Trauma Center: Under the Knife/Storyline missions

Ratings of Difficulty


 * 1) Easy
 * 2) Slightly difficult
 * 3) Difficult
 * 4) Very hard
 * 5) Insane

Standard Procedure
Difficulty rating 1

This operation will be straightforward. Simply follow your assistant's instructions: select the tools she tells you to and use them in the ways she describes for each one.

Begin by selecting the sutures, indicated by a needle icon. Suture lacerations on the skin by drawing in a zig-zag pattern. Do not make your stitches too wide or too narrow, and be sure to suture along the entire laceration to get more points. If you're unable to do anything, tap the CALL button on the upper-right corner of the screen to advance the text. Repeat for all medium-sized lacerations.

Then, select the forceps as instructed and extract the glass shards by pulling the shard in the opposite direction it entered the body. If you stray too far in the wrong direction, you will miss, and the patient's vitals will drop and you will have to try extracting the shard again. Once successfully extracted, drop the shard into the tray that appears in the lower right corner. Repeat this process until all shards are removed. Next, select the antibiotic gel and spread it over the smaller cuts, which will mend them instantly and slightly raise the patient's vitals.

When all external wounds are treated, a guideline will appear. Spread antibiotic gel along it (until it turns from yellow to green) and then use the scalpel to cut along the line. Accuracy is key: if you stray too far from the guideline, you will miss and the patient's vitals will suffer. Once successful, the arm will open up. There will be 3 shards of glass under the skin. Repeat the process above to remove them: forceps, tray, then gel the cuts.

When all wounds are treated, you will zoom out of the patient. Suture the incision, again making sure that your stitches aren't too wide or narrow. Disinfect the sutures with antibiotic gel, then apply a bandage along the length of the cut. Congratulations on completing your first operation!

Standard Procedure II
Difficulty rating 1

Use the antibiotic gel to disinfect the guideline, and then cut along it with the scalpel. You will see the stomach, with inflammations dotting its surface. Your assistant will ask you to stabilize the patient's vitals before proceeding. Select the syringe, and draw some stabilizer (green vial). Inject it into any unaffected part of the organ (touch the stylus to the screen) and the patient's vitals will rise. This tool will become invaluable in more difficult operations. Next, draw anti-inflammatory into the syringe (blue vial). Inject it into the inflamed areas to treat them (touch the stylus to the spots. You can cure multiple inflammations with a single syringe-full of anti-inflammatory). Take care not to inject the anti-inflammatory anywhere else, or you will incur a miss.

To excise the tumors (referred to in-game as the Powell procedure), begin by selecting the ultrasound. Search around the lower left area of the stomach by tapping the stylus around the screen. Once you tap on a tumor, a shadow will appear. If the shadow fades, tap the ultrasound directly over the area until the shadow is sustained. Use the scalpel to cut across it and expose the tumor. Select the drain, place it on the tumor, and slide the stylus up along the tube to drain the cytoplasm. A guideline around the tumor will appear once enough cytoplasm has been drained. Cut along it, and use the forceps to put the tumor into the tray. Use the forceps again to drag a synthetic membrane from the supply tray onto the wound. Spread antibiotic gel over it until indicated otherwise, then use the hands to fully meld the patch into the organ by rubbing it in a circular motion.

Repeat the above process until all tumors have been treated. Suture the incision and disinfect it with antibiotic gel. Finally, bandage the incision. Operation complete.

A Farewell
Difficulty rating 2

Disinfect and cut along the guideline. The pancreas will come into view. Select the syringe and draw some anti-inflammatory. Inject it into the inflammations to cure them. Use ultrasound to locate the tumors. Cut, drain, excise, and remove each one. Apply a membrane to each of the wounds with the forceps, then apply antibiotic gel to the patches and use the hands to rub the patches in. Suture the incision once all tumors are treated. Disinfect and bandage. Operation complete.

Singing the Blues
Difficulty rating 2

Disinfect the guideline and incise. You will zoom in on the patient's larynx. Observe the pool of blood. Select the magnification tool (in the same slot as ultrasound). Rather than draw a circle as the game advises, it is easier to instead draw a "C" to magnify the affected area.

Once you have zoomed in, use the drain to drain the blood pool. Select the laser as instructed and incinerate the polyps A quick tap with the stylus will suffice to burn them away (if you apply the laser to an unaffected area for too long, you will create an unnecessary wound and possibly a blood pool, which must be drained and gelled). Select the antibiotic gel and spread it over the resulting wounds. If a blood pool forms, drain it. Repeat until all the polyps in the area are gone, and zoom out drawing another C shape. Repeat this process for all other affected areas. If the patient's vitals begin to drop, inject stabilizer.

Once treatment is complete, suture the incision, disinfect, and bandage. Operation complete.

A Real Doctor
Difficulty rating 2

Disinfect the guideline and incise. You will zoom in on the small intestine. Draw anti-inflammatory with the syringe and inject it into the affected areas. Use the ultrasound to locate the tumors and use the Powell procedure (cut, drain, excise, and remove). Repeat until all tumors are treated. When prompted by your assistant, use the ultrasound and check over the entire area. Once your assistant is satisfied, suture, disinfect, and bandage the incision. Operation complete.

Life or Death
Difficulty rating 3

Though the title implies otherwise, this is actually not a hard operation. It is just fast paced and you will need to work swiftly. Be careful though, The max vital is 30 and he has multiple wounds which bring it down. If the vitals round 15, inject stabilizer. First, apply antibiotic gel on the blue bar until it turns green. Select the hands and keep it on the green bar to revive him. His vitals will rise to 30. Suture the large wounds, remove the glass shards, and use antibiotic gel for the smaller wounds. Disinfect the guideline and cut it. There will be multiple glass shards in the pericardium. Use the forceps to take them out. Bring out only 1 or 2 shards before switching to the gel since as the wounds are in the heart, they will bleed rapidly and bring down vitals.Once, again, inject stabilizer if the vitals round 15. Repeat this process until all the glass is removed. A large shard of glass will emerge. Carefully take it out with the forceps and place it in the tray. Suture the wound. The myocardium will split open and you will go into the Healing touch. The speed that vitals drop will slow down and the screen will turn into a grey scale image. Quickly suture the wound before he dies. Suture the incision, disinfect it, and bandage.

Dormant Ability
Difficulty rating 2

First, disinfect the guideline and incise. Use the magnifier to zoom in. There will be multiple light grey brown spots in the red vessels. Use the ultrasound on them, then pinch them with the forceps. Cut the area with the scalpel and drain to remove the thrombi. Use the antibiotic gel to heal the wound and repeat for all the other thrombi. The blood flow will change speeding up the flow of thrombi. Continue removing them using the same process. You will automatically go into the healing touch mode. Once all thrombi are removed, suture the incision, disinfect, and bandage.

Striving for Asclepius
Difficulty rating 1

Select the hand icon and then tap on it again for the healing touch. Draw a star along the guideline. Repeat this until the operation is finished. After this operation, you will be able to use the healing touch in an operation by selecting the hand and tapping it again. Then draw a star.

Awakening
Difficulty rating 5

This is a very difficult operation and do not get mad if you can't get through it with your first few tries. This will be one of the first very difficult operations such as GUILT. Disinfect the guideline and cut it. There will be a bulging artery. Zoom into it. Inject it with the sedative until a guideline appears around it. Cut it, remove it with the forceps, and drain the area. Use the forceps again to drag the artery pieces together and suture it together. Zoom out and more will appear. Zoom in so that you can see all the aneurisms and treat all of them. Repeat. At one point, there will be 4 of them. You will need to change tactics slightly. Inject the sedative into all of them to stop them from exploding, and when you are doing the procedure, don't remove the section of the artery you have cut out to stop the bleeding from occurring. When all of the aneurisms have had their artery bulge cut out, remove them one by one, and treat the wound. Once there are 5 or 6 of them, use the healing touch. Zoom in so that you can see and treat all of the aneurisms at one time. For each aneurism, use the same tactic as above. Remember to keep an eye on the bulges, if they get too big, they will explode. If it reaches it's maximum size, it will explode dropping the vitals by approximately 40 instantly! Once all of the aneurisms have been cut open, remove them, drain the blood, bring the artery together, and suture. Do this for all of them. Now you probably don't have much time left. Suture the incision, disinfect and bandage. Now give yourself a pat on the back.

Just Let Me Die
Difficulty rating 2

Disinfect the guideline and cut it, as usual. First, you will want to take care of the smaller wounds. Suture them all, keeping an eye on the vitals. Then, raise her vitals to the max and select the drain. Drain the blood from the large wound, select the forceps, and pinch one side of the wound. Drag it over to the other side until a "Ok" sign appears then suture the wound. Do this to the other 2 wounds. Then suture, disinfect, and bandage.

Please Let Me Live
Difficulty rating 3

Disinfect the guideline and cut it. The layout will be similar to the last operation. Follow the guide for Just Let Me Die until a cut appears. Use the ultrasound to find the parasite. It will be a black shadow and resemble a manta ray. Use the scalpel to cut it out. Now, use the laser to burn it. There is no need to treat the wounds now. Just keep the vitals up and you will be fine. You will need to burn it 2 times. Then, more cuts will appear. Repeat the process. Then, treat all the wounds once you are sure there are no more parasites. Now, as if the operation wasn't exciting enough, 3 giant cuts in the shape of a * will appear. Use the ultrasound once again, to find the parasite. It is much larger than its counterparts, but is harder to remove. Each time you cut it out and burn it with the laser, it will burrow back into the organ and you will need to find it with ultrasound and cut it out again. Once the large parasite is dead, treat all the wounds, suture, disinfect, bandage.

For Everyone's Sake
Difficulty rating 2

Disinfect and cut the incision line. There will be an incision line on the heart. Disinfect and cut that too. About now, the patient will undergo cardiac arrest. Angie will defibrilate her, and a blue bar will appear similar to the one in Life or Death. Apply antibiotic gel, and use the hands to massage the heart. This will probably happen again further in the operation, and will use the same treatment. Now, drain the blood from the incision. You will need to cut along the three guidelines to excise the valve. Remove it with the forceps, and place the artificial valve in its place. Suture it in, then suture the heart incision. Suture the incision, disinfect and bandage.

GUILT
Difficulty rating 3

Disinfect the guideline and cut it. Treat all the wounds. The large wounds will need to be drained and have their edges pulled together before they can be sutured. Use the ultrasound to find the kyriaki. It will be a black shadow and resemble a manta ray. Use the scalpel to cut it out. Now, use the laser to burn it. There is no need to treat the wounds now. Just keep the vitals up and you will be fine. You will need to burn it 2 times. There will be more than one. Once you have killed all of the kyriaki in the first round, more cuts will appear along with some more kyriaki under the organ. Once you are sure there are no more kyriaki, treat the wounds and bring up the vitals. When all of the wounds and kyriaki are gone, the asteric cut will appear signifying the large kyriaki is here. Use the ultrasound once again, to find the parasite. It is much larger than its counterparts, and is also harder to remove. Each time you cut it out and burn it with the laser, it will burrow back into the organ and you will need to find it with ultrasound again. Once the large parasite is dead, treat all the wounds, suture, disinfect, and finally, bandage.

Something Precious
Difficulty rating 5

Disinfect the first guideline and cut the it. You will see the stomach with black and white tumors scattered around. Burn them with the laser. The larger tumors will create smaller tumors around them in a circle so those should be your first priority in lasering. Once all the tumors are removed, you will see a red and a blue tumor (Deftera) They will move around and occasionally create large tumors. When they get close to each other, they will mix together and stall there. Use the drain quickly to remove their cytoplasm. They will pull away from each other and continue to move around and create tumors. It should take three successful drainings to deplete all of it's cytoplasm. When that happens, it will be grey by now, the tumor will shrink and grow. After that, It will create tumors around it extremely fast and an incision line will appear around it. Excise it quickly to stop it from creating tumors. Then place the synthetic membrane on the wound, disinfect it, and then meld it in with your hands. Suture the guideline, disinfect it and bandage. You're not finished yet. The second guideline will appear. Disinfect and cut it. Now, you will be presented with essentially the same operation. The only difference is that there are two pairs of deftera. When two of the same color deftera collide, it will drop the vitals and create two large tumors, and if there is a joined pair and another hits it, it will break apart causing more damage. When there is a joined pair, draw a circle of antibiotic gel around it to stop the other defteras from breaking it up. Suture the incision, gel, and bandage.

An Explosive Patient
Difficulty rating 2

Surprise! It's a BOMB! It will blow up if you make a mistake or let a trigger reach it's breaking point. Now, select the magnifier. Magnify the water tanks. If all the water from the left tank goes into the right tank, it will blow up. Take the drain and suck the water out of the right tank, then put it back into the left tank. Now we move onto the dynamite. Zoom into the area. The dynamite has three ways of exploding.


 * 1) The water level reaches max and it trigger the igniters and thus, explodes.
 * 2) The electronic igniter reaches max temperature level and ignites it so it explodes.
 * 3) A microchip that connects to the dynamite is lasered and cause the dynamite to explode.

Let's get rid of problem one now. Look at the yellow cap on the edge of each stick of dynamite. Pull it straight out of the dynamite with the forceps. After you have taken out two, the electronic igniters will activate. When the temperature bar on them reaches the top, it will cause the dynamite to explode. Quickly pull them all out of the dynamite, and the water trigger will become obsolete. Cool down all of the electronic igniters with the antibiotic gel and zoom out. Look at the wires that connect to the electronic igniters. They all connect to the motherboard above it. Trace the wires from the igniters to where they connect to the mother board above. Once you find where a wire connects to from the mother board to the electronic igniters, find the micro chip it connects to and laser it. Do this for all the other electronic igniters. Once you have lasered all the right micro chips, the clock will flash erratically. Now, you have 15 seconds before the bomb blows up! Cut all the red wires with your scalpel before it blows up. If you cut a white wire, it blows up.

Miracle at 9,800 Feet
Difficulty Rating 2

In this operation, you will get turbulence. This starts out as a mild shaking, a warning to finish up the procedure you are doing. First, disinfect and incise. The lung will appear normal. Use the ultrasound to look around it. There should be small black marks appearing under the ultrasound. Use the knife to open the area, like in a tumor. Drain the fluid, like a tumor again. Now just use the antibiotic gel to close the incision. Do this for all of the liquid pockets. If the screen begins to shake, finish up any liquid draining. If any wounds or liquids are still out, it will inflame the surrounding areas. Inject anti inflammatory and continue. When the shaking is really violent, doing anything will result in a miss. You don't need to get all of the liquid pockets, just keep removing them until Angie tells you to finish up. Now, suture, disinfect, and bandage.

Forbidden Knowledge
Difficulty Rating 3

This GUILT is Triti. Triti has two basic strategies to keep in mind shile operating. The first takes a long time, is a little easier and slower and the second is much faster, but requires much more speed and ability.

Siege
Begin by disinfecting the incision, and cutting it. You will see the pancreas with the triangular triti. A few things to keep in mind, you must remove all the thorns on a triangle in order to excise it, if a triangle is isolated it will reproduce, and if two thorns are next to each other and there is a free slot, it will reproduce into that slot. Now take the forceps and begin to remove some thorns. You can use the healing touch at any time in this operation. Once you have all the thorns from a few triangles, take the scalpel and cut all of the yellow excise marks. There is no need to do it in a triangle pattern. Now, quickly remove the triangles with the forceps before more thorns appear to kold them in place. Keep doing this and eventually, you will have, a big sized block of triangles in the upper left hand corner. Slowly excise blocks of 3 or 4 triangles until you are left with 3 to 4 triangles left. Remember to not let triangle thorns get side by side to stop them from reproducing. Now, remove all the thorns as fast as you can and excise them quickly. The last one, if you can't get rid of it fast enough, will reproduce. Keep doing this part until you succeed. Now, suture the incision, disinfect, and finally bandage.

Flash
All right. First read the above strategy for some basic information on Triti. This strategy involves using the healing touch to stop it's reproduction. Now, disinfect the guideline. Perform the incision. Double-tap the hand icon and use the healing touch. Twenty to twenty-one hundred should be good enough. Now take the forceps, and pull out all of the thorns as fast as you can. In the healing touch, triti can't make more thorns. Now get the scalpel and slice all of the yellow marks. No need to do it in a triangle. The game will only care if you get the knife on the marks. Now get the forceps again. Grab all of the triangles and put them into the tray. If by any chance the game come out of healing touch during this step, continue removing them but you will need to use the forceps to take out thorns again if more appear. Once the triti has been eradicated, suture the incision, disinfect, and bandage.

Race For the Cure
Difficulty rating 2

This part of the story involves more than one operation. The operations will vary with the green, purple, and yellow being faster in order. Begin by choosing one of the locations on the map. You will need to get the antigen of all three types of Tetarti.

Begin by disinfecting the guideline and cutting it. There will be a GUILT parasite on the organ. Use the syringe to inject it with the medicine. It will burrow back into the organ like Kyriaki. You also get it back out the same way, use the ultrasound to find it and cut it out. Inject it with the serum again once it has stopped flashing. If you have the yellow one, it will go berserk around at this point. You will need to take the antibiotic gel and apply it to the GUILT to stop it. Repeat this process until the parasite is dead. Use the forceps to drag it onto the tray, and then cut it open. Use the drain to remove it's body fluids, then treat all of the wounds and close the patient up.

Stepping Up
Difficulty rating 3

Disinfect the guideline and perform the incision. There will be 3 small tumors which will grow in size. Once you can clearly see what color the tumors are, select the syringe and inject them with the correspondent colors. Once enough has been injected, the yellow excision line will appear. Cut it, and remove it with forceps. Do this all at once for the three tumors, since if they get too big, they will explode and release toxic gases. Apply the synthetic membrane on the wounds, disinfect with the antibiotic gel, and mend it with the hands. Now, the three Tetarti wil appear. They are all synchronized and act as one GUILT, so you have to inject all three of them for any effect. Memorize the colors of each one, yellow, green, and purple. Once they have become transparent, inject each one with the serum of it's appropriate color. If you inject all three, they will burrow back into the liver, but if you can't they may make more tumors which you will have to treat at the end of the operation. They will come back, so repeat this procedure until the Tetarti has been eliminated. Treat any wounds, and close the pacient up.

Taking a First Step
Difficulty rating 3

Disinfect the guideline and perform the incision. A giant gelatinous blob fills the left lung. Do as Victor tells you. First take the scalpel and place it on the Pempti. Then get the laser and do the same thing. Then take the antibiotic gel and apply it. Each time Victor will tell you that it has no effect. Now select the syringe and look for the blue mass moving around the Pempti. That will be your target for the injections. Inject the medicines beginning with the one on the far right. It will need to be injected into the blue area. It is moving, so be careful. The Pempti will tremble violently when you inject the pink medication, and you inject the white to neutralize that medication. Bring up his vitals. Then, alternate between the blue and orange, then the pink and white. Once you have done that, close up the patient.

Medical Research
Difficulty rating 1



The Next Step
Difficulty rating 3

Disinfect the guideline and make the incision. Inject the red nanomachines into the blue area and the Pempti will recede. Keep doing this. If you see the small tumors on the lung, laser them and treat them with antibiotic gel like in "Singing the Blues". Once the Pempti is at a minimal size, the core will appear. Laser the core. The Pempti will flood back to it's original size. Repeat the procedure, injecting the nanomachines and lasering the core. This time, the core will have an excision line around it. Excise it, and remove it. The core will regenerate, and you will be ordered to abort the procedure. Suture the incision, disinfect and bandage.

Doctors' Struggle
Difficulty rating 3

Disinfect the guideline and make the incision. Inject into the blue spot the nanomachine 2 times until the core appears. Burn it away with the laser. It will recede and become smaller. It will launch out smaller cores from it which will go to the edge of the pempti and then slash up creating lacerations on the wall of the lung. Burn away the small cores with the laser and if the main core gets bigger, laser it. At a few points, the core will release about 5 copies of itself at one time. Just try and laser as many as you can before the pempti climbs up the wall of the lung creating lacerations and small tumors such as in Singing the Blues. When they recede back, finish off the copies with the laser and treat the wounds. If it makes several copies that are resolving around the main, place the laser next to the main. As the copies go by, they will be burned away by the laser. Repeat keep lasering the core whenever it gets bigger, and lasering the copies. Once you've lasered the core enough, the pempti will recede and finally be destroyed. Treat any remaining wounds, suture, disinfect, and bandage.

Under the Knife
Difficulty rating 4

For this operation, you need to be on the third, fourth, or fifth kyriaki victim when times up or treat all 5 victims in 10 minutes to beat it.

All right, we're going to have to squeeze everything in as much as we can. Use this procedure for each patient. Gel the line and cut it. Drain the blood from all 3 of the deep wounds, pinch them closed with the forceps, suture the deep wounds and then move on to the lacerations. When the kyriaki begin cutting the organ, use the ultrasound at where the end of the cut should be with all of the kyriaki, select the scalpel so you can cut them out when they show up. When they have all been cut out of the organ get the laser and laser them all. Keep it up until they have been burnt away. Repeat the procedure for the next wave, and then apply gel all over the mass of wounds and then suture the lacerations. The large kyriaki and possibly a small will make their mark. Use the ultrasound to find and then excise them. Laser them, if there is a small one laser it again before using the ultrasound on the big one. Repeat the process, after you excise the large kyriaki, take the time while it is making a cut to stabilize. Once the large kyriaki is dead, apply gel to the mass of wounds and then suture. Close the patient up, and then move onto your next one. To complete the operation, you will need to be on your third patient when time's up, giving you a little less than 5:00 for each patient. For higher ranks, you will need to have time to spare, giving you at max 2:00 a patient.

Shifting GUILT
Difficulty rating 3

This is a mutated strain of Triti. It is generally just faster but it is a contagious strain. Occasionally, when you remove a thorn, it will vaporize. You need to drain the mist before it leaves the operation field. If it does, you will fail the operation. Use the same strategy from Forbidden Knowledge but remember to drain any mist that appears. It is recommended as usual you use the Flash method, but it may be impaired by needing to drain the mist so often during the procedure. If you cannot complete the operation with that method, use the siege strategy instead.

GUILT Evolves
Difficulty rating 3

This like in Shifting GUILT is a stronger strain of the original. It is the evolved form of Tetarti. Use the same procedure from Stepping Up. The Tetarti will give you less time to memorize the color codes and may be moving while they are flashing. You will also have less time to inject the serum. If you fail to inject them, they will create new tumors.

Infection
Difficulty rating 4

This is a new GUILT, Paraskevi. It's a fibrous worm like GUILT that targets the heart. Perform the incision. There will be 3 small cuts on the intestines, suture them. Now a worm like GUILT will crawl out. When Victor tells you to use the laser to find a weakness, laser the bushy tail. Take the scalpel and make a quick slice around the middle of the Paraskevi. The worm will slice in half, leaving 2 wounds. You need to cut it small enough so that you can excise it without killing the patient. You will have to cut it up into 16 pieces to remove them all. But for now, we only need to do a few at a time. Laser both of the worms tails and cut them both. You will have fourths now. If the Paraskevi reaches the top of the operating zone, it will move to the next area where it will be waiting for you. Treat all the wounds and stabilize until 2 of the fourths have left the operating field. Laser both fourths, and you have 8 pieces now. Raise the vitals if you need it, and laser them all now. Cut 2 or 3 of the pieces and laser all of the pieces again. The smaller pieces can be removed by the forceps into the tray and cut a few more out. Repeat this process until all of the pieces have been removed or have escaped. Now treat all the wounds and stabilize. You will move onto the second of four operating fields, where the ones who have fled will be waiting. Repeat this process and get to the next operating field. Here, is where you want to stop it. Use the healing touch, laser and cut. If any of them escape, you will have a short chance to get them. The last one is especially small, covering about one third of the screen. Make sure that the pieces are lasered and still at all times if they aren't being removed, because if they manage to get to the heart, she will die. At around this point, you should have removed it all. Suture the incision, disinfect, and bandage.

Devil
Difficulty rating 2

This is an archetype of the Savato GUILT. Disinfect the guideline and cut it. There will be a few lacerations. Suture them and wait with the laser selected. A cut will appear and several small GUILT bodies will come out. Try to laser them as they come out so you can get the most in the least amount of time. This will happen multiple times so be ready. If too many GUILT bodies are around at the same time, they will gather into a small swarm which can't be lasered. When they move out of the swarm, they will have created a large light blue GUILT body which will drop the max vitals dramatically. Laser this, and proceed with lasering all of the smaller ones. Once there are no more GUILT bodies, treat the wounds and close the patient up.

Death Awaits All
Difficulty rating 3.5

NOTE: Do not use the healing touch in this operation until the guide tells you to.

Disinfect the guideline and cut it. You will be zoomed into the heart with a web on it, and a purple bug on. The purple bug will be referred to as the main Savato. Select the scalpel, and Angie will interrupt you to read an analysis about it. Select the scalpel again, and place it on one of the Savato webbings. Don't cut it from side to side, just keep it on the webbing and it will cut. The scalpel will melt and you will need to wait for a bit for the next one. During this time period, use the stabilizer to bring up the vitals, and have the laser ready. The main Savato will occasionally run around and make a new strand of webbing, when this happens, it will also release many of the small GUILT bodies from Devil. They will need to be treated the same way. Other guides may tell you to ignore them and laser the large ones, but that's not the best option. Laser them before they form a swarm, and if they do make a swarm, ignore them until they spread out again, and then laser them. When you have the scalpel icon again, select it and repeat the process. When you have removed all of the pieces of web, the main Savato will run around and recreate the web. This will happen two more times. Before you use the scalpel on the web again, use the stabilizer and laser to bring up the vitals and stop the smaller GUILT bodies. If the web begins to turn red, use the scalpel immediately. If it gets too red, it will drop the vitals dramatically. Repeat this process until the Savato stops recreating the web. It will have stopped draining energy from the heart and the purple layer on top of it will be able to be lasered. Get the laser, and apply it to the top of the main Savato. When you have destroyed a layer of the protective layer, it will create a laceration and release small GUILT bodies, like in Devil once again. Laser them as they come out if you can. If they get out of control, focus on the main Savato and laser a bunch when they are packed together but not swarming. Continue lasering the main Savato until all of the purple is gone from it and it begins running around. Cut it with the scalpel, and Victor will appear to give you the serum for it. Repeat the process, but after you've cut the savato with the knife, inject the serum into it. It will go crazy and create multiple lacerations. You will automatically go into the healing touch. You need to survive for a short time. Stabilize the condition and suture some wounds for points. In place of the hand icon, the icon for the healing touch will be there. Select it, and draw the star. Time will literally stop, allowing you to give you the final injection. The Savato will stagger around, and die. All of the wounds will be miraculously healed. Suture the incision, disinfect, and bandage.

First Sin
Difficulty rating 4

This is the most concentrated form of Kyriaki. Disinfect the guideline and perform the incision. Drain the blood from the large wounds, pinch them together with the forceps, and suture them. Move onto the smaller wounds now. Two Kyriaki will appear, use the ultrasound to find them then excise them. You will need to stabilize constantly; the patient's vitals will drop much faster than the normal GUILT operations. They will need to be lasered three times each. The next round of Kyriaki will come about. Treat these the same way, stabilizing constantly. Once the Kyriaki is removed, apply antibiotic gel to the mass of wounds, and then suture them all. Leave one wound and stabilize all the way to the max; 99. Treat the final wound and the large Kyriaki along with a small one will make their entrance. Use the ultrasound to find them. The small one should be your first priority. Laser the small one until it has burnt away. Proceed with finding the large Kyriaki and burning it. Once the Kyriaki has been completely removed, treat all of the wounds. Suture the incision, disinfect, and bandage.

Second Sin
Difficulty rating 3.5

This is the most concentrated from of Deftera. Disinfect the guideline and make the incision. Laser the tumors. The pair of Deftera will appear, continue to laser the tumors as they appear and keep the vitals up. When they meet, drain them. Continue this process for the first part. When you have defeated the Deftera, treat all the wounds and close the incision. Make the incision on the next part for the lungs, and begin. This time, the wrong pair of Deftera will join which will create two tumors and drop the vitals. Instead of waiting for the two pairs of the same color to combine, put gel in front of the two colors to drive them away from each other. Be sure to laser all the tumors when you can. When a pair meets up, drain them immediately and as fast as you can otherwise, another Deftera will meet with it and drop the vitals again. It gets much easier once one pair is finished. If the vitals are dropping too fast, laser all of the tumors while stabilizing. Once you are done. Close the incision.