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1->''"Let's begin the operation!"''께[[quoteright:300:]]께A series of five [[SimulationGame simulation games]] (2005-2010) 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.께The first game, ''Under the Knife'', starts out in [[NextSundayAD 2018]]. You are Derek Stiles, a rookie doctor who has just begun his internship at Hope Hospital. Each stage/mission in the game requires you to correctly select and use a variety of surgical implements, such as the scalpel, the laser or the ultrasound, in order to cure each patient of his or her affliction. At the same time, you must avoid making too many mistakes, running out of time, or letting the patient's vitals drop below zero, any of which causes you to fail the operation and [[GameOver kill]]...[[NonLethalKO your career]].께Despite the unusual premise, at the beginning things seem pretty mundane. You are guided by the motherly Nurse Mary and later her younger, spunkier, stricter replacement Nurse Angie in treating injuries and removing tumors, procedures made easier by the advanced medical technology at your disposal. One day, however, Derek is the only doctor available to perform an operation far more difficult than he can handle. As he frantically tries to concentrate, Derek feels time slowing down and miraculously manages to save the patient. He soon learns that he is an heir to an ability called "The Healing Touch", thought to originate from Asclepius, the ancient Greek god of medicine.께Armed with his surgical skills and his Healing Touch, Derek and his motley crew of colleagues must aid Caduceus, an organization of medical experts, against a deadly new disease called GUILT, parasites that kill in various intricate ways. GUILT is a man-made plague, unleashed upon the world by Delphi, a shadowy cult that regards medicine as wrongfully extending life and interfering with God's intentions for when people should die.께A sequel, called ''Trauma Center: New Blood'' has been released for the Nintendo Wii. The Wii also saw an UpdatedRerelease of the original game, entitled ''Second Opinion''. Another sequel, taking place after ''Under the Knife'', but before ''New Blood'', was released for the Nintendo DS as ''Trauma Center: Under the Knife 2''. There is also another sequel, ''Trauma Team'', released for the Wii.께''New Blood'' (with a good chunk of [[ContinuityNod references and cameos from the first game]]) wasn't quite related to the first game's story; however, it did continue with much the same gameplay (with more aspects in the levels). It focused on Valerie Baylock and Markus Vaughn, two Alaskan doctors who also have the Healing Touch trying to control the outbreak of the Stigma virus. Unlike the previous game, the game was now fully voice cast.께''Trauma Team'' made a more [[EmergentGameplay radical shift]] in gameplay; instead of only playing as surgeons, 5 other professions (2 of which were essentially [[AdventureGame graphic adventure games]]) were introduced. These include Orthopedics (fixing bone tumors and bone-related issues), Endoscopy (using a godly brilliant medical device that acts as a probe to send inside a victim's body) and First Response (which was essentially a scaled-down version of Surgery that had you hassling many patients at once). The 2 graphic novel professions include Diagnostics (using a variety of methods to determine what is wrong with a patient), and [[ForensicDrama Forensics]], where you are collecting evidence to solve crimes (although the usual cop drama fares of investigating leads and pursuing evidence is left absent, as your job is simply a forensic analysis).께This series has a [[Characters/TraumaCenter character sheet]]. Put tropes related to the characters there.----!!The page's life is in your hands! Begin Examples:께[[foldercontrol]]께[[folder:A-G]]* AcceptableBreaksFromReality: ** The games makes no attempt whatsoever to portray surgery realistically.** 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]]. ** Even still, some of ''Trauma Team'''s patients are [[NormallyIWouldBeDeadNow far less traumatized]] than you'd expect, [[spoiler: Alyssa]] in particular. Her wounds are more consistent with being slammed into a hard surface by the blast rather than being right next to the bomb when it goes off, but it's much less disturbing to keep all of her limbs attached.* AdultFear: Even before GUILT, Stigma, and Neo-GUILT kick in, several operations illustrate the stress and tension associated with medical operations, especially when the patient's life is in critical danger.* AllThereInTheManual:** If you haven't played ''Second Opinion'' you wont know what Naomi and Little Guy are referencing when they are talking about not talking about their pasts. [[spoiler: They're both ex-Delphi agents.]]** ''Second Opinion'' does this to itself - the climax of the main plot is glossed over so it can launch straight into the remake content and can be downright disappointing if one doesn't have access to ''Under The Knife'' to see the full version. It does close up some plot holes, though, such as how Delphi actually learned about Triti.** Gameplay-wise, in addition to containing several hints, such as that [[spoiler:antibiotic gel can be used to repel parasites]], the manual to ''Second Opinion'' has a glossary explaining several medical terms used throughout the game.* AnotherSideAnotherStory:** ''Trauma Team'''s main gameplay hook. To elaborate, several events during the game will have multiple doctors address the situation in their own storyline. A patient Gabe diagnoses will be operated on by CR-S01. An accident first attended to by Maria will have patients that get operated on by Hank. Of course, in the finale, [[AllYourPowersCombined all six work together on a massive problem.]]** ''Second Opinion'' with Derek Stiles on one side and Nozomi Weaver on the other.* AntiFrustrationFeatures: While multitasking several fiddly jobs at once is a core part of the gameplay, the games will occasionally throw you a bone. For instance, in the first game, the laser will never "break" while operating on Pempti (which requires you to use it constantly and could kill a patient in the normal recharge time). This is justified as being a special "scalar laser" that was specifically developed to completely eradicate Pempti cells, but is too intense for regular use. Also, [[spoiler:defeating Savato causes the wounds it caused to [[NoOntologicalInertia vanish along with it]].]]* ArbitraryMissionRestriction: X-6 in ''Second Opinion'' is a Paraskevi operation that caps your simulated [[MindScrew (or not...?)]] patient's vitals at 50 rather than the usual 99. There isn't any in-story explanation (not that the [[BrutalBonusLevel X operations]] really have a plot to begin with) as to why this is, since all the other X operations and Paraskevi operations let you go up to 99, it's just there to ensure that you cannot cut more than one Paraskevi without needing to heal the patient.* ArcWords: "Rosalia" and "Beginning..." in ''Trauma Team''. The former pops up constantly during Naomi's investigations, while the latter is [[spoiler:Patient Zero's FamousLastWords]].* ArmorPiercingQuestion:** RONI delivers a double-whammy to Gabe when he suffers a HeroicBSOD over [[spoiler: his son]] developing Wermer's Syndrome, and thinks it's pointless to be there to help him.---> '''RONI''': Dr. Cunningham, do you truly feel your work is pointless?---> '''Gabe''': Huh...!?---> '''RONI''': There is one thing that is unclear to me. All people die, so medicine is ultimately pointless. But, Doctor, I have observed patients leaving with smiles. Is helping people smile pointless as well?** [[spoiler:Alyssa]] asks Naomi for lunch, and Naomi starts going over the ingredients she'll need for curry. As she speaks to herself and begins wandering off, [[spoiler:Alyssa]] asks if Naomi is planning for lunch or dinner.* ArtisticLicenseChemistry: The story of ''Trauma Center: New Blood'' revolves around a fictitious mineral from the country of Culuruma which is known as Culurium and is highly valued for its almost limitless applications in the medical industry. Unfortunately, a revolutionary new pathogen, named Stigma, was accidentally created and discovered in a lab rat with Culurium-based synthetic blood. A Biomineral that can be used to create synthetic blood has yet to be discovered in real life and probably doesn't even exist.* 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.* ArtisticLicenseMilitary: In ''Under the Knife 2'', it is mentioned that the rescue of the Sinners was performed by the "UN Army". While likely meaning the United Nations Peacekeepers, the UN does not operate their own army and relies on the contributions of national armed forces, and Peacekeepers do not conduct those kind of raiding operations.* ArtShift: ** ''Trauma Team'''s anime style suddenly shifts to a more intense, detailed one when [[spoiler:Gabe trashes his office.]]** ''Trauma Team'' also shakes up the art style, especially during operations.* 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]].]]** Additionally, you can consider the Rosalia-ridden [[spoiler:Lieberman]] to be this as well.* AssKickingPose: Surgeons in this series have a flair for the dramatic, such as when they are about to begin an operation. Derek does this [[spoiler:even in a car when they are being kidnapped]] and [[spoiler:even yells out when they are trying to silently escape a prison cell]].* AsteroidsMonster: The GUILT Paraskevi has to be cut in half, and the halves cut into half as well, until 16 little Paraskevi are produced, each of which is small enough to be extracted safely.* AsYouKnow: Lampshaded repeatedly in ''Trauma Team'' as Gabe's computer gives him basic medical information.--> '''Gabe''': You're just an encyclopedia of things I already know.* TheAtoner:** CR-S01 from ''Trauma Team'' works to reduce his prison sentence. [[spoiler:Subverted: He didn't do the thing he's atoning for.]]** Dr. Weaver from ''Second Opinion'' [[spoiler:helped Adam develop GUILT by keeping the "incubators" alive.]] She then cooperates with Caduceus in the battle against GUILT to make up for that.* BarbieDollAnatomy: Chest operations on female patients in the first game and ''Trauma Team'' show their uncovered breasts, but without nipples. Other games instead opt to cover the breasts with pieces of cloth.* BelligerentSexualTension: Angie and Derek. They start out hating each other, but become friends over the course of the first game, despite still having some minor arguments every now and then. A RunningGag in ''Under The Knife 2'' is other characters asking what the deal between them is. [[spoiler:In the epilogue, they become an OfficialCouple]].* BeneficialDisease: The various fictional diseases, barring the original GUILT, come with beneficial effects, intended or otherwise.** Neo-GUILT in the ''Under the Knife 2'', while dormant, has the capability of augmenting its host in various ways. It only begins actively harming its host when activated.** Master Vakhushti of ''New Blood'' is infected with Cardia which causes an alteration of his personality. [[spoiler:This Stigma is also countering his existing disease of diencephalic sclerosis, and is the only thing keeping him alive. He passes away shortly after Cardia is treated.]]** [[spoiler:Rosalia's unique disease, the original Rosalia Virus, has the capability of suppressing other illnesses that would affect her. Sartre's attempts to maximize the benefits of this disease end up setting the stage for the game's final chapter.]] ** Naomi's GUILT infection [[spoiler:interacts with her Rosalia Virus infection, turning into a form that lets CR-SO1 eliminate both at the same time.]] * BigBad: [[spoiler:Adam]] in ''Under the Knife'' and ''Second Opinion'' and [[spoiler:Master Vakhushti]] in ''New Blood''. In ''Under the Knife 2'', [[spoiler:Heinrich acts as the DiscOneFinalBoss, but is replaced by the BigBadEnsemble of Reina Mayuzumi and Patrick Mercer during the endgame.]]. ''Trauma Team'' [[spoiler:averts this trope altogether, as there is NoAntagonist, with the sole cause of every single conflict in the game being the non-sentient Rosalia Virus.]]* BigDamnHeroes: ** Maria's juggling five near-death patients entirely on her own. Just as the situation turns bleak, cue the paramedics and a surge in vitals for all patients.** Maria gets her own when she rides a crate [[spoiler:of Rosalia vaccine]] Slim Pickens style to Resurgam.* BodyHorror: ** GUILT and Stigma do some very nasty things to their victims' bodies. In Trauma Team, [[spoiler:Naomi contracts the Rosalia Virus which then absorbs the genetic disease in her DNA, ie. GUILT, and "evolves". The result, Twisted Rosalia, looks like a black caterpillar curled up ''within her heart''.]]** [[spoiler:The 'claw' on the liver, which is composed of the black bruises that cover organs. It pulsates in a way that makes it look like it's trying to crush the liver.]]** [[spoiler:How about the simple fact that the Rosalia Virus is a form of viral hemorrhagic fever gone wild that is basically eating you from the inside out, causing you to bleed uncontrollably out of every orifice (including your {{eye|Scream}}s)?]]* BoringButPractical: Valerie's Healing Touch. Derek and Markus have BulletTime, Naomi restores vitals with every successful action she does, and Valerie...stops vitals from decreasing. It's not as fun as the other three, but it's also very beginner friendly and makes it easier to get an XS using her over Markus on operations that require you to not let vitals go below a certain point.* BossBonanza: In the first game, after finishing the second chapter, nearly every playable operation is related to GUILT. ''Second Opinion'' attempts to mix things up with Nozomi Weaver's chapters, but the final stages are still mostly GUILT operations.* BossRush: The final chapter of the first game has Derek operating on the progenitors of the seven GUILT strains, though thankfully not all in the same operation. * BlatantLies: Gabe and RONI have a lot of [[SarcasmMode fun]] abusing a bot program's ArtificialStupidity.* BreakableWeapons: In games before ''Trauma Team'', the tools "break" from overuse (most visible with the laser) and you have to wait for a new one. Savato spins webs that have to be cut by the scalpel, but are so corrosive, the scalpel is destroyed in the process.* BreatherEpisode: In the middle of the final arc of ''Trauma Team'', one level breaks away from the heroes' efforts to combat [[spoiler: the Rosalia epidemic]] for an Endoscopy mission on Chloe the cat, who swallowed something. [[spoiler: {{Subverted}}. It turns out what Chloe swallowed was two fragments of Albert Sarte's skeleton, which were infected with Rosalia.]]* 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 UpToEleven. ''Team'' unlocks a difficulty that lets you play ''every level as if it were an X opersation.''* BulletTime: Derek and Markus' version of the Healing Touch slows time to a crawl from their (and in Markus's case, his partner's) perspective, allowing them to make rapid surgical maneuvers that would be impossible without it.* {{Bulungi}}: The first chapter of ''Under the Knife 2'' takes place in the Republic of Costigar, which is also Dr. Tulba's home country.* {{Butlerspace}}: Tomoe Tachibana's head butler Hanzou constanly does a [[BuffySpeak ninja blur teleport thing]]. He even manages to appear from nowhere on a transatlantic flight.* ButterflyOfDeathAndRebirth: The primary motif of ''Trauma Team'', along with {{flower|Motifs}}s.** It becomes more apparent after the halfway point of the game, when all introductory missions to each character's specialties are done with. [[spoiler:Once the Rosalia outbreak begins, the frames around each mission preview, which are usually scenes from the game, become a blood-red pattern of monarch butterflies over Asclepias flowers]].* CaptainErsatz: Diagnostician [[ Gabriel Cunningham]] from ''Trauma Team'' looks and acts very similar to [[Anime/CowboyBebop Spike Spiegel]], down to smoking damaged cigarettes. Too bad Creator/SteveBlum isn't voicing him. Some fans also think he looks like an anime version of ''Series/{{House}}''.* CaptainObvious: Navel/Little Guy early in the Raging Bomber case.--> '''Navel/Little Guy''': The only thing we can say about this bomber is that the victims were killed by bombs.* CallBack:** When you extract [[spoiler:the Rosalia virus tumor in the final endoscopy mission and the Twisted Rosalia virus in the final mission]] the screen briefly says DEFEAT like in the previous games when GUILT or Stigma is extracted.** RONI mentions adding "To hell with that" during "Moving Heart", and later, during "The Simplest Truth", where she defies direct orders, she mentions she referred to the "To hell with that" in her database.** In one of Gabe's early cut scenes, the Chief invites him to go with her to a medical conference in Japan. Come 'Healing Warrior', when Tomoe goes back home to Japan, guess who shows up to be her support?** When a prison guard in CR's cell collapses during [[spoiler:the Rosalia virus outbreak]], his partner would rather point his gun at CR instead of calling an ambulance. GenreBlindness aside, his reactions make some sense when you consider that at that point the [[spoiler:outbreak]] was in its early stages and CR is doing time for bio-terrorism.* {{Catchphrase}}: In ''Trauma Team'', each specialty gets one:** Surgery: ''The patient's life is in your hands'' (used in the original ''Trauma Center'' games as well.)---> '''CR-S01''': "Let this disease pass from this world."** First Response: ''The first moments are the most critical''** Orthopedics: ''Work your marvel with strength and skill''---> '''Hank''': "Rock solid!"** Endoscopy: ''You must seek what lies within''---> '''Tomoe''': "______ path of honor."** Diagnosis: ''Your mind is the ultimate tool''** Forensics: ''The truth can never truly die''---> '''Naomi''': "The dead shall speak. Let's put together the truth of what happened here."* CharacterPortrait: Standard throughout all the series, ''Trauma Team'' being the sole exception.* ChekhovsGun: Several in ''Trauma Team''. A big one: [[spoiler:whatever ''did'' happen to that girl Maria rescued all those years ago?]]. Actually in the last chapters it's shown that [[spoiler:the girl Maria saved was Rosalia.]]* CherryTapping: ...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.* CodeSilver: All of the games so far feature some sort of break-in or hostage situation.* ColorCodedForYourConvenience: Each character/discipline in ''Trauma Team'' has an associated color: red for CR-S01 (surgery), orange for Maria Torres (first response), green for Hank Freebird (orthopedics), purple for Tomoe Tachibana (endoscopy), blue/indigo for Gabriel Cunningham (diagnostics), and silver/white/gray for Naomi Kimishima (forensics). It's pretty close to a RainbowMotif.* ContinuityNod: A few in ''Trauma Team''; notably, Esha notes that one patient's spinal tumors were deemed inoperable by Concordia, and Naomi remarks that she didn't expect to find someone else with the hands of a god at Resurgam if the player earns an XS rank on the stage where she assists Tomoe.* CoOpMultiplayer: ''New Blood'' lets two players operate together. ''Trauma Team'' does as well and attempts to balance the roles of the two players in various ways, depending on the type of operation. Diagnostics and Forensics are one-player only, although the second player can still use their Wii Remote cursor to point out things for their partner.** For general surgery, the tools get divided before the mission starts.** For the EMT missions, each player gets every other patient.** In endoscopy, control switches from one player to another based on time.** In orthopedic procedures, the players swap after each action.* CriminalMindGames: In ''Trauma Team'', after the Raging Bomber [[spoiler:leads you on a long trail involving the use of a decoy killer (Stephen Eldred) and almost kills Naomi's friend Alyssa, Naomi ends up in the bomber's house. She discovers that the bomber wired four cell phones to four bombs, and instructs Naomi that in order to exit the room alive, she must use the clue papers found by the phones and investigate by looking around the room to find the proper codes.]]* CriticalAnnoyance: ''Trauma Team'' triggers a shrill beeping alarm whenever the current patient's vitals fall under 30. This never goes away unless the vitals are restored above that threshold, cardiac arrest is occurring, or the patient is transported out. ''It persists in mid-op cutscenes''.* CriticalExistenceFailure: It doesn't matter how many injuries get inflicted to the patient, no matter how life-threatening, they'll be fine until their vitals drop to 0. (Besides the cases of the instant-failure conditions further below, anyway.)* CurbStompBattle: First time players of ''Under The Knife'' will often get stuck on the ninth operation. [[spoiler: You must get rid of a bunch of aneurysms. The first few waves are very easy, but at the end, you face five of them at the same time. It's a slightly lengthy process to get rid of one. Not to mention that while you are trying to focus on one, the others are all expanding. They will eventually pop, and will drop the patient's vitals by a huge amount. The Healing Touch barely helps in the situation, as well.]]* CureForCancer: [[spoiler:The Rosalia Virus disintegrates ''any'' other sort of virus it comes into contact with, which made Patient Zero physically unable to become sick or diseased since her antibodies kept the virus in check. Without the antibodies, the Rosalia Virus is an incredibly lethal plague that disintegrates ''blood and bone'' too, killing people in mere days. Patient Zero's adoptive father attempted to extract the antibody as a miracle cure, but got infected with the virus in the process and was driven to madness, resulting in both of their deaths and kickstarting the overarching plot of the game.]]* DamnYouMuscleMemory: Players of ''Under the Knife'' would have honed their skills by pretending the Healing Touch didn't even exist, as every level in that game penalized them for using the Healing Touch unless completely necessary. Transitioning to the other games results in an uncomfortable discovery that some missions have time limits so stringent, especially on Hard, that the Healing Touch is ''needed'' to get that S or XS rank. That, and several procedures are remarkably different, especially the suturing technique.* DeadlyDelivery: There's a serial murderer in ''Trauma Team'' who [[spoiler:kills her victims by masquerading as a postal worker, then "delivering" a package containing a hidden bomb.]]* DivingSave: [[spoiler:Little Guy tackles Naomi when the bombs strapped to a suspect goes off.]]* DoesThisRemindYouOfAnything: The conflict between the Razu and Dal tribes in ''Under the Knife 2''. The conflict between the [[ Hutus]] and the [[ Tutsis]], and the [[ bloody civil war that ensued]].* DoWellButNotPerfect:** In some operations, saving the patient as quickly as possible will not score you enough points for an S or XS rank. You will have to allow for more problems to occur to heal them and receive extra points.** ''Under The Knife 2'' throws this out in favor of having a set of bonuses that you must get 2000 points from in order to get the S or XS rank. If it says to do something at least X times, there is typically exactly X of that task for you to do. In short: doing perfect WILL get you an S or XS rank... [[FissionMailed except when mailing your fission]], [[GuideDangIt in which you MUST do a certain number of actions in a certain amount of time without any misses before ending the mission]].** Trauma Team does away with this completely by giving each operation a strictly fixed amount of actions that will result in a Good or Cool. Dragging on an operation for longer can only lower your score. Because of this, despite operations in ''Trauma Team'' being easier to clear, they are much harder to get XS ranks on. One blogger has described Trauma Center's difficulty as {{Tsundere}} (harsh on the outside, but soft on the inside) and ''Trauma Team'''s as Deretsun (soft on the outside, but harsh on the inside).** It is possible to sacrifice your rank in order to achieve a higher numerical score. However, the game gives rank higher precedence than score when saving your best performance. So achieving a high rank can lock you out of topping the leaderboards.* DontTryThisAtHome:** From the ''Under The Knife'' and ''Second Opinion'' manuals:--->This game is intended for entertainment purposes only and contains no medical advice. Do not attempt any of the operations from this game in real life.** Completing all the [[BrutalBonusLevel X missions]] in ''Second Opinion'' gives us this:--->However, remember that you're not actually a doctor, so you shouldn't perform surgery in real life. ...Unless, of course, you are a doctor. In which case, we would advise you not to tell your patients how many tries it took you to complete a game about surgery.* DressedToHeal: Played straight and subverted throughout each game. Notably, in ''Trauma Team'', Tomoe wears a lab coat over her kimono.* DualBoss: ''Second Opinion'' features one operation in which you must operate on two strains of GUILT at once. ''New Blood'' also does this with Stigma a few times, as well as one bonus operation featuring Stigma and GUILT at the same time.* DubInducedPlotHole: Japan, America, and Europe have been swapped around quite a bit, causing a lot of confusion. First, the setting of ''Under the Knife'' was changed from Japan to America and what was previously America was changed to Europe. Not so confusing at first. Then the remake ''Second Opinion'' introduces Dr. Kimishima. Originally a doctor who's stripped of her medical license in America, moves to Japan, then bargains for amnesty back in America, she now loses her medical license in Japan, moves to America, and bargains for amnesty in Europe. Then ''New Blood'', which takes place in America in both versions, cameos Dr. Stiles, said to be from Japan in both versions.* DynamicEntry:** When a school bus comes out of nowhere in ''Trauma Team'' and crashes into the middle of a crowded mall. In the middle of a crowded mall's THIRD FLOOR. ** Maria's return in "Time for Rejoicing" involves [[CrazyAwesome dropping into the hospital while standing on top of a huge crate dropped by a helicopter.]] [[ She is totally nonchalant about it and has to be seen to be believed.]]* DysfunctionJunction: Tomoe Tachibana, professional YamatoNadeshiko {{Ninja}} endoscopist who has dishonored her family and has abandoned ties with her native country of Japan is the player character with the ''least'' personal issues.* EarlyInstallmentWeirdness: ''Under The Knife'' on the DS plays ''very'' differently to its remake and sequels. For example:** Organs and bodies were rendered to look more realistic, rather than bright and colorful like in later installments.** Character art was drawn in a much more "shonen" style than later games; compare Derek and Angie in ''[[ Under the Knife]]'' to ''[[ Second Opinion]]''.** A different set of sound effects is used than the one shared by every game from ''Second Opinion'' on.** The operation is automatically failed if the player gets 20 "misses".** Every strain of GUILT was given a new, sleeker design, whereas in ''Under the Knife'', they were mostly blobs of various colors.** Triti had to be cut out with the scalpel before it could be removed.** You can't restart operations; you either need to exit to the main menu or fail it.* EasierThanEasy: In addition to the usual modifications that come with selecting the Easy difficulty, Intern difficulty in ''Trauma Team'' also allows the player infinite continues. The only penalty is that you don't actually get a rank if you use the continue option.* EldritchAbomination: All the GUILT could qualify, but especially Aletheia, which [[spoiler:is an eye that grows in the patient's heart and stares at you during the operation]]. It really drives the point home that these creatures are nothing but artificial monstrosities.* EmoTeen:** Linda, at the age of 14 (or 17, depending on the release), just wants to die. [[spoiler:In her defense, depression turns out to be an indicator of GUILT.]]** Hank's suicidal patient Claire would also be one, [[OlderThanTheyLook if she wasn't over 20]].* EvilIsNotWellLit: The GUILT research labs in ''Under the Knife'' and ''Under the Knife 2''.* ExcusePlot: ''New Blood'' did away with dialogue-only chapters, so every chapter involves an operation. This leads to a lot of operations and characters that are only vaguely related to the plot, and ''many'' "sudden emergencies" that require surgical intervention. This is done for the sake of keeping the gameplay varied, since one of the biggest complaints about ''Second Opinion'' was the stagnant gameplay. * FailureIsTheOnlyOption:** Sometimes it doesn't matter what you do, the patient(s) ''will'' die.** In ''Under the Knife 2'', when you have to operate on three patients in ten minutes, regardless of how quickly you complete the operations, [[spoiler:you still won't have enough time to save Emilio]].* FamilyUnfriendlyDeath: ''Trauma Team'' has a Forensics mode, so naturally you'll be examining a few victims of its major disease. They died ''horribly.'' Averted in the rest of the series (it's your job to save these people, and the one or two plot deaths aren't particularly grisly). * FamousLastWords: A gameplay mechanic in ''Trauma Team''. Naomi can hear the last words said by people who died, and it's your job to piece together what those sentences meant.* {{Fanservice}}:** Usually avoided with tasteful placing of the patients bodies or 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.** So, how are you introduced to Reina Mayuzumi? A shot that lovingly details every sexy curve of her body, complete with heaving cleavage shot specifically provided in its own boxout.** [[ If this isn't fanservice, life sucks.]]** Maria's introduction has her just come out of the shower to answer a call - only in lower underwear and a towel.** Naomi's necklines plunge like the stock market.** Dr. Cunningham's second female patient wears lacy black lingerie to go with her rose-pattern black stockings.* FinalExamBoss: The last strain of Neo-GUILT in ''Under the Knife 2'', which draws on the six types of GUILT you've already faced in the game (thankfully, four of the original strains didn't make it in - more than a few people would annihilate their cart if they had to face Triti or Savato again). To be even able to damage the boss, you need to take each type out with the strategies you used in previous battles with the strains.* FissionMailed:** Episodes 4-1 and 4-2 in ''Under the Knife 2'', to drive home Derek's HeroicBSOD.** Somewhat averted in ''Trauma Team'', where you'll have operations that are actually going to end in failure, but the game will still treat it as a successful operation.* FlunkyBoss: Savato occasionally summons some of its young when creating a laceration, and the Queen Kyriaki in [=UtK2=] will lay eggs that spawn lesser Kyriaki if ignored. The foremost example, however, is undoubtedly Aletheia, whose main method of offence is summoning modified types of the six varieties of GUILT previously encountered in the game.* {{Foreshadowing}}:** 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'.]]** Of all the forensics levels, the very first is the only one that doesn't involve inexplicable madness or an unknown disease that remains so well after the case is solved.** Chapter 3-2 of ''Under the Knife 2'', ''Prime Time'', starts with Derek... [[NotAMorningPerson combing his hair]]. Angie chews him out for it. During and after the surgery, all Angie does is glare at Derek and asks him to take the situation more seriously. At the end of the chapter, she goes away in a huff when Derek remarks that due to the journalist's requests for interviews, his week will be busy. [[spoiler:This is the first hint that he's letting the popularity go over his head even if he doesn't mean to- and that he's overusing the Healing Touch.]]* FunWithAcronyms: GUILT stands for '''G'''angliated '''U'''trophin '''I'''mmuno '''L'''atency '''T'''oxin, even though the GUILT are clearly parasites. In the Japanese version, [[SpellMyNameWithAnS Guilth]] doesn't stand for anything.* ForensicDrama: The Forensics mode in ''Trauma Team'', naturally.* GameBreakingBug: Surprisingly, only one's been found so far: Mature Kyriaki can actually disappear on you if you suture the first slice too fast (or, more accurately, before Mature Kyriaki spawns). [[ This has a tendency only to manifest during a speedrun of the DS games.]]* GameplayAndStorySegregation:** You don't need to use the Healing Touch outside of moments when it's activated automatically due to the plot kicking in, but everyone will comment on how you're using it all the time.** It is entirely possible to complete "Awakening" without even using the Healing Touch. Derek still collapses from the strain of apparently doing so anyway.%%* GenreRoulette: ''Trauma Team''.* GettingCrapPastTheRadar: Even a Mature rated game like ''VideoGame/CompanyOfHeroes'' spends less of its playtime showing '''blood''' than this Teen rated series. The games show some pretty horrifying organ damage in downright gory detail[[note]]this has gotten less graphic as the series went on, but even ''New Blood'' shows a burst liver in more detail than most medical dramas[[/note]]. In any other game, wounds this detailed would get a Mature rating at the very least.* GoodDocBadDoc: Derek Stiles (good doctor) and a number of rivals, including "death doctor" Tyler.* GoryDiscretionShot: In almost all operations, you have to first perform an incision to open up the body and see the conditions inside. However, this stage is always skipped when a level involves brain operation, where you start "inside" so to speak, presumably so that the player doesn't have to see a man's scalp being cut open.* GreaterScopeVillain: He didn't intend the consequences, but [[spoiler:Albert Sartre killed Rosalia]] and set ''Trauma Team'''s events in motion.* GuideDangIt:** [[spoiler:When it comes time to deliver the final blow to Savato, a Healing Touch automatically activates. When you still can't get it, that's the cue to use your in-game Healing Touch to double the effect and freeze time completely. Gee, I hope you hadn't used that at any point in the operation beforehand...]]** The titular Under the Knife mission, where you're told you need to operate on five people in a space of only ten minutes, a feat that's ''incredibly'' hard (though not necessarily impossible) to do. The thing, though? If you've made it to the third patient or farther, you're told that "reinforcements" will make it in time and take care of the other patients, and you can slow down and not mind the timer if you're not going for S Rank. Unfortunately, people are liable to restart the mission before the timer runs out if they think they can't beat it, and thus can get completely stuck.** In Trauma Team's forensics mode, searching a crime scene can sometimes become this. Have fun pixel-hunting...** The series is full of small Guide Dang Its; for example, Deftera can be [[spoiler:maneuvered using antibiotic gel as a wall]], Triti's reproduction is reliant on [[spoiler:the thorns on the edges of the affected area]] -- which is only referred to in-game in a manner so vague as to be useless, in the notes that most people just ignore, and after you've had so much trouble that the operation is probably unsalvageable by the time you actually get the hint in-game -- and blood pools [[spoiler:appear faster if there is already a pool nearby]].[[/folder]]께[[folder:H-M]]* HardModePerks: On operations with difficulty levels that can be changed, you can only get the XS rank on Hard difficulty. * HarderThanHard: The "Extreme" difficulty for ''Second Opinion'', ''New Blood'', and ''Under The Knife 2'', which only applied to the [[BrutalBonusLevel X Missions]]. According to the developers, ''Trauma Team'''s "Specialist" difficulty takes this UpToEleven by elevating ''all operations'' to X Mission difficulty.* HealingHands: Not the usual, instant-healing kind, though.* HealingPotion: Two varieties; one is the antibiotic gel, which slightly raises a patient's vitals when used but is more importantly used for a host of other tasks, such as healing smaller wounds and affixing many things, and the second is the stabilizer, which is more in-line with a traditional HealingPotion in that it is used solely for increasing vitals.* HeroicBSOD:** Derek's guilt over [[spoiler:his failure to save Emilio]] in ''Under the Knife 2'' results in him being unable to use the Healing Touch for almost an entire chapter.** [[spoiler:CR-S01]] has a hard time [[spoiler:remembering the truth about his stepfather, Albert Sartre, and the college incident]] during a surgery. Thankfully, it doesn't last long.* HeroicSacrifice: [[spoiler:Richard Anderson]] endures ''three'' operations, without painkillers, just so [[spoiler:Victor and Derek devise a cure for Pempti]]. [[spoiler:Sadly, he dies three days later, as the surgeries have finally taken their toll on him.]] He spends his last minutes convincing [[spoiler:Hoffman to take the reins of Caduceus -- and pulling him out of his [[GetAHoldOfYourselfMan cynical anti-surgery attitudes]].]] It works. * 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:[[WhamLine How can I help]]?]]* HospitalHottie: Pretty much the entire cast of protagonists fits this to some degree. CR-S01 and Maria Torres even take it further, being respectively [[MrFanservice Mr]] and MsFanservice in ''Trauma Team''.* HospitalParadiso: Inverted in ''Under the Knife''. Joining the cutting-edge medical facility Caduceus is considered to be the selfless choice for Dr. Stiles, while staying at Hope Hospital would be more in the interest of his own happiness. Played straight in ''Under the Knife 2'', in which Dr. Stiles declines a high-paying desk job at Acropolis Pharmaceutical in favor of continuing as a surgeon at Caduceus.* {{Hypocrite}}: In an early episode of ''Under the Knife/Second Opinion'', Angie yells at Derek about proper bedside manner after he tries and fails to reassure a patient that the operation will go fine. Cut forward a few episodes, and she ''tells a suicidal teenager that she should kill herself.''* HundredPercentCompletion: The final [[CosmeticAward Doctor Medals]] in ''Trauma Team'' for CR-S01, Maria, Hank, and Tomoe require getting XS ranks on ''every single operation''. The remainder involve various tasks such as finishing an operation with only "Cool" miniranks or finishing every first response operation without losing a single patient. Mercifully, Gabe's medals are glorified scavenger hunts, and Naomi's are quizzes on various medical factoids.* IdiosyncraticDifficultyLevels: ''Trauma Team'''s have a doctor theme: Intern, Resident, and the unlockable [[HarderThanHard Specialist]].* IdiotBall: Derek was given one in ''Under the Knife" in 1-6. He should have been smart enough to know the patient needed to be examined again, but since the game wanted to hammer the fact that he's a mess and an rookie, he let the guy go. [[WhatTheHellHero It goes as well as you'd expect.]]* [[spoiler:[[ImDyingPleaseTakeMyMacguffin I'm Dying Thanks to Pempti, Please Take Caduceus]]:]] Anderson to Hoffman.* InterfaceScrew:** The first two Wii games both have an in the dark operation, where you have to use various sources of light in order to see what you're doing. By the end of one operation, the only thing you have is the flash of a camera, which of course only lasts for a second or so, so you have to use it and remember what you saw.** {{Averted}} in ''Trauma Team''. When the power goes out during an operation, the level ends. You resume working on the patient in the next level after the power comes back in a cutscene.** In ''Under the Knife 2'', there's a few dark operations - you receive a penlight to work by, but need to aim it (it's added to your surgical tools menu). Additionally, one of these takes place in a moving vehicle, and the screen shakes back and forth periodically.** ''Trauma Team'' has an operation where your endoscope's flashlight fails. You have to navigate by the glowing gates used as navigational aids in your HUD.** Also occurs in-universe in ''Trauma Team'' during some orthopedic missions, when the guideline for cutting artificial bone malfunctions.* IKnowMortalKombat: Lampshaded in the special message in ''Second Opinion'' awarded for completing all of the X operations, informing you that, no, you don't, and shouldn't attempt surgery just because you completed the game without undergoing proper education and training first. And that if you ''are'' a licensed surgeon, that you shouldn't tell your patients [[IDontKnowMortalKombat how much you struggled at a surgery video game]].* IronicName: The ''Asclepias'' genus of plants is named after the Greek god of medicine. In ''Trauma Team'', the flowers [[spoiler:are intermediate hosts to the Rosalia virus.]]* ISurrenderSuckers: Happens with one of the Delphi members in ''Under the Knife 2''.* ItsAWonderfulFailure:** [[GameOver "...Derek had no business practicing]] medicine in the first place."** ''Trauma Team'' has you listen to a recording of whatever doctor you were playing as giving up on medicine forever... except in the final chapter, where you get to hear [[spoiler:Rosalia]]'s tormented lament over all that's gone wrong.* ItsPersonal:** In ''Trauma Team'''s forensic mode, [[spoiler: a bomber tries to kill Naomi by sending her a rigged teddy bear. MoralityPet Alyssa, an ''eight-year-old girl'', innocently takes it and is blown up. Naomi is not happy]] about this.** [[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.)]]* JustPlaneWrong: ''Under The Knife'' has an operation called "Miracle at 9,800 ft.", referring to the operation taking place aboard a passenger jet. However, 9,800 feet is far too low of a cruising altitude for such aircraft; they usually cruise at 30,000-40,000 feet. Most likely, this is a case of UnitConfusion and the title is meant to be "Miracle at 9,800 ''m''" (about 32,000 feet).* KidnappedScientist: [[spoiler:A major plot point in ''New Blood'', where the terrorist group forces you to operate on their guinea pigs.]]* LastMinuteHookup: [[spoiler:It's heavily implied that Derek and Angie get together in ''Under the Knife 2''[='s=] ending, if the ending epilogue to the first game wasn't enough.]]* LeaningOnTheFourthWall: "Little Guy" in ''Trauma Team'' is represented in his chat window by a Mii.* LockedRoomMystery: One of the stages in the Forensics mode of ''Trauma Team''. In fact, the stage has the exact name as the trope.* LoopholeAbuse: In the final diagnosis of ''Trauma Team'', the army tries to stop Gabe from making any further diagnosis, and installs a spyware program on RONI to stop her from recording symptoms. To get around this, Gabe makes "friendly conversation" with the patient to uncover his symptoms, and asks RONI to record some "meaningless, friendly observations."* LoveMakesYouEvil:** In ''Under the Knife 2'', [[spoiler:Patrick Mercer's motivations for his Neo-GUILT research is so that he can save his comatose wife]].** In ''Trauma Team'', [[spoiler: the culprit of the third case is revealed to have been this, although it was also paired with brain tumor-induced AxCrazy]].* LuckBasedMission: The GUILT Deftera, Pempti and to a lesser extent Tetarti, which include a random element in the GUILT's movement or attack.** More specifically, if a Deftera pair starts bouncing everywhere but against each other, Pempti decides to use its tumor-inducing attack followed by the cutting one, or the Tetarti huddle together making it easy to inject the wrong one, you can say goodbye to your S rank.* MadeOfIron:** Valerie's Healing Touch makes the patient into this - no matter what happens, be it colossal screwups, stab wounds, or a frustrated player [[VideoGameCrueltyPotential shanking the crap out of them with the scalpel]], for the next 30 seconds or so, their vitals will not move at all.** Also, in-universe, Tomoe's father in ''Trauma Team''. [[spoiler:When he needs to be operated on, they can't inject him because the needle not only fails to penetrate his skin, ''it bends in half''. They also require a ''katana'' to open an airway to insert the endoscope.]]* MagicAIsMagicA: Despite their fantastic nature the games are very consistent with how Healing Touches work. A Healing Touch used subconsciously out of desperation costs the doctor nothing and can last quite a while, while an intentional one exhausts the user and last for a brief time proportional to their focus. Two different Healing Touches can be used in concert without interfering with each other. [[spoiler:Meanwhile, two of the same Healing Touch will stack. This includes the same doctor using a desperation healing touch and an intentional one simultaneously.]]* MagicVersusScience:** A major focus of the franchise, given the conflict between the Healing Touch, which is associated to the Greek God of medicine, and the GUILT, which are genetically engineered diseases.** However, it's averted in ''Trauma Team'', where science and the supernatural are both inherent to the protagonists' abilities and the antagonist's nature.* MagicalDefibrillator: ZigZagged all over the place. The first game features Derek using his hands to massage patients' heart when they undergo cardiac arrest, which is more or less the right procedure, but the later games regularly shock patients undergoing cardiac arrest with a flat-line ECG back into life with them, only resorting to a massage if the defibrillator cannot be used for various reasons. In a particularly jarring scene in ''Trauma Team'', CR-S01 orders his support not to touch a patient who was undergoing ventricular fibrillation (which is when you're actually supposed to use a defibrillator...), only to whip it out after the patient started going into cardiac arrest. Even worse, a huge deal is made of the fact that they can't use the defibrillator on a flatlining patient while the power is out. In the interim, CR-S01 is seen giving the patient chest compressions, which is what you're supposed to do for a flatline.** In what might be an example of TheCoconutEffect in action, ''Under The Knife'' uses a defibrillator correctly, and cardiac massage is explicitly the go-to technique to deal with a flatline. ''Second Opinion'' changes these operations to incorrectly apply the defibrillator instead.* MarathonLevel:** Prior to ''Trauma Team'', you also get to see the time limit for your operation during the briefing. The most common time limit is 5 minutes, so any mission that gives you more (usually 10 minutes) fall into this, usually due to the involvement of multiple patients.** Diagnostics and Forensics in ''Trauma Team'' have only 1 difficulty level and are unranked, but each mission can take up to an hour to complete. There's a reason you can save in the middle of a mission.** While the Orthopedics operations are longer than the other types of operations due to a greater emphasis on precision over speed, "Spreading Infection" is ridiculous, taking anywhere between ''15 to 20 minutes'' on average to complete. In contrast, the next longest Orthopedics operation takes around 10 minutes.* MeaningfulName:** '''D'''erek '''S'''tiles' initials refer to the DS console, and his surname to the DS Stylus.** ''Second Opinion'' also features a doctor named '''N'''ozomi '''W'''eaver, the first syllable of her surname being a reference to the Wii console (and the Wii-specific features of her bonus missions) and her initials to the Nintendo Wii. Neither this nor the DS example is present in the Japanese version.** The military transport [[spoiler:carrying the Rosalia vaccine]] has the call sign "Leukocyte" - a.k.a. ''white blood cell''.** The leader of Delphi, and patient zero of GUILT, is named [[Literature/TheBible Adam]]. Just in case you really didn't get it, the cutscene in ''Second Opinion'' revealing [[spoiler: Adam is the source of the [[PsychoSerum Z-Cells]]]] is called "Original Sin".* MoodWhiplash: ** "Proud One" starts out as one of the funniest chapters in ''Trauma Team'', due to the interactions between Dr. Cunningham and TheComicallySerious patient, but it suddenly becomes tragic as soon as [[spoiler:Samuel starts to die before your eyes]]. ** Played for catharsis in the final operation in ''Trauma Team''. [[spoiler: To defeat the Twisted Rosalia, you have to first go through [[MarathonBoss four hectic stages]] of destroying its outer shell, and then destroy its core. After the mad scramble beforehand, one would certainly expect the final stage to be also a complete chaos. In reality it's the opposite. All music stops when the player opens the heart and exposes the core, and the final steps are simple and straightforward - inject cardioplegic solution, excise the microfilm, inject the serum, with the only obstacle being a non-reversible countdown, during which all characters become unusually quiet. When the Twisted Rosalia is defeated, soothing piano music begins to play, the core disintegrates in white light, and Naomi's vitals stabilize, creating a cathartic sense of victory after extreme stress.]]* MundaneMadeAwesome:** During most of the game, you feel like you are playing ''VideoGame/SpaceInvaders'' on someone's stomach. But again that ''is'' indeed awesome. Also, the final GUILT parasite at ''Under the Knife'' [[spoiler:is a giant spider parasite that creates a web that seems to "absorb" heartbeats. Also the parasite looks like it's [[IncendiaryExponent on fire.]]]]** Surgical BulletTime.** [[ Awesome Center.]]** It's implied that on the X missions you're pretty much operating on a [[spoiler:zombie.]]** The trailer for ''[[ Trauma Team]]'' takes this and runs with it.* MusicalNod:** In the first Raging bomber mission Naomi finds a broken guitar, she asks little guy about it he says it belonged to "musical legend, Ben Frank" which is a reference to Benjamin Franklin (the guy who wrote the song for [[ the credits]])** The Stigma operation music in ''New Blood'' quotes GUILT's theme.** ''Trauma Team'' has several nods to music from ''Second Opinion'', usually when Naomi is involved. They include a somber piano rendition of ''Second Opinion'''s main theme and a piano rendition of its final boss theme [[spoiler:when you stop her heart in the last operation.]]** Briefing music for particularly serious procedures in ''New Blood'' and ''Trauma Team'' becomes a variation on ''Under the Knife'''s briefing theme.** The [[ Hope Hospital theme]] also gets referenced in [[ the Caduceus theme]] of ''New Blood'' and [[ Naomi's office theme]] in ''Trauma Team''.* MysticalPlague: It's heavily implied that [[spoiler:both Rosalia and the virus she harbored are supernatural in essence. She correctly predicted that her death was just the [[ArcWords beginning]] of the pandemic, and her ghost manifested before Maria to warn her of it. Also, people who are infected with the virus somehow know to link their illness to the name Rosalia, despite never having met her before]].[[/folder]]께[[folder:N-R]]* 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.** Made worse by the fact that each game is hard in its own way. The original favored precision (no quick gestures for stitches, you have to make sure it's very even and narrow), ''New Blood'' favored consistency (a long unbroken Chain factors in greatly towards a good total score), and ''Under the Knife 2'' favored raw speed (such as the challenge on Bythos being that most players simply can't heal faster than the patient takes damage). Which game is the worst ends up depending on your particular playing style.** ''Trauma Team'' fixes these problems, and in many missions, failure is essentially impossible.** And then, there are [[UpToEleven the X missions]] in ''Under the Knife''.* NoMouth: The first response patients in ''Trauma Team''. They only get one when you're required to perform an intubation.* NoItemUseForYou: One operation in ''New Blood'' gives you no stabilizer and a limited gel supply. If you run out of gel you'll just have to take measures such as making the incision or putting on the bandage without the gel (which results in getting a "Bad" rating on either action), or suturing puncture wounds shut instead of using membranes (also results in Bads). It is possible to avoid these actions if you are conservative with your gel use, however. An operation in ''Under the Knife 2'' has a similar restriction and can be just as difficult.* NonIndicativeName: The "Autopsy" mode in ''Trauma Team''. A more accurate (but less snappy) name would be "Forensic Investigation", since at no point do you actually perform an autopsy beyond just looking at the corpse.* NonLethalKO:** If the player fails an operation, another doctor will take over before any more damage can be done and the main character will be shown having quit their job in shame. Of course, once the plots introduce GUILT and Stigma and each game's main characters are considered the only ones capable of dealing with it, it can be assumed that failure would doom the patient. The only real aversion is the bomb, which is implied to explode if you run out of time/make a mistake. No dialog, no cutscene, just an explosion and a [[NonStandardGameOver fade to white]]...** Averted for sure in the final mission of ''Second Opinion'': Fail there and Dr. Kasal will comment that [[spoiler:"That's enough! Dr. Hoffmann... will be missed."]]** The First Response missions in ''Trauma Team'' seem to avert this as well. In fact, you can lose multiple patients. (Up to 4 without failing, anyway, depending on the mission.)* NonstandardGameOver: Time limit aside, there are occasional circumstances that will end an operation immediately regardless of other factors, including [[spoiler:allowing Triti vapor to escape or letting Paraskevi burrow into the heart]] in ''Under The Knife'' / ''Second Opinion'' and [[spoiler: touching an active pin on a mind-control device]] in ''New Blood''.* NormallyIWouldBeDeadNow: Thanks to the amazing surgical skills some of the doctors possess, patients survive:** GUILT strains that ''cut open the heart'' (and in a few cases, [[spoiler:take over the heart completely, leaving huge tumors/an absolutely massive main body that uses part of the heart as an ''eye-like structure'']]).** Multiple aneurysms bursting in the brain.** And in ''Trauma Team'', [[spoiler: eight-year old Alyssa survives an explosion from a bomb ''that she was holding'', despite several other grown adults dying instantly after suffering the same fate.]]* NostalgiaLevel: Operation [[BonusLevel A-4]] in ''New Blood'', supervised by [[spoiler:Derek and Angie]], has you operating on simulated patients infected with [[spoiler:GUILT. And in the last two patients, GUILT and Stigma ''at the same time.'']]* NotQuiteDead: A rarity for this series, in ''Trauma Team'', one of Hank's patients, a depressed girl, [[spoiler: gets shot and loses all consciousness in his arms.]] He later learns that [[spoiler:Maria was able to resuscitate her]], and cannot contain his happiness.* [[NotUsingTheZWord Not Using the G Word]]: Naomi clearly suffers from some aftereffect of GUILT, but it's never referred to as that. [[spoiler: Even when Rosalia complicates the condition and mutates into something worse.]]* ObligatorySwearing: ''Trauma Team'' ups the saltiness quite a bit from the previous games. Most of it is thanks to Maria Torres' HairTriggerTemper.* ObstructiveBureaucrat:** This series loves to subvert this trope - the government officials such as Anderson, Holden, and Tillman end up doing some badass things to save people, even at great personal cost.** Played straight once in ''Under The Knife'', where one tells Sidney off for shipping life-saving GUILT medication to various hospitals because they aren't FDA approved yet.* ObsoleteMentor: Derek and Caduceus itself over the course of ''Under the Knife 2'' [[spoiler:until the replacement organization is revealed to be corrupt and its newly minted doctors equipped with an artificial Healing Touch are all on the brink of death from GUILT.]]* OffModel: Derek's arm from ''Under the Knife'' in the pose where he extends it is ''far'' too long. Thankfully, this doesn't show up in any of the other games.* OhCrap: Naomi has one of these in the episode "Crime of Passion" when she realizes [[spoiler:the package she just received is a bomb. And her 8-year-old MoralityPet ran off with it when she wasn't looking...]]* OminousLatinChanting:** The music for the final [[spoiler:GUILT, Savato]] and part of the final [[spoiler:Stigma, Cardia.]]** The OminousPipeOrgan in both of [[spoiler:Cardia's]] themes and [[spoiler:Alethia's]] theme (albeit not nearly as much as in [[spoiler:Cardia's]]).* OneOfOurOwn:** In ''Second Opinion'', Derek must be operated on by Naomi when he gets infected with Kyriaki and Paraskevi.** In ''Trauma Team'', the final mission has CR-S01 operate on [[spoiler:Naomi Kimishima after the Rosalia virus inside her mutates along with her genetic disorder]].* OpenHeartDentistry:** In Episode 6 of ''New Blood'', [[spoiler:the trio is given a dog named Pepita that they become attached to. When Pepita is shot, saving the trio's lives in Episode 6-4, our doctors take it upon themselves to attempt to operate on it. [[ChekhovsSkill Good thing they saw an operation being performed on a dog back at the beginning of Episode 4-2, huh?]]]]** See also Open ''Bomb'' Dentistry in the first game's "Explosive Patient" operation - The reason you can defuse the bomb is because your NPC partner used to date a guy on the bomb squad.** In the same [[IncrediblyLamePun vein]] as the ''New Blood'' example, ''Trauma Team'' has you perform a simple endoscopy on a cat. [[spoiler: Which becomes not so simple when Rosalia shows up.]]* OperationGameOfDoom: Several of the viruses get particularly nasty if you don't remove them carefully enough, or touch something you're not supposed to while moving the parts to the surgical tray. In a more literal example, the first game has Derek actually defusing a bomb with his surgical equipment while taking care to avoid detonation.* PreviousPlayerCharacterCameo:** Derek and Angie appear in a few chapters of ''New Blood'', and even host a post-game bonus challenge where you operate on a virtual simulation of the GUILT strains from the first game.** Derek shows up a couple times in ''Trauma Team'', though you never see his face or hear his name.* PsychoSerum: Neo-GUILT serve as performance-enhancing substances. Bythos enhances bodily functions and motor skills (it was basically used as a steroid); Sige sharpens the user's thought processes[[spoiler:, which is what enabled the artificial Healing Touch]]; Aletheia halts the user's aging; and while Nous isn't explicitly shown to have such an effect, the meaning of its name and the fact that its original host went brain-dead imply that it was some sort of learning agent. But since they are derived from GUILT, {{side effects include}} agonizing death once the parasite inevitably awakens. Sige in particular [[spoiler:drove Adel [[AxCrazy totally nuts]]]]. Previously in ''Second Opinion'', Caduceus Europe tried to use [[spoiler: samples from Adam's body]] to create a super-healing agent called Z-Cells. [[GoneHorriblyWrong It didn't go any better]], [[spoiler: and the guy who came up with the idea was revealed to be a Delphi [[TheMole mole.]]]]* PulledFromYourDayOff: ''Trauma Team'' opens Maria's story with her being needed on her day off due to high load.* PuzzleBoss:** Triti. The execution isn't particularly difficult, it's more about trying to figure out how to remove its tiles without making it generate more.** Brachion functions as one between all the Stigma strains; the puzzle lies in how to efficiently extract its grapplers while keeping the toxins in check.* RapidAging: This happens right at the end of ''Under the Knife 2'' to [[spoiler:Reina Mayuzumi, who had been using the Aletheia strain of Neo-GUILT to preserve her youth]].* RankInflation: Not only is there the S rank, but ''Second Opinion'' introduced the XS rank, available only on Hard, [[HarderThanHard Extreme/Specialist]], and Special.* RealIsBrown: The graphics designers worked hard to invert this for ''Trauma Team'', and based the majority of their design work on the theme of vibrant colors.* RecurringRiff: The operation briefing theme from the first game makes return appearances in both ''New Blood'' and ''Trauma Team''. The former uses a straight cover for Stigma pre-ops, while the latter has a darker remix that it applies to particularly tense conferences.** The tracks that play during most of the final arc in ''Trauma Team'' all share a similar musical segment.* RecycledPremise: A lot of operations in ''Under the Knife 2'' are similar to several procedures in ''New Blood''. For instance, elements of the mind control device in ''New Blood'' are recycled into the lock-picking levels and part of the Bythos treatment procedure in ''Under the Knife 2''. Or look at how Vaimahse Fever from ''New Blood'' got recycled into [[spoiler:post-Savato]] in ''[=UtK2=]''.* RoadsideSurgery:** ''Trauma Center'':*** The chapter Cadecus on a plane has you doing surgery on a plane that sometimes experiences turbulence.*** Another level exclusive to the Wii version has you doing emergency surgery at a car crash site, where the lights are failing.** ''Under the Knife 2''*** Derek and Angie are forced to treat a broken arm of one of their kidnappers, while in a moving vehicle that's evading police pursuit.** ''Trauma Team''*** First Response subverts this concept. While you do use some tools shared with Surgery, you're just performing first aid, stabilizing the patient so that they can be transported to hospital for proper treatment.*** A few coleoscopy levels are set outside of the hospital, including one where you navigate through rubble at a disaster site.* RushBoss: Onyx of ''New Blood'' has an incredibly deadly attack that can end the patient if it is allowed to execute it a few times. However, if the player can find the real copy quickly enough each time, they can complete the level without seeing Onyx attack at all.[[/folder]]께[[folder:S-Y]]* SadisticChoice: Derek is forced to make a seriously hard choice in 3-6 of ''Under the Knife 2'': either save [[spoiler:Emilio and Heather]] first, and potentially let two patients in bad condition possibly die or develop complications, or operate on said patients first... [[spoiler:and let Heather and Emilio possibly die or develop complications. Sadly, the former happens and Emilio dies. Not helping matters is that both Emilio and Heather wanted the other to be saved before them.]]* 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".* SequelDifficultySpike: Inverted and ZigZagged across the course of the series. ''Second Opinion'' relieved a lot of sources of frustration from ''Under the Knife'' by adding adjustable difficulty levels and pretty much setting the standard for the next two games. ''New Blood'' and ''Under the Knife 2'' then take this standard and add their own flavours of difficulty. ''Trauma Team'' makes its levels much easier than its predecessors, but then snaps back into very strict territory the moment a player tries to excel on its Specialist difficulty.* SequelEscalation: ''Under the Knife 2'' reuses several familiar procedures but puts in a cruel twist to make them more challenging, particularly if they are reused in later chapters. Brain aneurysms? ''[=UtK2=]'' sics 3 of them in a row on the player and complicates things by throwing in pus and tumors at the end. Burn victims? 3 of them in a row once again, with a much shorter time limit than usual.* SequentialBoss: The Challenge missions in ''New Blood'' would have you operate on multiple patients in a row, with the vitals from the last carrying over to the next. Sort of justified in that it's supposed to be a VR simulation, not real operations.* SerialKiller: Most cases in Forensics in ''Trauma Team'' avert this, with [[spoiler:Sandra Lieberman]] being the sole exception.* SeriousBusiness: While surgery is in fact an important and serious concept in real life, the games still manage to wring every moment for all its worth. There's a TV show revolving around live, on-screen surgeries in ''New Blood''.* SexyPackaging: The [[ Japanese packaging]] for ''Trauma Team'' makes great use of Maria's... assets. Do note that North Americans are not shafted out of this, as this art is used for the cover of the NA instruction manual as well. [[SexyPackaging Sexy Instructions]]?* ShadowArchetype: ''Under the Knife 2'' has three notable examples:** Adel Tulba to Derek. The latter possesses the Healing Touch naturally, but suffers a HeroicBSOD that causes him to lose the ability to use it. Adel too is deeply affected when he learns that this [[BrokenPedestal caused Derek to back out of an operation meant to save him, which had to be completed by Dr. Hoffman]]. The difference between the two is reflected by their reactions to these crises: Derek pushes himself to continue working and eventually forces himself to remember why he became a doctor in the first place, [[HesBack which makes him regain his Healing Touch]]. Meanwhile, Adel leaves Caduceus for the Hands of Asclepius and gains an artificial Healing Touch [[spoiler:through Neo-GUILT therapy]], which eventually causes him to [[spoiler:succumb to dementia and shock, forcing Derek to save him.]]** Reina Mayuzumi to Director Hoffman. The latter is naturally able to use the Healing Touch, but grows extremely reluctant to use it after [[spoiler:he loses a patient despite his abilities]], and is always wary not to exceed his limits. Meanwhile, Mayuzumi [[spoiler:uses the Aletheia strain of Neo-GUILT to retain her young looks, and intends to introduce the use of Neo-GUILT treatment on a large scale despite being aware of the risks posed by its nigh-inevitable failure]], only stopping once [[GlamourFailure it has an effect on her]].** Patrick Mercer to Professor Blackwell. The latter was [[spoiler:forced to become a Delphi researcher against his will to ensure the safety of his daughter Angie, whom he genuinely loves and esteems]], readily agreeing to help fight GUILT afterwards. On the other hand, Mercer is a bureaucrat in charge of medical research involving GUILT [[spoiler:who ends up using it for his own ends, wanting to exploit its properties to bring his wife out of a coma, willfully shunning his daughter Heather in the process and not showing any remorse in being responsible for the suffering caused by Neo-GUILT.]]* ShipTease:** A ''lot'' for Derek and Angie during the extra content of ''Second Opinion''. From blatant (Angie being so hysterical when [[spoiler: Derek is infected with GUILT]] that Weaver flat-out asks why she hasn't said anything to him yet) to subtle (the final shot of the credits is [[spoiler: a living room/study with a corkboard over a desk. The board has pictures of everyone at Caduceus except Derek, so it's probably his place. All his coworkers are at the edge of the board, except Angie, whose picture is front and center.]])** After a bit in ''Second Opinion'', there's quite a lot of ShipTease for Naomi and Navel in ''Trauma Team''. * ShootTheShaggyDog:** [[spoiler:Despite your best efforts (not to mention, three operations and two research puzzles), Anderson succumbs to Pempti]] in ''Under the Knife'' / ''Second Opinion''.** In ''Under the Knife 2'', [[spoiler:Emilio is cured of his PGS, liver failure ''and'' a Nous infection, only to die just a few chapters later, due to a terrorist attack that infects him with Kyriaki]].** [[spoiler: Master Vakhushti dies anyway after you remove the final Stigma from his body in ''New Blood''.]]* ShoutOut:** The first game's patients are named after the actors and characters of ''Series/{{ER}}'', ''Series/{{House}}'', ''Series/{{Scrubs}}'', and ''Series/GreysAnatomy''.** Chapter 3-8 of ''Second Opinion'' is titled "[[Film/SnakesOnAPlane Caduceus on a Plane]]". The symbol of Caduceus ''is'' a caduceus: two snakes wrapped around a staff.** Not to mention the fact that the person you have to help in chapter 7-1 of ''New Blood'' is named after [[TheDitz Rose]] and [[TheCasanova Blanche]] from ''Series/TheGoldenGirls''.** [[ The opening sequence]] of ''New Blood'' is probably a shout out to the [[ opening credits]] of ''House''.** This series was on the receiving end of this trope when a game in Atlus' more popular ''Persona'' series, ''VideoGame/{{Persona 4}}'', used Antibiotic Gels as mid-to-high-value healing items.* ShownTheirWork:** The planner of the Diagnosis mode in ''Trauma Team'' put an enormous amount of effort into doing research, to the point at which staff members started consulting him when they were feeling sick.** Along with GUILT, the supervirus in the game, they are based off infamous parasites ranging from Toxoplasmosis (Kyriaki's inspiration which has a side effect of increasing the suicidal behavior of certain animals) to Scleroderma (Triti). Yes, Delphi turned already dangerous parasites into even more deadlier organisms.** The Medal Challenges found across the Forensics missions in ''Trauma Team'' are all reasonably accurate multiple-choice quizzes pertaining to medical knowledge. * ShutUpHannibal: [[BigBad Adam]] gets a lot of this from Derek and Naomi--> '''Adam''': "Man crawls on the earth like vermin, only breeding and fighting for all eternity. Yet you dare judge them... You, who lost the ability to die."--> '''Derek''': What's that even supposed to mean?!* SlidingScaleOfShinyVersusGritty: The surgery graphics started off somewhere in the middle and slid toward shiny in future installments. This culminates with ''Trauma Team'', in which tumors are represented by [[EverythingsSparklyWithJewelry red gems]]. The character designs, on the other hand, got a bit more gritty in ''New Blood''.* SmokingIsCool: Gabe is ''always'' smoking. Even while he's ''taking a shower''. This is even brought up by Hank.* SocializationBonus: ''Trauma Center: New Blood'' can be completed entirely in singleplayer, but having a competent partner in co-op makes some operations much easier: not only do you have a second pair of hands, but you can use both Healing Touches in the same operation.* SolveTheSoupCans:** Both ''Under the Knife'' and ''Under the Knife 2'' feature simple puzzles that are supposedly related to complex biological science, given to Dr. Stiles to solve for whatever reason.** ''Under The Knife'' / ''Second Opinion'' handwaves it by saying the scientist who gives Derek the puzzle isn't interested in the solution, just his problem-solving methods and everyone else at Caduceus did the same puzzles.* SpoiledByTheManual: In the manual of ''Trauma Team'', their respective section goes into great detail about [[spoiler: Naomi Kimishima's terminal disease]], something that isn't learned about in-game until quite a bit later.* StealthHiBye: Tomoe Tachibana and her butler are fond of this in ''Trauma Team''. It's not quite a true StealthHiBye, since the player can visibly see them appear and disappear even while the other characters can't, but it's [[SuperSpeed close enough]].* StoneWall:** Triti. Unless you refuse to use the stabilizer, Triti will ''not'' kill the patient. However, it's irritating to remove the entire thing without a fast hand or the Healing Touch, and may very well make you lose by draining the 5 minutes you're given. God help you if it manages to expand.** Stigma Ops is less proactive with its attacks, relying on the core absorbing nutrients to do any real damage to the patient. If the player can regularly keep everything on the field in check, it can be treated without even needing to touch the stabilizer. That said, Ops can take a ''lot'' of laser exposure before it succumbs, and unlike Pempti, Ops fights don't come with unlimited laser.* SupernaturalPhone: Naomi, TheCoroner, has a phone through which she hears the LastWords of the current victim.* SuspiciouslySimilarSubstitute: The first strain of Stigma, Cheir, is ''very'' similar to Kyriaki.* SuspiciouslySpecificDenial: In ''Trauma Team'', [[SnarkKnight Gabe]] and [[RobotBuddy RONI]] are given an order to stop examining a soldier, and spyware is installed on RONI to keep an eye on them... but then she realizes that due to ArtificialStupidity, it will only report when Gabe is engaged in ''blatant'' diagnostic activity. Cue SugarWiki/FunnyMoments as Gabe has a chat with his new buddy while idly mentioning that they are ''not'' looking for symptoms.* SuspiciousVideoGameGenerosity:** During some of the {{Final Boss}}es, the game will automatically deploy the Healing Touch for you. This does not mean [[AntiFrustrationFeatures "Just in case you used your Healing Touch already, here's another one."]] It means "Hope you haven't used your manual Healing Touch yet, because if you can't use it here, [[UnwinnableByDesign enjoy your inevitable defeat]]!"** For Pempti operations, you're given a special laser that never burns holes in the patient, and never breaks or needs to cool down. This is because Pempti requires sustained use of the laser to defeat.* SyntheticPlague: Played straight with the GUILT and Stigma, but ''not'' with the [[spoiler:Rosalia virus]], which is either a natural mutation or a MysticalPlague.* TakeThat: Gabe tells RONI that he's a "real doctor" that went to medical school, and not someone who took online classes to get their degree.* TakeYourTime: Unlike in the previous games, the actual surgeries in ''Trauma Team'' have no time limit.* TalkingIsAFreeAction: Whenever a character gives you advice during an operation, time stops until they are finished talking. There's a handful of exceptions, though. If any chatter is more than one "message box" long, time will almost always stop and you'll have to advance the text normally (this DOES extend the [[BulletTime Healing Touch]] duration, but it's almost always a bad thing). If it's just a one-line observation (or Angie ''[[SarcasmMode helpfully]]'' [[AnnoyingVideoGameHelper reciting, step-by-step, the procedure you're doing as you do it for the fifth time]]), you won't even be interrupted and the clock will keep ticking.* TechnoBabble: The main method through which GUILT can be exposed in a patient is something called "chiral reaction detection". What exactly that means or how it is performed is never really elaborated on.* TemporalParadox: Done accidentally in ''Trauma Team''. The first Surgery mission is a direct follow up of the second Diagnostic mission. Keep this in mind. At the end of the first Surgery mission it branches out to the third Orthopedics mission which then leads to the third Diagnostic mission. However, by the time you choose that last one, you'll notice that the intro of that mission literally states that the first Surgery mission didn't take place yet. So, in the end, it's most likely that the writers of the game accidentally put the writing tense in the wrong order in the third Diagnostic mission.* ThankingTheViewer: Done quite well in ''Trauma Team'', when post-credit [[spoiler: Gabe speaks directly to the player, after which you are treated to a message from all doctors thanking you.]]* ThemeNaming:** Caduceus, Delphi, and the Chiral Test for detecting GUILT all stem from Greek Mythology. The names of the seven GUILT strains are [[SpellMyNameWithAnS based on]] the Greek names for the days of the week.** ''Under the Knife 2'' introduces the Neo-GUILT, named for four Greek-derived concepts from Gnosticism: Nous (Intellect), Bythos (Depth), Sige (Silence) and Aletheia (Truth).** ''New Blood'' used more Greek, this time from different parts of the body.** And then there are patients whose names are a mix and match of the characters and actors of ''Series/{{House}}'', ''Series/{{Scrubs}}'' and ''Series/{{ER}}''.*** Patients in the second game use names from ''Series/GreysAnatomy'', another medical drama. Also, some doctors borrow one of their names from these four series. Examples: you have Derek Stiles vs. Derek Sheppard, Dr. Robert Chase from ''House'' and Dr. Tyler Chase from ''Trauma Center'' are both blond, and to some extent Adel is a SpearCounterpart to Adelle from ''Grey's Anatomy''.* TimedMission: ''Every'' mission, as it were. That is, until ''Trauma Team'', which drops the timer for the vast majority of the missions. Take note that this doesn't mean the game no longer rewards swift treatment. Your completion time is still tracked and can factor in to scores and bonuses -- you just don't see the timer until you get your results and rank.* TimeStandsStill: [[spoiler:At the end of ''Under the Knife'', you automatically use your BulletTime healing touch. If you use it again, time freezes. Completely.]]* TitleDrop:** The missions ''Under the Knife'' and ''Second Opinion''.** The Japanese titles for ''Trauma Center'' games include 超執刀 (super surgeon), which is also displayed when the player gets an S Rank.* TooAwesomeToUse: Your Healing Touch can certainly save you... but what if you need it later? Made worse if you started with the first game, which penalized your score for using it on most operations; later games practically expected you to use it if you wanted XS-ranks on certain missions, but then would happily return to final bosses that required you to [[GuideDangIt save your Healing Touch till the end of the battle.]]* ToplessnessFromTheBack: Tomoe bathing in her very first cutscene. Maria Torres is an even better example. Watch her first cutscene, right after she steps out of the shower.* TwentyMinutesIntoTheFuture: ''All'' of our most dreaded diseases (AIDS, cancer...) are all but gone. Then GUILT shows up...** But of course. We have [[AppliedPhlebotinum antibiotic gel!]]** And yet they all seem to be there for ''Trauma Team'', particularly in Diagnosis. [[spoiler: Searching for a cure to them even motivates the events that start the viral outbreak.]]* TwoGirlsAndAGuy: In ''New Blood'', we have Markus Vaughn, Valerie Blaylock, and Elena Salazar.* {{Understatement}}: In CR-S01's bio, it mentions that he was involved in the Cumberland College incident that killed several people. By several, they mean ''everyone on campus''.* UnexpectedGameplayChange: The games like to throw in at least one mission that has nothing to do with operating, such as defusing a bomb in the original and ''Second Opinion'' using a scalpel, forceps and laser. It's just like operating, only the patient's a mechanical device that can kill you if you mess up! Additionally, the bomb is completely different between the two games.** ''New Blood'' has you using forceps to crack a [[spoiler:''freaking toy lock.'']]** In ''Under the Knife 2'', it's a mechanical door lock instead - this has the advantage that locks won't kill you, but the ''alarm goes off'' if you mess up at all. Though it's implied by the Game Over screen, that if you fail that one you're as good as dead.** ''Trauma Team'' continues the tradition by having you search through rubble for survivors of a bus crash. With an endoscope.* UnwantedAssistance:** Maria Torres can't stand anyone assisting her in her job unless it's absolutely necessary. And even then, she treats them as incompetent losers.** RONI helpfully tells Gabriel things he already knows, such as what an x-ray is. This is a JustifiedTutorial, but it doesn't make Gabe any more happy at being adviced with ''everything'' he's already been doing exceptionally well for a living.* UnwinnableByDesign: The final operation requires you to use the Healing Touch at precisely the right moment, meaning that if you've used it before then for any reason (with only one or two exceptions, when the games decide to be lenient), it's a guaranteed game over.* UnwittingPawn: Derek in ''Under the Knife 2'' [[spoiler:by Mayuzumi and Mercer. They both prey on his arrogance to gather data on the Healing Touch, allowing them to engineer new strains of GUILT that grant the ability to their hosts.]]* TheVamp: Reina. Technically she's TheDragon, but given all the horrible things she does to Derek [[spoiler:and the fact that she carries the final strain of Neo-GUILT]], she might as well be the BigBad.* VariableMix: This occurs during Hank Freebird's operations in ''Trauma Team''. The operations start with a base soundtrack that adds more instrumentation with each successful series of combos you perform. A single screw up causes the last set of added instruments to immediately drop out.* VideoGameCrueltyPotential: In [[{{Speedrun}} speedruns]] of the First Response segments in ''Trauma Team'', it's fairly common to purposefully cause some patients' deaths to make the levels end sooner, as a Game Over only occurs if the number of lost patients exceeds a certain limit.* VirusMisnomer: The GUILT ''virus'', in which the T stands for ''"Toxin"'', is often referred to as a ''tumour'', when it's pretty clearly a parasite. However, some characters speculate that GUILT is a toxin which causes part of the victim's tissue to mutate into a parasite that starts tearing the rest apart. Also, [[spoiler: Deftera]] looked more like a tumor in ''Under The Knife'' than it did in the remake.* VoiceGrunting: The first game features a few voice clips from the characters who assist you in operations. The remake ''Second Opinion'' also adds some for the playable characters. ''Under the Knife 2'' goes all out with over one hundred short voice clips from the whole cast, including such gems as ''I DISAGREE'' and everyone saying Dr. Stiles's name in various ways. ''New Blood'' and ''Trauma Team'' just use full voice acting.* ViolationOfCommonSense: ** Getting an XS rank occasionally requires you to ''let the disease tear apart your patient's body'' so you can get a high enough score or chain. This was removed in ''Trauma Team'' for a more patient-friendly system.** A very common strategy for clearing the first bonus operation in ''Under the Knife'', which is easily one of the most difficult of the operations, is to not treat the lacerations made by Kyriaki and simply keep the patient alive through liberal use of antibiotic gel and stabilizer in between treatment steps. [[note]]This works as it exploits the presence of an upper limit of injuries that can be displayed on screen. By not treating the lacerations, Kyriaki will eventually stop attacking while you're working.[[/note]]** Getting XS for 4-6 of ''Second Opinion'' has a criteria: "Follow 10 of Victor's orders." If you work quickly, you'll only manage to get nine. To get the tenth, you need to let the patient's vitals plummet a bit when Pempti reacts adversely to the medication, after which Victor will tell you to raise his vitals before proceeding. ** Getting the a cool on bandaging a patient back up requires you to ''almost'' completely cover the wound. Covering the entire thing like you should doesn't reward you as much.* WhamEpisode:** The second operation on Linda Reid in ''Under the Knife'' and ''Second Opinion'', where Kyriaki, the first strain of GUILT we see, suddenly makes its introduction. ** Chapter 5-1 of ''Under the Knife/Second Opinion'' is a positive example: [[spoiler:Hoffman]] is [[HesBack back!]]--> '''[[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.** Chapter 2-6 in ''Under the Knife 2''. [[spoiler:GUILT is back, and not only that, but it's a new strain. Someone is still developing the parasites that were presumed to be eradicated in the first game.]]* WhatHappenedToTheMouse: Trauma Center 2 begins with Derek and Angie being sent to Costigar to investigate a mysterious plague that has been ravaging the country. This plot point is completely forgotten after the first chapter concludes, save for a single episode much later when Adel suddenly falls ill due to it... which only raises the question of whether the disease is now free to spread through Japan.* WhatTheHellHero: Angie scolds Derek for proper bedside manner. Cut forward a few episodes later, and she tells a suicidal patient to go die.* WhereAreTheyNowEpilogue: Done twice in ''Trauma Team''. The first is during the epilogue where Tomoe gives Naomi [[spoiler: who was recently cured from Twisted Rosalia]] a quick rundown on how each playable character is doing. Then after that, you get the [[SugarWiki/FunnyMoments secret voice recordings.]]* WhoWillTakeTheKids: Played straight in ''Trauma Team'' [[spoiler:after Alyssa is nearly killed by a bomb and orphaned]].* WolfpackBoss: Certain levels, particularly in the sequels, combine multiple simpler procedures onto a single patient. This can culminate in a patient being simultaneously afflicted with 2 different but (relatively) simple strains of GUILT or Stigma. [[spoiler:And in once case, three at once.]]* WorstAid: Averted in the story (to the point where it doesn't make any of the common mistakes), but potentially played completely straight in gameplay. In fact, it's actively ''encouraged'' to do this for an S/XS rank! Well, aside from in ''Trauma Team''.* YouALLLookFamiliar: Averted for the most part, but played to absurd lengths with the Delphi members in ''Under the Knife 2''. Namely, they're ''all the same sprite'' with different expressions.* YouAllShareMyStory: The stories in ''Trauma Team'' are all connected, and late in the game, [[spoiler:all six doctors come together to fight the epidemic CR-S01 allegedly released before he lost his memories]].* YouAreNotAlone: Chief Patel's message to Maria, when the other medics arrive to assist her in her final chapter just as she starts to get overwhelmed by the patients' worsening conditions.* YouDidEverythingYouCould: All the other characters tell Derek this when he fails to [[spoiler:save Emilio's life]]. It is not enough to prevent him from having a HeroicBsod that nullifies his Healing Touch for an entire arc.* YourDaysAreNumbered: In ''Trauma Team'', it's revealed that after ''Second Opinion'', [[spoiler:Naomi Kimishima]] was diagnosed with an incurable disease and is living on borrowed time. [[spoiler:The epilogue of ''Trauma Team'' reveals that eliminating Twisted Rosalia, which was a fusion of the disease and the Rosalia Virus, cured her.]][[/folder]]----''The example list is saved! '''Page Successful'''''----


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