trauma center g

7/27/2019 Trauma Center g

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KK KK NNN NN IIIIIII FFFFFFF EEEEEEEKK KK NNNN NN III FF EEKKKKK NN NN NN III FFFFFFF EEEEEEEKK KK NN NNNN III FF EEKK KK NN NNN IIIIIII FF EEEEEEE

==============================================================

[=====================================][ ][FAQ V. 1.12 ][Written by: Lord Windscar ][Last Update: Jan. 11th, 2007. ][Contact info at the end of the FAQ. ][And sorry for my horrible ASCII Art. ][ ][=====================================]

Okay for some reason the above box keeps getting screwed up each update...

Pre-Disclaimer: This FAQ is intended for you to PASS missions. I am nowalso including a S rank section if you want to know how to perfect missions.Also, this game will NOT make you into a real surgeon. If you are NOT alreadyattending medical school, please do not consider changing your profession justbecause you beat a game based on surgery.


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============== [Table of CONTENTS] ==============

============== 1) Introduction ============================ 2) Game Basics ============================ 3) Episode 1 ============================ 4) Episode 2 ============================ 5) Episode 3 ============================ 6) Episode 4 ============================ 7) Episode 5 ============================ 8) Episode 6 ============================ 9) The X Missions ========================== 10) S rank Strategies ========================= 11) OMG Actual FAQ ============================ 12) Legal stuff ==============

In order to save 10 seconds of scrolling, Copy the words next to the numbersin table of contents, then hit Ctrl+F and Paste into the search bar to goimmediately to the section you're looking for.

==========================[ Part 1: Introduction ]============================

About me: This is the Second FAQ I've ever made. The first was under adifferent username for the game Onimusha 2. However, I never finished thatguide because my PS2 broke down halfway through making the guide. However, Iam back with a vengance and after perfecting my Trauma Center techniques, Iwill pass onto you, the reader of this FAQ, the knowledge needed to beat thisgame.

About the game: Trauma Center is a surgery simulator made by Atlus for theNintendo DS. The gameplay may be far from realistic in some instances becausethe game is set in the future, but it sure is addicting. This game is widely

considered to be very difficult. I personally would rate it among the 3toughest games i have ever played. Be prepared for a challenge.

About the Creators: Atlus is well known for making fun games, most of whichare RPGs. Most of their games are almost never reprinted, with a large timeperiod between the printing sessions if they are. As of this writing, Ibelieve the game HAS been reprinted, so finding it may not be difficult.

About this FAQ: I do not like if people copy my work without permission.Feel free to email me to ask permission, but chances are if your site featureswork i know to be plagarized, i wont let you host it. The following sites mayhost my work as of the latest version.

www.GameFAQs.comwww.CheatCC.comwww.neoseeker.comwww.Mycheats.com (Or www.1up.com)

And thats it for the introduction.

Oh wait, one more thing. I love to throw in a little joke just before andafter an operation. Mostly they're jokes involving other games. Please dontget offended easily.


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-========================= [ UPDATE HISTORY ] ===============================-

V. 1.0 - Initial GameFAQs guide release.

V 1.05 - Several typos edited, added a few parts to Operation 7 and 17 thatI left out by accident. Also made my initial ASCII Art less horrible.

V 1.11 - Added new websites to the Introduction part where i list sites thatcan host my FAQ.

V 1.12 - Added S rank strategies for Operations 1-6. Also updated Affilatesa bit.

Coming Soon:

V 1.2 - You want S rank tips? You got S rank tips! Thats right, coming soon tomy guide i'll tell you how to S rank every mission. I would include videos buti dont have a webcam, plus i'm still quite a bit slower than some of thebetter board players. (That and my hands are awful twitchy. I dont play on asolid surface like most people.)

V 1.3 - After S ranks are added, Version 1.3 may very well be main storylineadditions. Of course if they take away my X missions i'll get mad but thatsbeside the point. The story is boring anyway, but i feel inclined to includeit now.

=========================[ Part 2: Game Basics ]==============================

Before I get into the walkthrough, allow me to show you what does what.

[-------------------------------------------------------------][A button: Scroll through text, Select options at game startup]

[B button: Go back through menus ][Start button: Pause the game ][-------------------------------------------------------------]

Of course, none of that really matters since you can do everything, and youWILL have to do most of the game through the touch screen.

Now, most of main game is divided into "Epsiodes". Each episode is generallyup to 12 parts long. Half of each episode is just story text, and half areactual operations. This guide does NOT cover story text, just operations. Ifyou want story text, theres a guide that covers the basic story on GameFAQs.

Now, as for the screens on your DS.

=============================== { TOP SCREEN } ===============================

This shows many things that are NOT that important unless you are trying toget a high rank. The following are found here.

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Operation score: This basicly shows how precise you are as a surgeon. Thisscore basicly includes all the COOL, GOOD, and BAD rankings you get for simpletasks such as suturing cuts.

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Miss count: To be honest, this should never ever come into play unless you aregoing for S rank. Basicly, when you screw something up, you get a miss andincludes the following.

-------------------------------Initially scalpeling too far outside the line or lifting it off the line toosoon.-------------------------------Rolling a bandage the wrong way.-------------------------------Dropping a foreign object back into the patient-------------------------------

Of course that only includes a few, but the rest is spoilers for now. If youmiss 20 times, you fail the mission. If you EVER miss that many times, youprobably have REALLY twitchy hands.

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Time Limit: This is obvious. If you take more time than the limit, you failthe mission.

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Assistant and Text: Your lovely (most of the time) assistant will be tellingyou how to do your job. Mostly its just annoying, but sometimes you will betold how to go about the mission if its your first time doing it.

Also, i hate when she pops up with an annoying scroll text when my vitals areat 02 or 01, when i was about to stabilize with 7-8 cuts, and that causes meto fail. X_X

============================== { BOTTOM SCREEN } =============================

Vitals: Measured from 0-99, this tells you how "alive" the patient is. 0 isobviously VERY bad. 99 is practicly giving them the OK to leave. You canincrease this by injecting stabilzer, or rubbing gel over NON wounded areas.If this number ever goes BELOW 0, you fail.

Tools: Described in as much detail as i can below. Going from top left, down.

Note: These are just the most common functions. There are more, but the

game text will notify you on how to use tools for whatever purpose you need.

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Laser: This nifty little tool burns off polyps, tumors, and harms parasitescalled GUILT, which i wont get into until the first mission that involves it.Obviously, holding it in one place for too long is VERY bad for the patient,as it can cause massive bleeding, and doing so will incur a miss.

Note: On certain missions you get an upgraded laser, which never runs out.


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It also cant harm the patient for some unexplained reason.

This is a point and click tool.

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Gel: This heals up small cuts, and stops big cuts from bleeding. You alsoneed it for geling over the initial cut, and geling over the initial suturedcut when you finish up. Other uses include protein membranes and you need itif youre going to start up someones heart. It also heals a minor amount ofvitals.

Move the Stylus over an area to use.

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Drain: Removes massive pools of blood, other various fluids, and tumor tissue.Since this is an operating game, you would wonder why you dont need to usethis tool every 2 seconds.

To use, point at the affected area, and drag upwards along the drain until OKshows up.

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Forceps: Use these to remove foreign objects from the body, of course notALL foreign objects can be removed like this.

Glass/thorns: Point the stylus on the glass, then move it in the oppositedirection from its entry. Once fully removed, place on the glass tray thatappears in the lower right.

Large tumors/Certain parasites: Just move the tumor/parasite over to thetray in the lower right. A protein membrane may appear in the lower left. Ifit does, then use the forceps to place it on the bleeding area, and use gelon it. More on the membranes later in tools.

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Hand: Nevemind, since this is the tool for membranes and starting up hearts.Once a membrane has been geled, rub over it with the hand. Be sure to coverit completely to get COOL. To start a heart, first rub jel over the blue barthat appears in the center of the screen, then rub the dark portion when itreaches the top or bottom

This is just point and move over the affected area with the stylus for usage.

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Ultrasound: You use this for locating tumors and foreign objects (parasites)

that hide under the skin. Just point and poke the bottom screen where you wantto search, and it will be done. Anything found will show up as a black shadow.To force it to the surface, we come to the next tool, which is...

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Scalpel: Yes, as if this wasnt obvious, you use this to cut the initialopening, as well as use it to cut out foreign bodies such as tumors andparasites. Most of the time when its needed, a yellow square guidelinewill appear. To use, trace the scalpel over the line.


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Note: In the initial opening, gel the line first.

When ultrasound picks up shadowy objects, quickly run the scalpel over theshadow before it disappears. Tumors are exempt to the disappearing quirk.

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Stitches: You use these to suture cuts. Generally you'll want to do thisas fast as you can, but the game judges suturing harshly sometimes. So,without any further delays, heres how to suture.

Point the stylus at the beginning of a cut, and draw a zig-zag pattern acrossthe whole length of the cut. The game judges your rating based on extra lengthand how even the stitching is.

Oh, and heres a quirk once you get a fair length into the game. For largegashes, first drain the blood, then use the forceps to pull the larger sideof the cut over. THEN you can suture it. Be quick or it'll reopen.

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Syringe: If this is your first time through the game, you will likely be usingthis very often. Usually you will only have access to stabilzer which is green

fluid. To use this, poke the fluid with the stylus and draw upwards. Then,point almost anywhere on a patient's body and poke until the fluid is drained.

A full stabilzer will heal around 12 vitals. Other Syringe injection worksthe same way, except the location is more specific. More on these later.

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Bandages: At the end of the operation, you use these to bandage the initialincision. To use, point at one end of the incision, then move the stylus overto the other end, then release.

Remember to gel the incision before the bandage, otherwise you'll get a BAD.

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Thats pretty much it for the game basics. Things i did NOT explain here willbe explained later in the guide as i get to certain operations.

=============================== { 3: EPISODE 1 } =============================

Pre-Episode Notes: Remember, I'm only covering OPERATION sections, not STORYsections. Please remember, I'm not going to baby you through procedures thatyou have to do repeatedly, like the initial incision.When you're ready, read below for operation 1.

Oh and before I forget, Some people use 2 stylus's for this game. It might beeasier that way, but if you want a real challenge, be a man and use only onelike I do. (That means I'm writing this under the impression you only use onestylus)


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----------------------------=== [ OPERATION 1 ] ===---------------------------

-------------------------=== [ STANDARD PROCEDURE ] ===-----------------------

Pre-OP notes: Um, Operation 1. This is basicly teaching you how to use certaintools that I ALREADY explained how to use above.

[-------------------------------------------][ Patient name: Turk, Kevin ][ ][ Starting Vitals: 80 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Your first operation. Excited much? You only get to use certain tools here,but its a nice learning experience nonetheless.

Anyway, your patient starts with two lacerations and two glass shards stuck

in his arm.

You are instructed to use to suture the cuts first. Select thestitches by touching them with your stylus, and heal the cuts by moving yourstylus in a zig zag pattern across the cut. Repeat for the other cut.

When both cuts are healed, you are instructed to remove the glass. Selectthe forceps, and press the stylus against where the glass is located. Pull thestylus on the screen in the opposite direction of entry, then place the glasson the tray that appears. Repeat for the other glass shard.

Once both shards are removed. Select the gel to heal both cuts. You may noticevitals increasing if rubbed on a non-wounded area. This is insignificant in

this mission, but you'll need this knowledge for later. Rub the stylus overthe cuts to gel and instantly heal them.

Now you will be instructed to open up this man's arm. Gel the line thatappears, then select your scalpel when instructed and trace the line. Dontremove the scalpel until all the squares are traced.

Inside the arm are three glass shards. Treat these the same way you treatedthe outer shards. I shouldnt have to repeat myself.

I will however state that the closer to the middle of the tray you place theshard, the better rank you get for removing it.

After all three shard wounds are healed, you will zoom out of the patient.Suture over the wound you made in this guy's arm, then rub gel over thebleeding section until you get OK. Then select a bandage and roll it over thestitched area.

Congratulations, you finished the first operation. Dont get too excited, thismission is cakewalk compared to later.

----------------------------=== [ OPERATION 2 ] ===---------------------------


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------------------------=== [ STANDARD PROCEDURE 2 ] ===----------------------

Pre-OP notes: Once again, this teaches you some other tools that i've alreadymentioned how to use.

[-------------------------------------------][ Patient name: Laurie, Noah ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

This is your first tumor removal. Your operation starts by opening this guy'sabdomen. Gel the trace line then scalpel. You should get used to this.

You will zoom in on the patient's stomach. His vitals will immediately dropto 60. You will be instructed to inject stabilzer into the patient. Selectthe syringe, and pull up to load a full dose into the syringe. Then, touchyour stylus to the patient's stomach to inject. You wont advance until a FULL

LOAD is injected.

Once you inject, his vitals shoot to 70, then you can continue. You aretold to use the ultrasound to find the tumor. Select the ultrasound at the topright, and touch the screen to search for the tumor. If you want to cheat, thetumor is located at the bottom middle of the stomach.

Once located, a shadow will appear, trace over the shadow with your scalpel.A gross looking green mass will appear when you do.

Select the drain (middle of the left tools), and touch the stylus against thegreen mass (which is actually cytoplasm). Draw the stylus upwards and thegreen mass will become a red fleshy mass.

Now, select your scalpel and trace around the lines. Do this before thecytoplasm reappears.

Now that the tumor is officially excised, select your forceps and drag thetumor to the tray on the right.

Once that is done, select your forceps again, then drag the membrane from thebottom left tray and place it over the bleeding wound. Rub gel over it, thenselect your hand (bottom left tool) and move the stylus over the membrane.After 4-5 "sounds" from the membrane it will be in place.

After that, suture the initial incision, gel over it, and then roll the

bandage.

Operation Complete.

----------------------------=== [ OPERATION 3 ] ===---------------------------

----------------------------=== [ A FAREWELL ] ===----------------------------


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Pre-OP notes: First operation you have access to all tools. However, you wontuse them all. Also, that ugly nurse finally leaves.

[-------------------------------------------][ Patient name: Spence, Neil ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Multiple tumors? Oh no!

As is the usual starting method, gel the line and scalpel over it.

Whats this? Inflamed areas? Thats not good. Select your syringe and fill itwith blue fluid. then press on the white pulsing areas to remove them. Itshould only take half an injection to remove one inflamed area.

Now that that's out of the way, we can remove the tumors. Use ultrasound tofind them, or you can cheat and use the section below to find them without it.

1. If you've paused your game before, its just above where the P would be.

2. Go down from the first tumor, and to the left a little to find number 2.

3. Go right. Near the bottom of the organ you'll find the final tumor.

Once you've cut them out and exposed the cytoplasm, drain one at a time.However, do not remove the actual tumor mass until you've excised all three.Once you have, remove them one at a time, then place the membrane over thewounds, gel, and massage like last operation.

After you've finished all three, suture the initial cut, gel, and bandage.

Operation Complete. Say bye to Mary by the way, you wont miss her a bit.

----------------------------=== [ OPERATION 4 ] ===---------------------------

-------------------------=== [ SINGING THE BLUES ] ===------------------------

Pre-OP notes: YAY, ANGIE! Er.. Yeah, First operation with the laser. Also, youlearn how to use the obscure tool magnifier here!

[-------------------------------------------]

[ Patient name: Cox, Elliot ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Yay, polyp removal!


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If operating on the pharynx requires utmost care, why are we treating it likeevery single other operation? Anyway, gel the line and scalpel.

Hm, thats a narrow area to work with, better use the new MAGNIFIER TOOL.

To use it, select what would normally be the ultrasound, and draw a C shape.(Dont ever draw a circle like the game says, it barely ever works)

Anyway, draw a C shape with the magnifier near the large area of blood, thendrain the blood away using the uh...drain.

Those purple dots are polyps and we're going to get rid of them! Select thelaser (top left tool), then press against the polyps for a second to remove.Gel over the area where the polyp once was.

An operation event occurs where blood will pool back up and you will have todrain it again. This occurs if you burn off too many polyps at once and dontgel quick enough. Try not to let it occur too often.

Anyway, once this area is clear, unmagnify to find another blood pool. Drainit and remove the polyps like instructed above. You will have to repeat thisprocedure three more times after the second. None are any different than thefirst.

After you're done, you'll automaticly zoom out of the patient. Suture, gel,bandage and you're done.

Operation Complete.

----------------------------=== [ OPERATION 5 ] ===---------------------------

---------------------------=== [ A REAL DOCTOR ] ===--------------------------

Pre-OP notes: More Tumor removal. Oh yeah, when you go for high ranks, dontuse Ultrasound to find tumors. Ever.

[-------------------------------------------][ Patient name: West, Sean ][ ][ Starting Vitals: 70 ][ ][ Maxiumum Vitals: 80 ][___________________________________________]

Ready for more tumor removal?

Gel and line the scalpel, and get ready for an ugly sight in the intestines.

Oh my...there are 4 small inflamed areas and 3 large areas. You've dealtwith this before, use the syringe to inject blue anti-inflammitory intothe inflammed (pulsing white) areas. The large areas take around a full dose,and the small areas take half a dose.

Want to cheat without using the ultrasound using my advice? Not going to workthis time. I wont tell you their locations because you should know how touse ultrasound by now. Just know that there are four tumors.


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You should also know how to remove them by now. Drain cytoplasm, then scalpelthe trace line. Dont remove until you've excised all four tumors though.

Remove one tumor, then place the membrane over it. If you remove all fourbefore placing a membrane, your vitals will drop faster than a rock. Anyway,gel the membranes then massage them evenly for your coveted COOL rank.

After that, you'll be instructed to ultrasound for more abnormalities. Justuse the ultrasound 10 times anywhere, and then you'll zoom out of the patientand of course theres the suture, gel, and bandage of the initial incision.

Operation Complete.

----------------------------=== [ OPERATION 6 ] ===---------------------------

---------------------------=== [ LIFE OR DEATH ] ===--------------------------

Pre-OP notes: The story leading up to this operation is awesome. That aside,this is technicly your first heart operation.

[-------------------------------------------][ Patient name: Flynn, Omar ][ ][ Starting Vitals: 01! ][ ][ Maxiumum Vitals: 30 ][___________________________________________]

Yes, you read starting vitals right. This is the first operation you're indanger of losing due to vital loss. Lets do this!

I know at first you're thinking "OMG This is impossible i'm going to lose 3

seconds." His vitals wont move from 01 until you recover his pulse. Anyway rubsome gel on that bar that just appeared in the middle of the screen, thenplace your hand on the darker part of the bar and follow it until you get OK.

When you do, his vitals are restored to 30. Time to clean up these wounds.

First, fix up the lacerations by suturing them and geling over the small cuts.Then drag the glass out with forceps and place them in the try. Be careful notto drop any on this operation, because of the lower maximum vitals. Usestabilzer to heal as necessary.

Once you fix the outer wounds, gel the trace line and scalpel to enter...theHEART!

Wow...theres a lot of glass shards. Remove only TWO at a time, and be sure youdont drop ANY. His vitals drop MUCH faster here than outside. Remember to gelover where the glass used to be, just be quick about it.

When all the glass is removed, OMG 01 VITALS! Do what you did at the beginningof the operation and his vitals will be restored back to what they were. Andthen...

Wow... a LARGE piece of glass emerges from the heart. This is MUCH bigger than


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the previous pieces, but it still shouldnt be a problem. Just be extra carefulnot to drop it. Also, when its placed on the tray, vitals will drop around 4points per second, so suture the wound fast.

Just when you think its all over, suddenly a laceration the entire length ofthe heart appears. You must be thinking its all over. Suddenly a star appearsto be drawn on screen and the screen will turn black and white except for thelaceration. This is the Healing Touch. It basicly slows down the game timer,vital loss, and other various things in game while you still operate at normalspeed.

Oh by the way, your vitals just dropped to 05. It doesnt matter since you losevitals really slow now, so just take your time. This is a large laceration, soif its your first time it might take you a few tries to suture correctly. UseStabilizer if you screw up once or twice.

Once sutured, your vitals are restored to max, and then you can suture, gel,and bandage the incision! Congrats, you just beat Episode 1's final operation.

Operation Complete.

=============================== { 4: EPISODE 2 } =============================

Pre-Episode Notes: let me state that these missions are quite a bit harderthan the previous episodes. Remember theres always challenge mode if you wantto get more practice.

----------------------------=== [ OPERATION 7 ] ===---------------------------

--------------------------=== [ DORMANT ABILITY ] ===-------------------------

Pre-OP notes: SPLEENLOL. XD Anyway, fun with forceps, scalpel, and drain.

[-------------------------------------------][ Patient name: Pratt, Jesse ][ ][ Starting Vitals: 80 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Have you heard jokes about the spleen before? I have. Time to operate on it.

Gel the line and incise! Welcome to the spleen, I'm almost sure it doesnt look

like that for real. Anyway, magnify the purple organ.

See those circles moving around in the artery? Those are Thrombi, and we'regoing to remove them. To remove them, ultrasound the moving circles so theybecome more opaque, then use forceps, then scalpel over it. After that, usethe drain to suck up the thrombi (do so until you get OK), then gel over wherethe thrombi was.

That wasnt so hard was it? Also, try not to let thrombi reach the end of theartery where it converges. You'll incur vital loss if you do. If its your


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first time through the game, i'm sure one or two will reach the end. Dontworry, the vital loss isnt something you cant handle. Remove 5 thrombi to moveto the next phase.

Whats this? The Thrombi are suddenly moving four times faster! Derek autoactivates the Healing Touch (HT from now on). Suddenly the thrombi are nowmoving even SLOWER than the first phase, so this shouldnt be much of a problemThere are seven thrombi to remove this time. If you had no problems last phasethen this shouldnt even be hard.

Once you remove all seven, suture, gel, and bandage the initial incision.

Operation Complete.

----------------------------=== [ OPERATION 8 ] ===---------------------------

-----------------------=== [ STRIVING FOR ASCLEPIUS ] ===---------------------

Pre-OP Notes: This isnt an Operation. Why am I writing this?

[-------------------------------------------]

[ Patient name: -- ][ ][ Starting Vitals: -- ][ ][ Maxiumum Vitals: -- ][___________________________________________]

Yes, this is a for fun mission. Here you learn how to use the Healing Touchwhenever you want.

First of all, touch the hand icon twice. This turns the icon into a star. Thisis what you do whenever you want to use the HT.

Anyway, start by tracing the over the star. Try to do it quickly. The starwill fade and you'll have to do it again. Then the outline will be gone.Repeat what you just did 3 more times.

That wasnt so hard was it?

Operation Complete.

----------------------------=== [ OPERATION 9 ] ===---------------------------

-----------------------------=== [ AWAKENING ] ===----------------------------

Pre-OP notes: This is the first mission you can manually use HT. To do so,double tap the hand tool so it becomes a star, then draw a star on the bottomscreen. The Larger, quicker, and more precise you are, the more time you spendin HT. Of course, using HT kills your rank, so use it only if you have to.

[-------------------------------------------][ Patient name: Kovac, Mario ]


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[ ][ Starting Vitals: 70 ][ ][ Maxiumum Vitals: 80 ][___________________________________________]

Anumerisms...sounds like tumors! Anyway, gel then incise the line.

Look, a little red bump. Use the magnifier near it. Prevent that anumerismfrom bursting! Select your syringe and fill it full of the orange sedative.Then, trace the line with the scalpel. Now it wont burst anymore, but youstill need to remove it. Use the forceps to drag it to the tray. Oh no, nowthe blood vessel is bleeding! Drain the blood using the uh...drain, then usethe forceps to drag the two pieces of vessel together, then suture them.

Wow, that was intense! Heal vitals to around max then magnify out.

Oh noes! Another Anumerism. Treat this just like the last one.

After you treat that. Two more show up. This guy clearly has health issues.This time, when you scalpel one, dont remove it, and instead go to the otherand treat it until the vessels are connected. Then, connect the first'svessel. Why do this? After you treat the first one, Two more anumerisms will

appear. Try to finish up both at the same time. Then treat the next two thesame way you treated these two.

If this is your first time on this mission, i suggest you get HT ready. I'llprovide instructions on both HT and non-HT. Then, FIVE ANUMERISMS APPEAR!

If you use Healing Touch, this wont be hard. Inject all five with sedativesthen scalpel them all out. then, treat one blood vessel at a time, so you donthave around 5 blood pools at once, thus massive vital loss.

If you DONT use Healing Touch...get ready for a challenge. Magnify so you cansee all five anumerisms at once, then beginning at the top left. Inject thesedative, the excise with the scalpel. Do the same to the bottom left. Dont

remove either yet.

At this point you should have three anumerisms still about to burst. Injectsedative into one at a time. When you get them down to size, excise onewhenever possible unless another is about to burst. When two are left, theprocess becomes much easier. When all five have been excised, treat theend-removal process like i described in the HT version.

Once you are done with the 5 anumerisms (god i hate this word), suture, gel,and bandage the initial incision.

Operation Complete. Anyone else reminded of the fruit candy "Gushers"?

----------------------------=== [ OPERATION 10 ] ===--------------------------

---------------------------=== [ JUST LET ME DIE ] ===------------------------

Pre-OP Notes: This operation only has a three minute time limit. Not that itmatters, because the operation is very short.


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[-------------------------------------------][ Patient name: Reid, Linda ][ ][ Starting Vitals: 45 ][ ][ Maxiumum Vitals: 65 ][___________________________________________]

Here's where the real fun begins, ready to operate? Gel and incise the line.

Woah, there are quite a few normal lacerations, and 3 larger ones which haveMASSIVE BLEEDING.

If you are quick, deal with the large lacerations (gashes) first which i willdescribe below. If you are new, deal with the normal lacerations first. Youshould know how to do these by now.

To deal with gashes, first drain the blood on them, then use forceps to pullthe LARGER skin area over to the other. The game likes to fumble and give youmisses a lot for these. Anyway, once you do that, suture it like a normal cut.If you take too long, the gash will re-open or start bleeding again.

Once you are done with the laceration treatment, thats pretty much it for the

operation. Suture, gel, and bandage.

Operation Complete. For a high school girl, she sure is underdelop.. *is shot*

----------------------------=== [ OPERATION 11 ] ===--------------------------

-------------------------=== [ PLEASE LET ME LIVE ] ===-----------------------

Pre-OP notes: Welcome to the first operation involving GUILT. These are theparasites I mentioned in the game basics. You will be dealing with the firsttype here.

[-------------------------------------------][ Patient name: Reid, Linda ][ ][ Starting Vitals: 80 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Ready to kick ass and chew...oh wait this is a surgery game, sorry. Gel andincise the line as usual.

Whoa lady, what kind of drugs have you been taking? Again, it doesnt matterif you start on the gashes or normal lacerations first, just pump your vitalsusing stabilizer to max before you finish the last one. So you can get a goodscore.

Yay you're done...wait...WHAT THE HELL?!? A laceration just formed on its own.Use the ultrasound when another laceration forms to find a moving shadow. Thenscalpel it out. EWWW A MOVING FISH THINGY!

Welcome to Kyriaki, the first strain of GUILT. These lovely sea of blood


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creatures swim around your patient's organs and make many lacerations for youto fix! Until you're told how to kill them that is. Anyway, to kill them, justtap it with your laser! The Kyriaki will then zip across the organ. Hit itonce more and it will die.

Yay! Once either all cuts are sutured and/or vitals are above 80, the nextphase will start. ...What, you thought there was only one? That would makethis operation too easy! Two more lacerations form. Of course, the first twodont do any actual damage. After the text ends from your assistant, the nexttwo will do damage. I believe the cuts do around 5-7 damage each. Anyway, fromnow on when you cut one of these things out, they'll leave a laceration.Anyway, use ultrasound to locate both and scalpel them out. At best you'llonly have to deal with 6 lacerations. Once both are dead, treat all of thelacerations except one, the raise vitals to at least 90. Treat the last cut.

OMG. 3 large lacerations in the shape of an asterisk (*) formed. These dontactually do any damage except from bleeding. Use ultrasound to find theKyriaki. This one is triple the size of the earlier ones. Anyway, laser it andit will go back under the skin. You have to repeat this three times. If vitalsget low, rub gel on the wounds to stop bleeding and vital loss for a bit. Oncethe mature Kyriaki is dead, suture all wounds. Heal vitals if you have to.

Remember, you have the HT if you're having trouble at any time during thisoperation. But also remember you can only use it ONCE in an operation, so use

it wisely.

Once you finish treating all the lacerations, suture, gel, and bandage theinitial incision.

Operation Complete! Hmmm...I wonder if Kyriaki taste like manta ray.

----------------------------=== [ OPERATION 12 ] ===--------------------------

------------------------=== [ FOR EVERYONE'S SAKE ] ===-----------------------

Pre-OP notes: ACTUAL HEART SURGERY! You also need to remember how to restarta heart! Not that it matters much after this.

[-------------------------------------------][ Patient name: Chalke, Elisa ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Poor little girl, lets make her heart all better again! Gel and Incise.

Oh, you have to gel and incise her heart too. However, before you can Incise..

OH NOES, FLATLINE...kinda. Use gel and your hand to massage her heart intoworking again. This will happen randomly throughout the mission until i sayotherwise. Trying to do anything else while she's flatlining is an automaticmiss.

Anyway, now gel and incise her heart. Then magnify the blood pool. Drain the


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blood and a trace line will appear on the valve. Quickly trace the first line,then the second. Then trace around the whole valve. Usually blood will poolagain when the whole valve is excised, so quickly drain it again. Also, theheart usually goes out of whack again here. Anyway, once all distractions aretaken care of, use the forceps to move the valve to the lower right tray, thenplace the synthetic valve on the lower left tray where the old valve was. Thensuture it into place!

Yay, no more heart attacks! Anyway, zoom out and suture the heart incision.

Then the usual suture, gel, and bandage. You're done here.

Operation, and Episode Complete.

=============================== { 5: EPISODE 3 } =============================

Pre-Episode Notes: This Episode mostly revolves around learning how to treatthe first three strains of GUILT, and other various procedures. This episodealso contains the last "normal" procedure. Get ready, here we go!

----------------------------=== [ OPERATION 13 ] ===--------------------------

--------------------------------=== [ GUILT ] ===-----------------------------

Pre-OP notes: This guy's name reminds me of the show 24 for some reason...

[-------------------------------------------][ Patient name: Reyes, Jack ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ]

[___________________________________________]

Such an original operation name, eh? Gel and Incise.

5 normal lacerations and 3 gashes greet you on what LOOKS like an intestine.Suture all the normal lacerations first, then heal the gashes like inoperations 10 and 11. Refer to those on how to heal gashes. Remember to healvitals to max if this is your first time.

First Kyriaki wave has two infants. Ultrasound and scalpel them out beforethey cause too many lacerations. A nifty thing to point out if youre havingtrouble finding them and they're cutting the patient too much, the maximum

amount of cuts they can cause before excision is nine. Two hits with thelaser kills them.

After you kill both, THREE infants show up. This might be trouble if this isyour first time. Deal with these the same way as above, but pay more attentionto your vitals. when all three are dead, suture all lacerations but one, andheal vitals to max.

Suture that last cut and the mature kyriaki appears with its trademark 3 largelacerations that do absolutely no damage. Its lacerations after DO cause


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damage though, so deal with it as fast as possible. Remember it dives backunder after each laser hit, so you'll have to deal with 3 excise cuts.3 hits naturally kills it. Suture all cuts to zoom out.

Suture, Gel, Bandage and you're done.

Operation Complete.

----------------------------=== [ OPERATION 14 ] ===--------------------------

-------------------------=== [ SOMETHING PRECIOUS ] ===-----------------------

Pre-OP notes: She's quite tall for a 9 year old girl. Oh and more tumors! Of acompletely different kind!

[-------------------------------------------][ Patient name: Chase, Amy ][ ][ Starting Vitals: 75 ][ ][ Maxiumum Vitals: 99 ]

[___________________________________________]

Time to save your best friend's little sister! Gel and Incise.

EWWW. WTH has she been eating! There's yellow and purple spots all over theaffected area. Oh...those are tumors. Laser them till they go away. They spawnmini-tumors while they still live, but those dont do much damage unless thereare around 10 on screen at once.

Once all are gone, raise vitals for the few seconds you have. The next thingthat comes up reminds me of an attack from "The Guardian Legend" for NES.

Welcome to Deftera. Moving tumors! This should be more fun than stationarytumors.

Anyway, you're going to have to wait until the red and blue tumors bump intoeach other. They're cannibals, so they'll try to eat each other. This is whereyou come in, and you use the drain to remove their tissue while they try toeat each other. Of course, while they are on screen, they spawn the nastylarge tumors that spawn little ones. Remove these ASAP unless the Deftera arefused. Drain the Deftera three times to "defeat" it. Each drain removes a bitfrom its color, keep this in mind for the next part.

Once its been drained 3 times, the Deftera pulses...then dies. However, aslong as the trace line is there, it'll spawn large tumors at a relatively

fast rate. Quickly excise the Deftera and remove the tumors immediately after.

Then you treat this like a normal tumor, remove the Deftera with forceps, thenplace a membrane over it, gel it in, and massage! Easy, right?

No, you still have another area you need to operate on! First close up thefirst area like usual. Suture, gel, and bandage. Dont bother with vitals.

See, you get 99 to start with on the second area! Gel and Incise.


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OMG, theres TWO pairs of these things now. Also, you have to be more carefulnow. As there are two more conditions added to this battle.

1) Do not let two of the same color collide. Vitals will drop by around 10,and they will automaticly spawn large tumors.

2) Dont let any color collide with a fused pair. If they do they'll break upAND drop vitals by 10. Oh and more tumors.

And this is where your handy invention called GEL comes in. Place a circle ofit around a fused pair, and it will turn away the unfused pair for a fewseconds. Once you drain one pair, dont drain the other. The two like colorscan no longer collide. However, they can still break up fused pairs.

Just kill off tumors and drain Deftera when necessary. When one is completelydrained, excise it ASAP and kill the tumors it spawns, but dont remove itunless the other pair isnt currently fused. Then just treat this part likethe previous part.

After you completely remove the second Deftera, suture, gel, and bandage.

Operation Complete.

----------------------------=== [ OPERATION 15 ] ===--------------------------

------------------------=== [ AN EXPLOSIVE PATIENT ] ===----------------------

Pre-OP notes: You get Dr. Myers as your assistant this time. I like her somuch better than Angie.

[-------------------------------------------][ Patient name: Time Bomb! ][ ][ Starting Vitals: -- ]

[ ][ Maxiumum Vitals: -- ][___________________________________________]

The bomb has been planted. Ready to begin? Gel and I...nevermind. I'm kidding.

Anyway, to begin get out your magnifier and zoom in on the water tanks. Useyour drain when instructed to pull up some water from the RIGHT tank. Then,push it back down into the left tank. This is the ignitor, and assuming youare fast enough, you wont ever have to come back here again.

Now, zoom out, and zoom in on the bottom portion of the bomb. This is the

dynamite! See those yellow rods sticking out? Use your forceps to pull thoseout CAREFULLY. Once you pull two out, the detonation device becomes active!Keep the lines on the silver boxes from reaching the top, or you fail. Usegel or stabilizer to lower the meters on the boxes.

Pull the rest of the yellow rods as fast as you can. Once all 6 are out, youwont have to touch the water tanks again. Once done, zoom out once you feelyou're safe with the silver box lines, and zoom in on the microchip section.

Here, you are to laster the microchips that connect to the silver boxes. If


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you laser a wrong chip, you instantly fail. Of course, you expect me to cheatfor you, but unlike other guides, i wont do that. Do the work yourself like Idid the first time. Just trace a silver box wire to the chips then zap thechip until it disappears. Once a chip is gone, you wont have to worry aboutits connected silver box again.

Well thats it...no wait no its not. The timer suddenly shifts to 15 secondsuntil detonation! Remember how never to cut the red wire in bombs? Now youHAVE to cut the red wire. Cut all of them in 15 seconds to complete themission. Of course this isnt without quirks, because if you cut a white wire,you automaticly fail.

Anyway, once thats done...congrats, you disarmed a bomb!

Oper...er...The bomb has been defused! Counter Terrorists win!

----------------------------=== [ OPERATION 16 ] ===--------------------------

-------------------------=== [ MIRACLE AT 9,800FT ] ===-----------------------

Pre-OP notes: This is the last "normal" mission in the game. The rest ispretty much focused on GUILT except for two, but those are just puzzles.

[-------------------------------------------][ Patient name: McGinley, Chi ][ ][ Starting Vitals: 90 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

This is just like in a MOVIE! Er...gel and incise.

You're looking at the patient's lung. Use ultrasound to find shadowed areas,then scalpel them to unleash the blue fluid of death! Just kidding, use thedrain to remove the fluid and rub gel over where it used to be. Thats allthere is to this mission.

Oh, right, the mission quirk. Since you're on a plane, you will encounter abit of turbulence. When the screen starts to shake, stop whatever you're doingunless you just cut open a shadow. When the screen shakes violently, do NOTtouch the screen at all unless you're selecting a new tool, or you will "miss"and incur vital loss.

Oh and one other thing, if fluid is present when turbulence occurs, inflamedareas will appear after the turbulence. Inject these with anti-inflammitory

ASAP.

Repeat the second paragraph about 8-9 times to complete this operation. All inall, this is fairly easy.

Suture, Gel, and Bandage the initial incision when prompted.

Operation Complete.


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----------------------------=== [ OPERATION 17 ] ===--------------------------

------------------------=== [ FORBIDDEN KNOWLEDGE ] ===-----------------------

Pre-OP notes: I'll walk you through this the same way i played this operationthe first time. Which is basicly not knowing what I'm doing. I'll explainoperation quirks as i get to them.

[-------------------------------------------][ Patient name: Reuben ][ ][ Starting Vitals: 85 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Yay, new strain of GUILT! Gel and Incise.

Is it me or does this slightly remind me of the Triforce from Zelda...

Welcome to Triti. This strain petrifies organ tissue! Anyway, dont listen tothe cool looking blonde guy and use the scalpel, pick the forceps instead.

Now you're told to remove the thorns. Extract them the same way you wouldremove glass. Place them in the tray. Note theres no ranking for this.

When you remove all three thorns on a triangle, you can excise it by using thescalpel on the 6 trace dots, then using the forceps to remove the Triti piece.

OMGWTF IT REGENERATES?!?

Time to explain the mission quirks. Yes. Triti can and WILL regenerate.However, there are certain conditions before it can do so.

1) If two thorns are next to each other with a free space next to it when you

remove a triti piece, a piece will spawn in that free space.

2) If a single piece of Triti is isolated (not attached to another piece ofTriti), and has at least one thorn, it will regenerate in all possibledirections that it can do so.

Oh, and one more quirk, however, it is VERY VERY RARE on this mission. A thorncan turn into mist when it is pulled out. Use the drain on the mist ASAP. Ifyou dont, it can turn into another piece of Triti, most likely isolated. Thisis obviously very bad.

Now you must be thinking how the hell you can deal with this GUILT? Well, ifyou are new, I suggest the following.

As soon as the Triti appears, use HT (get around 2000 for enough time), thenremove all thorns and extract all pieces of triti. Easy, right?

IF you prefer the hard way and want a decent rank. Start on the lower rightand work your way to the upper left. Theres a way to do this quickly withoutany regeneration at all. I just used the first few lines to explain itsregeneration pattern. However, I leave that for you to figure out. Triti issupposed to be like a puzzle, and i dont like solving puzzles for you.


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Something I forgot to mention in V. 1.0 is the purple piece. Each time itflashes, you incur some vital loss. I'm not sure how much, but people say it's.33 damage per triangle, but i know it will AT LEAST be 10 vital damage.

Anyway, when all pieces are extracted, suture, gel and bandage.

Operation and Episode complete!

=============================== { 6: EPISODE 4 } =============================

Pre-Episode notes: This episode is based entirely on the fourth and fifthstrains of GUILT. Generally this means i have to baby you, the reader, througheverything, but i dont mind. Lets do this!

----------------------------=== [ OPERATION 18 ] ===--------------------------

--------------------------=== [ RACE FOR THE CURE ] ===-----------------------

Pre-OP notes: This mission is is 3-5 parts long storywise. You only do one inchallenge mode. Also, this is one of two missions that has a 3 minute time

limit.

[-------------------------------------------][ Patient name: Random ][ ][ Starting Vitals: 90 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Poison! Well, not really. Gel and Incise.

You'll see a few clouds of purple, green, or yellow poison, then the GUILTwill appear. It resembles...i dont know. Kinda a cross between a squidand a leech.

This is immature Tetarti, the fourth strain. Obviously as i mentioned at thestart of this operation guide, it causes poison.

What you want to do is inject the serum into the GUILT. It doesnt take much,just around one third of a dose. It will go underground. Follow the clouds ofpoison it makes (dont worry, they dont do much vital damage) and use yourtrust ultrasound to find the Tetarti infant and scalpel it out. Since it hastemporary immunity to anything, gel the cut you made, then inject the serum

when the Tetarti becomes vulnerable again.

Repeat the above process two more times. After the fourth injection, theTetarti will stop. Place it on the tray with forceps, then slice it with thescalpel. Use the drain to..uh...drain its fluids, and you're done.

Suture, gel, bandage. Congrats...i guess. You're notified what serum type yougot.

Oh wait, one more story mode quirk. After the fourth injection on the last


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type you need, the Tetarti will go berserk and start making tons of poisonclouds, and these WILL drain your vitals fast. Just inject lots of stabilizeruntil the thing dies, then proceed as normal.

Operation Complete.

----------------------------=== [ OPERATION 19 ] ===--------------------------

----------------------------=== [ STEPPING UP ] ===---------------------------

Pre-OP notes: This mission is color dependant. If you are color blind to atleast two of the following colors (Purple, Green, Yellow), get someone to helpyou on this mission. Also, if you screw up any part of this mission, restart.The only exception is if you accidently miss a Tetarti by an inch.

[-------------------------------------------][ Patient name: Kasal, Greg ][ ][ Starting Vitals: 70 ][ ][ Maxiumum Vitals: 75 ]

[___________________________________________]

You've dealt with the immature, ready for the mature? Gel and Incise.

More Anumerisms? No, these are called Diverticula (another word i hate). Theseare similar to anumerisms, except they need a specific serum to be cured. Whenthey burst, they release a LOT of poison, which reduces vitals by around 25.Treat these the same way you would treat an Anumerism.

Inject the correct serum into the same colored diverticula (after one growth,colors appear). Then, scalpel the line, remove the diverticula, and place amembrane over its old position. Repeat for the other two. You should know how

to massage the protein membranes by now.

Use the few seconds of free time you have to raise vitals. Then the Tetartiwill appear.

This time they're colored, just like the diverticula were. Treat them thesame way as the diverticula when they start moving. Inject the serum into thecorresponding color of Tetarti. Repeat for the other two. If you inject allthree before they go back under, you complete one round.

You basicly just repeat the process three more times. Keep in mind they'llmove faster after each round.

If you inject the WRONG color into a Tetarti, not only will the Tetartiimmediately move underground, three more diverticula appear. This is obviouslynot good and will just waste time.

Anyway, once you inject them four times, they will all die at once. YAY!

Suture, gel, bandage the initial incision.

Operation Complete.


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----------------------------=== [ OPERATION 20 ] ===--------------------------

------------------------=== [ TAKING A FIRST STEP ] ===-----------------------

Pre-OP notes: None. Just be careful not to miss too many times.

[-------------------------------------------][ Patient name: Anderson, R. ][ ][ Starting Vitals: 90 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Has it occured to anyone how fat this guy is compared to everyone else in thegame? Anyway, gel and incise.

Whoa! Thats a large purple BLOB!

Welcome to Pempti. It fills up whatever organ its in with fluid thus causing

the patient to suffocate from the inside. Sucks, doesnt it?

Anyway, your lovely assistant Victor will start giving out treatment options.

First, start using the scalpel, Rub all over the thing till you get OK.

Wait...that didnt work. Use the laser. Hold it in one place till you get OK.

Is this thing invincible? Rub the new and improved gel over it till you getOK.

Ok, time to start injecting stuff into it. First, the Blue Serum. You aresupposed to inject it into that moving medium sized circle. If this is your

first time, you are likely going to mess this part up a LOT. You have to use afull dose or it wont work.

Hm...no effect again. Use the Pink Serum. What? No effect again? Orange Serum!

When you inject the Orange Serum...Pempti goes berserk and your vitals startto drop at a steady rate. Inject the White Serum to stop this. Pempti willstay greenish-yellow for a while.

If your vitals dropped below 70, Victor will have you inject Stabilizer soyour vitals are over 70. DO NOT INJECT STABILZER INTO THE PEMPTI. Inject itinto the organ next to the pempti.

Now to alternate serums, first the Blue and Orange. Repeat what you didearlier, then do the Pink and White serums. Pempti will turn purple again, andyou will be told to excise a sample. Do so, and place it into the tray withforceps.

You're done for now, so suture, gel and bandage.

Operation...to be continued.


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----------------------------=== [ OPERATION 21 ] ===--------------------------

--------------------------=== [ MEDICAL RESEARCH ] ===------------------------

Pre-OP notes: This is a puzzle.

[-------------------------------------------][ Patient name: Research? ][ ][ Starting Vitals: -- ][ ][ Maxiumum Vitals: -- ][___________________________________________]

Okay, I honestly cant explain how to do this mission without doing it for you.You place puzzle pieces by using the forceps. Your job is to make the puzzleon the lower screen look like the puzzle on the top screen. There is no timelimit.

Note: For the top screen, the darker hexes are hexes you DONT want to fill.

Okay...time to do this for you i suppose.

Key

E = EmptyR = RedY = YellowG = GreenB = Blue

E ER R YR Y

G B YR BG E BG B

Just do this for an easy S rank. Stupid puzzle...

Operation Complete...wait...WHAT Operation?

----------------------------=== [ OPERATION 22 ] ===--------------------------

---------------------------=== [ THE NEXT STEP ] ===--------------------------

Pre-Op notes: Be careful not to miss too many times again.

[-------------------------------------------][ Patient name: Anderson, R. ][ ][ Starting Vitals: 85 ][ ]


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[ Maxiumum Vitals: 90 ][___________________________________________]

Round 2! FIGHT! Gel and Incise.

Well...the Pempti got bigger. Anyway, inject the orangish serum into the hazycircle. OMG it works! Pempti is shrinking! Inject it again.

Look what the Pempti is leaving behind. Doesnt that look familiar? Yep, thoselook very similar to polyps. Laser and gel them immediately. Note if multiplepolyps are bleeding at once, vitals can and will drop rapidly. Inject theserum one more time, and take care of the polyps immediately.

What looks like the 6th boss from Legend of Zelda: Link to the Past will showitself. This is the Pempti core. Laser it into submission. Yay! You killed...

The core regenerates itself seconds after its demise and the whole blob ofPempti mass moves over the organ again. What? You honestly didnt think it wasTHAT easy, did you? Anyway, inject the serum three more times, taking care ofthe tumor-polyps when they appear.

The core has appeared again. Attack it with the laser for to kill it...again.

Quickly excise it with the scalpel and place it into the tray. Surely the

Pempti must be dead without a...

The Core regenerates AGAIN, with all the purple pempti mass. You attempt againbut your boss Sidney stops you cause he's a jerk and more worried about thepatient's health than you are. Just kidding, he's not a jerk. Anyway, suture,gel, bandage.

Operation to be continued...AGAIN.

----------------------------=== [ OPERATION 23 ] ===--------------------------

------------------------=== [ NEW LASER TECHNOLOGY ] ===----------------------

Pre-OP notes: Oh ye gods, more puzzles...

[-------------------------------------------][ Patient name: Research Level A ][ ][ Starting Vitals: -- ][ ][ Maxiumum Vitals: -- ][___________________________________________]

Well, another puzzle...and theres two this time! Lets get cracking. You solvethem the same way as operation 21. Refer to my horrible looking diagram belowto solve this in less than 10 seconds...

Key to both puzzles

E = EmptyR = RedG = Green


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Y = YellowB = BlueP = PurpleW = White (1st puzzle only)O = Orange (2nd puzzle only)

Puzzle 1

||||||||||||||

R R BW R P BW R E

W R P BE P P

W G Y YG G Y

||||||||||||||

Yay...one down, one more to go.

Puzzle 2

||||||||||||||

Y Y BG Y B OG Y B

G Y R OP E O

P P R OP R R

||||||||||||||

If you have problems reading my diagrams, theres a colored PNG available at

GameFAQs.

Operation...there is none. But i'll say complete anyway.

----------------------------=== [ OPERATION 24 ] ===--------------------------

-------------------------=== [ DOCTOR'S STRUGGLE ] ===------------------------

Pre-OP notes: If this is your first time, this operation will be very hard topass on your first try.

[-------------------------------------------][ Patient name: Anderson, R. ][ ][ Starting Vitals: 75 ][ ][ Maxiumum Vitals: 85 ][___________________________________________]


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FINAL BATTLE! FIGHT! Er...not really. Theres more operations after this.

Gel and Incise...My how Pempti has grown!

Inject the orange serum into it like Operation 22. Try not to miss. After twoinjections this time, the core will be revealed. Kill it with your cool newlaser that never runs out of power!

After the core goes poof, you'll probably get overexcited and think you justbeat a mission in 30 seconds. WRONG.

The Core STILL regenerates...and this time its brought friends. Time todescribe how to fight the Mature Pempti in more detail.

For its first attack, it will send out smaller cores that will pause at theedge of the purple mass for a few seconds, then shoot out and cause a largelaceration. Contrary to popular belief, the damage this causes is not much.You just lose 5 vitals and recieve a fairly low rate of steady vital drop.

On this mission you should be able to laser the mini cores easily before theyshoot out.

Onto its second attack. The main core sends out 5 mini cores at once, whichonce again pause at the edge of the purple mass for a few seconds. Then they

cause the mass to shoot up and create tumors over any mini cores that arentdead by then. Kill any remaining mini-cores before they shoot up again andcause any tumors that remain to explode and cause major vital damage. When allof these mini cores are dead, quickly heal any tumors that are present.

Its final attack is 5 mini cores that rotate around the main core. This isEASILY its least deadly attack. It just takes off miniscule amounts of vitalsevery 2 seconds, unless you leave it for like 25 seconds, then it takes off 10vitals. Just hold the laser in place next to the main core and the mini coreswill die rather quickly.

After its three introduction attacks, the main core becomes visible again. NOWyou can start to actually kill it. The core will randomly use one of the

previous three attacks. When you arent killing harmful minicores, attack themain core. The main core can only be hit when it is enlarged.

After 3 to 4 hits, the core will enter what I call "Desperate mode". Someof its attacks increase in power. The 5 laceration cores will upgrade to 10.Also, instead of switching to another attack after the tumor cores die, theywill continue to respawn until the main core takes a point of damage AND thetumor cores are dead.

Keep up what you are doing for 3 more hits and the Pempti should die. If youfeel threatened, theres always the Healing Touch, but you shouldnt need it.

Anyway, once pempti explodes into a mass of blue clouds, you've won! Just take

care of any wounds still present, then you'll zoom out. Suture, gel, bandage!

Operation and Episode Complete! YAY! Too bad Anderson died anyway. :(

=============================== { 7: EPISODE 5 } =============================

Pre-Episode notes: This Episode generally deals around revisiting someprevious GUILT forms that got an upgrade, and the final two strains of GUILT.


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Overall, this episode is very fun the first time you play it. Lets do this!

----------------------------=== [ OPERATION 25 ] ===--------------------------

---------------------------=== [ UNDER THE KNIFE ] ===------------------------

Pre-OP notes: Wow...such an original name. Anyway this is the first missionwith a 10 minute time limit. You have 5 patients to deal with in that time,but you only have to deal with three. I will, however, cover all five.

[-------------------------------------------][ Patient name: GUILT Victims ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Almost completely random people?!? I'm there! Gel and incise your firstpatient. Does this look familiar? Kyriaki cuts. Suture the 3 lacerations first

then heal the 3 gashes, and restore vitals to max before suturing the lastgash.

Only a single infant? Surely you can handle this without me telling you whatto do. If not, ultrasound, scalpel, then laser it twice.

After this, two more infants appear. Deal with these the same was as thesingle infant. Just watch your vitals more carefully and heal when necessary.After all of them are dead, suture all cuts but one, heal to around 60, thensuture the last cut.

Mature Kyriaki time. First, i will state that these now take four hits to killinstead of three. Other than that little quirk, they arent any different than

before, so treat this like any other Kyriaki patient. After it dies, keepvitals to a relatively safe level, and suture all the cuts. Suture, gel, thenbandage.

Patient 1 complete. Your vitals are auto-restored to 99 for your next patient.

Gel and Incise your second patient. Heal the initial cuts just like the first.

This time you start out with two infants, then the second wave features three.Be sure you keep an eye on your vitals, and try not to get too many cuts fromuprooting. Of course when you suture all cuts after killing the second wave,the Mature shows up again. Its the same as the first patient, so i wont repeatmyself here. After it dies, suture all cuts, then suture, gel, and bandage the

initial incision.

Patient 2 complete. If you have problems completing Patient 2 in 10 minutes,then go get some more practice. Use HT if you're sure you wont make it topatient 3.

Patient 3 is not that much different from the first two. Gel and Incise andheal the initial cuts. Both the first and second wave have two infants. Youshould know how to deal with these. After the final wave is dealt with and alllacerations are healed, the Mature Kyriaki shows up again, however, it has an


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infant with it this time. Kill the infant first before the Mature, otherwiseyou'll have loads more cuts than you should and you might lose the patient.

After both are dead, suture all cuts like normal, then suture, gel, bandagethe initial incision.

Patient 3 is saved. The average beginner wont reach this next part.

On to Patient 4. Gel and Incise. Same cuts, just different locations. Dealwith them like usual.

Again, both the first and second waves have two infants. The second wave isset off after only one infant dies from the first wave. Try to kill both thefirst wave infants at once. That way you'll have less lacerations to heal.Again, the final wave is a Mature and Infant. Deal with this like the thirdpatient, and pay attention to vitals! I cannot stress this enough.

After all cuts are healed, suture, gel, bandage. If you've gotten this faron your first playthrough, i commend you. However, i'm fairly sure you'verun out of time by now.

The final patient, ready? Gel and Incise. Same exact number of cuts and gashesstill, just different locations. Heal these as usual.

First wave is THREE infants. Second wave is two. The second wave comes aftertwo infants from wave one die. Try to kill all three at once to ensure minimallacerations. If you've come this far then surely you know how to treat infantsby now. The last wave is again one infant and one mature Kyriaki. Treat thisthe same as the 3rd and 4th patients. REMEMBER TO KEEP YOUR EYE ON VITALS.It would suck to lose after coming so far.

After everything is healed, suture, gel, and bandage.

Congratulations, assuming you didnt just go to the next operation after thethird or fourth patient, you just did a really good job.

A quirk to this mission is, of course, finishing each operation insanely fast.

By fast I mean complete each patient in only 1 minute 30 seconds. If you'rea beginner, i dont expect this of you. You just get special Angie text.

Operations Complete.

----------------------------=== [ OPERATION 26 ] ===--------------------------

---------------------------=== [ SHIFTING GUILT ] ===-----------------------

Pre-OP notes: Welcome back to the magical world of Triti, which most beginnersHATE. Remember, I'm not here to tell you how to do this without HT and noregeneration. Thats for you to figure out. Its certainly posssible, but hard.

[-------------------------------------------][ Patient name: Vogler, Hugh ][ ][ Starting Vitals: 85 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]


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Ready to kill the Triforce? Er...gel and incise.

Different pattern and more initial pieces, you bet! It has the same exactregeneration pattern, so if you're used to it this shouldnt be hard. If youwant a corner to back it into, i suggest the upper left again.

Of course you could just use your HT, remove all thorns, and excise all Triti.However, theres a catch.

Remember that rare chance of a thorn turning to mist in the first Triti? Thatjust got an enormous boost. I estimate every 7 thorns will become mist thistime. Drain it ASAP before it either forums a new Triti piece or escapes thepatient. If it escapes, you'll move to a new patient (except on challenge,where if it escapes you auto-fail.).

The only advice i can really give here is that if more than 2 thorns becomemist when youre working on excising a section, stop and wait for the thorns togrow back and try again. Otherwise you might get some wild regeneration andthat isnt good.

Oh and so you know, if you're down to two pieces, and a single thorn becomesmist, I advise you to NOT excise the triti. Instead, wait for the thorns tocome back and try again until no thorns become mist. This might take a while,

but it'll make your life a lot easier because the last piece can suddenlyregrow a thorn and regenerate in all four directions.

Anyway, when all Triti is removed, suture, gel, and bandage.

Operation Complete.

----------------------------=== [ OPERATION 27 ] ===--------------------------

----------------------------=== [ GUILT EVOLVES ] ===-------------------------

Pre-OP notes: None, this operation is painfully easy.

[-------------------------------------------][ Patient name: Dorian, Eric ][ ][ Starting Vitals: 90 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Colorful squid cant be good for your health. Gel and Incise.

Divertcula again. If you want to cheat, the top left one is purple. Thats allyou'll get out of me. These shouldnt be difficult to deal with yourself. Justinject the same color serum, excise, remove, and place a membrane over thewound.

After removing Diverticula again, the Tetarti appear. Their starting speed issimilar to their ending speed on their last mission. Inject the same colorserum into all three before they submerge to damage them.


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The quirk? After the second injection they'll no longer stand still while theyshow off their bright colors. For some reason though its easier for me totrack colors on moving objects, but your milage may vary. It takes fiveinjections to kill these things this time. They do move fairly fast after thefourth injection so use a HT if you cant keep up.

See, wasnt that easy? Suture, gel, bandage.

Operation Complete. Thank god these are harder in Second Opinion.

----------------------------=== [ OPERATION 28 ] ===--------------------------

-----------------------------=== [ INFECTION ] ===----------------------------

Pre-OP notes: This mission is rather vital to the story. Plus it introducesStrain number 6. Plus you get to operate on the sexy Dr. Myers :D.

[-------------------------------------------][ Patient name: Myers, Cybil ][ ][ Starting Vitals: 95 ]

[ ][ Maxiumum Vitals: 99 ][___________________________________________]

I will kill you for this Delphi! Gel and Incise.

You'll see three normal lacerations. Wow, this is surprisingly normal. Sutureall three. Then you'll see what appears to be a centipede coming out of theorgan!

This is Paraskevi. It likes to make people's hearts fail...eventually.

So, how do we deal with this? Laser its tail. Another Zelda reference? XD

The Paraskevi will freeze and Victor (and me) will tell you what to do. Thebasic idea is to cut Paraskevi down into small enough pieces to extract, butI'm sure you're wondering why, because if you just take it out now it wouldleave as big a laceration as Kyriaki leave. Um, not only would it do that,it would take 70% of the organ tissue. That will OBVIOUSLY instantly kill thepatient.

While this thing is stunned, cut it with the scalpel. Paraskevi will splitevenly into two halves, and leave two lacerations. Generally the first oneswill be small enough to heal with gel. What you want to do is work on one halfat a time. Cut one of the halves into fourths, and one fourth into eights.

While cutting, be ABSOLUTELY sure all pieces are stunned. If not, they willescape to the top of the screen. Dont worry, you wont lose if they do. Onceall cuts are healed and you have two eighths on the screen, cut both into4 sixteenth pieces. They can now be extracted after stunning. Just use theforceps. Doesnt sound that hard right?

Well, you have to do this fast. You get four areas to go through includingthe first, and if the Paraskevi ever enter the fourth, you're pretty screwedif you dont use HT before entering it. If they enter the fourth, they will go


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straight for the heart after five seconds. You wont really get a chance tostun them without HT. Just pray you're quick enough to get all of the piecesbefore area 4.

And remember to keep your vitals up. Also remember that the smaller a piece isthe less time it'll stay stunned. Stunning the pieces takes priority overvitals and suturing unless vitals are under 15.

Once you remove one half of Paraskevi, the mission generally becomes easier.Just remember to keep your eyes on vitals and keep worms stunned when you can.

After the final piece is removed, you'll likely not have much time left ifthis is your first time. Quickly suture all wounds, then suture, gel, andbandage the initial incision.

Operation Complete. *Huggles Dr. Myers*

----------------------------=== [ OPERATION 29 ] ===--------------------------

-------------------------------=== [ DEVIL ] ===------------------------------

Pre-OP notes: Well, this isnt exactly the true last form of GUILT. You should

find this easy after the last operation. Just dont get careless.

[-------------------------------------------][ Patient name: Milan, Ludwig ][ ][ Starting Vitals: 90 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

This guy sounds like a musical composer! Gel and Incise.

You are greeted by five lacerations. This is nothing new. Start suturing them.

After the fourth laceration has been healed, another forms. OMG SPIDERS. Ifthis werent some guy's internal organs i would step on them.

This is Immature Savato. Not much i can brief you on here, except these areNOT deadly by any means...and they die easily

Drop your stitches and get your laser immediately. Kill off the baby Savatowith the laser, it doesnt take long. Then stitch up the remaining lacerations.

After you do so. wait about 3 seconds and another laceration will appear and

more babies. Quickly laser these. Do not try to switch to stitches until i sayso. Another 3 seconds will bring another baby Savato cut. Try to kill as manybabies as you can when they spawn. You'll have about 3-4 more sets of thesecuts. They usually spawn somewhere between 5-10 babies each. The babies donthurt your vitals much unless...

If 5 or more start to spin around in a group, they'll form a slightly biggerblue baby Savato. When these appear, they'll immediately halve your currentvitals, and reduce your maximum vitals to 75. Then 50. Then 35. Blue babiesare generally more dangerous only when they appear. If one does, dont worry


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about it and kill any red/brown babies present first to prevent more bluesfrom spawning, then kill the Blue Savato. If it starts to flash red, kill itASAP or it will spawn ten more Reds. They dont take much longer to kill thanthe reds.

After you've killed all the baby Savato, suture up all wounds, heal vitalsif you wish, then suture, gel, and bandage the initial incision.

Operation Complete. This mission reminded me of some zombie movie.

----------------------------=== [ OPERATION 30 ] ===--------------------------

--------------------------=== [ DEATH AWAITS ALL ] ===------------------------

Pre-OP Notes: This is the real deal Savato. Be prepared.Oh and...DONT USE YOUR HT UNTIL I TELL YOU SO.

[-------------------------------------------][ Patient name: Blackwell, K. ][ ][ Starting Vitals: 90 ][ ]

[ Maxiumum Vitals: 99 ][___________________________________________]

Angie...I AM YOUR FATHER! No, thats not...oh wait its true. Gel and Incise.

Behold, the awesome flaming beetle of DEATH! Oh and Epic music.

This is the real Savato. It basicly eats your life energy from your heartand looks cool doing it. Seriously, its on fire people.

Try to poke it with whatever and it'll run off. Damn that thing is fast!

Pick your scalpel and you'll be told to cut the web. Do so and your scalpelwill melt. WTF is that web made of anyway. While Angie gets another one, raisevitals. Contrary to popular belief, pestering Savato DOES NOT HELP IN ANY WAY.

In a short time, Savato will make more web and some babies. IGNORE THE BABIES.Just keep cutting the web. If for some reason you are slow, the web might turnred. If it turns completely red, you'll be hit for 30 vitals. Basicly. keepyour vitals above 30 at all times. Keep cutting web until you break the firstweb.

Oh noes! Savato spun another one. Repeat the above process...and again forthe third one. Assuming you didnt listen to me and lasered the babies anyway,you'll have to do a fourth web. Such fun. Remember to keep your vitals up.

After you burn web number 4, Savato will absorb babies. People seem to thinkthis makes his shield stronger. THIS IS NOT TRUE. At most, it will only adda single second to the time it takes to break his shield.

Anyway, you'll now be given the OK to start using the laser on Savato. Keep iton him at all times! Do not take the laser away until the laser icon turnsblack, in which case stabilze and suture cuts.

Savato has two attacks. Assuming you follow what i said above, you'll likely


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only see the single baby cut atttack. This is basicly one large lacerationthat creates 5-7 babies. Its nothing special. Ignore the babies, they dontpost a threat. The cuts themselves dont do any damage unless there's 2 andthey're bleeding.

Every once in a while, Savato will scoot off somewhere, do a 360 turn, andmake three lacerations. This reduces your vitals by 15. Meaning it reallyhurts. Suture these cuts immediately and raise vitals. Thankfully on thismission Savato wont do this frequently.

After about 1 to 2 full laser uses, the shield will break and you can stabSavato with the scalpel. Savato gets a 3 second invincible period, so heal andsuture if needed. Repeat the process of lasering his shield again. Whenit breaks, stab Savato again.

Victor and Director Kasal come in and hand you a Serum thats capable ofkilling Savato! Yay! Too bad while you listened to them ramble for around 7seconds, Savato regained its shield. Break its shield once more, then stab it.

This time, Savato will absorb any babies again, then walk slowly without itsshield regenerating. Quickly inject a full dose of serum, or it WILL get itsshield back again. Congrats...Savato is now REALLY REALLY MAD. Oh, and yourvitals auto drop to 30 if they were above 30.

Savato makes NINE lacerations on the heart. You're likely thinking "Oh god I'mso screwed" Relax, this does absolutely no damage. Neither does the 5 cutattack Savato does after. A HT with activate right after the 5 cut attack.

If you want to get a miss, try injecting the Serum into Savato again. Ok, thatthing is REALLY fast. It moves out of the way even in HT.

Heal as many cuts as you can, then before Savato can do the 5 cut attackagain, which WILL do 25 vitals damage this time, use your manual HT. If youused it before now, you cant pass the operation.

Time is now completely stopped. This obviously means no more vital loss, andSavato cannot move anymore, or make more cuts for that matter. Heal any cuts

that are on screen. Laugh at Savato, then inject the Serum one final time.

Savato will run all over the place making the blue clouds signaling GUILTdeath, finally exploding in one giant blue cloud. Any cuts that were somehowstill there are instantly healed. You just dont get points for it.

Now that time is normal again, and Angie is probably crying somewhere, Suture,gel, and bandage.

Operation and Episode complete! You just beat...oh wait theres one moreepisode?

=============================== { 8: Episode 6 } =============================

Pre-Episode Notes: This Episode is dedicated to the eradication of GUILT. Youwill revisit ALL types of GUILT, obviously in stronger form, and try toeliminate it once and for all. Good luck, you're going to need it.

----------------------------=== [ OPERATION 31 ] ===--------------------------


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-----------------------------=== [ FIRST SIN ] ===----------------------------

Pre-OP Notes: This is the first SIN mission. These missions generally haveMUCH more unstable vitals than their previous counterparts. Be sure to keepan extra eye on vitals, this one especially.

[-------------------------------------------][ Patient name: 1st Sinner ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

God, that is ONE messed up kid. Gel and Incise.

Yup, standard Kyriaki cuts. 5 normal and 3 gashes. Heal whichever you wishfirst. I prefer the gashes, so the Kyriaki reach their laceration limitfaster. So, heal the gashes first, then start to heal normal cuts. MAX vitalsbefore the third normal laceration heals.

Here come two infants. Remember to be careful and not make too many cuts, thispatients vitals drop REALLY fast if they do. Ultrasound and excise them rightaway. Try to keep gel on the cuts at all times. If your vitals ever drop below20, drop whatever you're doing and switch between gelling the cuts and usingstabilzer until you get at least 50 vitals.

Also, as an additional note, infants now take THREE hits to kill. They keepmaking this strain harder. Get used to it.

Anyway, After you kill the first wave, two more appear. If their opening cutsgo over the 9 allowed, they cant make any more over time. Heal any excess cutsthen ultrasound and scalpel them out. REMEMBER THE GEL. Heal any more excesscuts over 9, then laser the infants to death. Remember to heal to 99 vitals

before you suture the last cut.

After you do so, the trademark asterisk cut pattern appears which STILL doesno damage. All following cuts do however. Ultrasound and scalpel both themature and infant Kyriaki, and kill the infant immediately. Dont forget to gelthe cuts they make. Keep ultrasounding, scalpeling, then lasering the matureuntil it dies, then suture all cuts. After that, suture, gel, bandage!

Operation Complete. You just saved a likely homeless child!(Seriously, how did Delphi pick these kids out anyway?)

----------------------------=== [ OPERATION 32 ] ===--------------------------

-----------------------------=== [ SECOND SIN ] ===---------------------------

Pre-OP Notes: Gee, Original operation names eh? Anyway, This is the secondstrain, which as you remember, is Deftera. You know, that tumor causing one?Blah, you'll see. Its the one Amy Chase had. Angie sure likes pointing outthe obvious.


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[-------------------------------------------][ Patient name: 2nd Sinner ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Surprisingly this looks almost exactly like miss Amy Chase. Perhaps she waskidnapped...again. Gel and Incise.

This part plays exactly like Operation 14 except faster vital loss. Firstlaser the purple and yellow tumors, then wait for the Deftera to combine, anddrain them! Do this 3 times and Deftera will die...kinda. Theres still thedead tissue creating tumors REALLY fast until you excise it. When you do,just kill the tumors then replace the Deftera with a membrane and massage itin. Easy.

Of course, after Suture, gel, and bandage, you'll head off to area 2 with maxvitals restored. Arent you glad Atlus is generous at least on SOME missions?

Anyway, gel and incise...AGAIN.

This starting pattern is a bit easier to work with than Operation 14. Drainone as soon as you get a chance so like colors wont cause vital loss and masstumors. You still have to worry about the combined tumor getting broken upthough. Remember to only drain THAT tumor unless you've drained it twice. Thenyou can drain the other tumor once. The key is to make sure like colors cantcollide. Remember to keep your vitals up. And Gel is your friend to preventcombined tumor breakup. Remember to rub it in a circle.

Once one Deftera is removed (Follow removal process in 2nd paragraph), thismission becomes a lot easier. Just repeat the process for the other and you'llfinish in almost no time. Just keep an eye on your vitals.

Once both Deftera have been dealt with, suture, gel, bandage.

Operation Complete.

----------------------------=== [ OPERATION 33 ] ===--------------------------

-----------------------------=== [ THIRD SIN ] ===----------------------------

Pre-OP notes: Featuring the return of the dreaded Triti. DUN DUN DUNNNN.

[-------------------------------------------]

[ Patient name: 3rd Sinner ][ ][ Starting Vitals: 99 ][ ][ Maxiumum Vitals: 99 ][___________________________________________]

Yes, its another kid. Gel and Incise.


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OH MY GOD, A NEW PATTERN. But you deal with it the same way. Try not to let itregenerate mu

trauma center g

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