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  • Adaptation First: The 90's theatrical movie and first 6 OAVs (or some form of them, anyway) were released in the US in 1996...three years BEFORE the manga got an English translation.
  • Celebrity Voice Actor: In The Two Doctors of Darkness, Kiriko, Rock and Goa are respectively voiced by Takeshi Kaga, Yuma Ishigaki and Shinya Owada.
  • Dueling Dubs: In Latin America, there's two dubbed versions of the 2004 TV series, one dubbed in Colombia (and used by Animax) and another most recent one, dubbed in Mexico. The Mexican one was done with the explicit purpose of replacing the Colombian one, as the quality of the latter was... not very good, to put it in kinder words.
  • Keep Circulating the Tapes:
    • A few chapters have been deliberately withheld from reprints and circulation, because Tezuka found them not very good. One story, Finger, was remade with a different ending, as it originally was much too bleak.
    • The second half of the anime has not yet been officially released to the states.
  • Life Imitates Art:
    • The manga story Tenacity is pretty heart-wrenching in light of the author's final fate. What makes it even worse it that the dying doctor's personal physician is "played" by Tezuka himself.
    • The same can be said of the Black Jack movie, the plot of which revolves around "super-humans" succumbing to disease and fatality while trying to do what they love.
    • Many readers are surprised to learn that The Legs of an Ant, about a disabled young man going on a highly publicized cross country trek to raise awareness about his illness, was first published in 1974, a full six years before Terry Fox's famous run across Canada.
  • The Other Marty: In the trailer for The Two Doctors of Darkness, Norio Wakamoto voiced Kiriko. In the film proper, he's voiced by Takeshi Kaga.

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