference is which doctor, and thus which Healing Touch, is used ''and'' that using a Healing Touch disqualifies you from an XS rank. If you're trying to nail OneHundredPercentCompletion, that means that [[FakeLongevity you have to get XS twice on each operation]], one for each of the two barely-different versions (since you can't use either doctor's Healing Touch) Touch[[note]]Although you do use it against Savato, it's only to stop time completely, and Naomi will use Derek's variant as a special exception[[/note]]) of the operation.
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** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[Tsundere harsh and abrasive]] one.

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** Elena from ''New Blood'' is this for people who hated Angie. Their roles are the same, but Elena has a much [[NiceGirl sweeter and gentler personality]], as opposed to Angie's [[Tsundere [[{{Tsundere}} harsh and abrasive]] one.attitude.

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