Trauma Center: Second Opinion/XS Score Requirements

The following guide will show you what Special Bonuses are required to get an XS rank. Remember that XS ranks can only be gained in Hard mode. For Normal and Easy, the highest rank possible is S. Requirements for an S in Normal and Easy are almost the same as an XS in Hard except for one detail. Any bonus that requires a numeric amount, such as 10 COOLs earned, will be less for Normal and Easy. Also, a lot of episodes have a time requirement for a Special Bonus. This bonus is listed in seconds. For example, the bonus "Completed with 240 left" means you completed the mission with 240 seconds left, or four minutes.

Important: Even if you get all of the special bonuses for an episode you still may not get an XS rank. There is a score cut off for each rank. While most missions you will get an XS rank if you do get all of the bonuses, it is not guaranteed. Remember that you get a score bonus depending on how high the patient's vitals are when you finish the procedure. If you have the time at the end of an episode, raise the patients vitals.

Episode 1-1: Standard Procedure

 * No mistakes
 * Vitals stayed above 75
 * Completed with 275 left, 4:35
 * 6 COOLs earned

Episode 1-2: Learning the Ropes

 * No mistakes
 * Completed with 260 left, 4:20
 * 3 COOLs earned

Episode 1-3: A Farewell

 * No mistakes
 * Completed with 240 left, 4:00
 * 3 COOLs earned

Episode 1-5: Singing the Blues

 * No mistakes
 * Fewer than 6 blood pools
 * Completed with 210 left, 3:30

Episode 1-6: A Real Doctor

 * No mistakes
 * Vitals stayed above 25
 * Completed with 210 left, 3:30
 * 3 COOLs earned

Episode 1-8: Life or Death

 * No mistakes
 * Completed with 240 left, 4:00
 * 3 COOLs earned

Episode 2-1: Dormant Ability

 * No mistakes
 * Less than 2 thrombi passed through
 * Completed with 240 left, 4:00
 * 3 COOLs earned

Episode 2-3: Striving for Asclepius

 * Healing Touch activated
 * 4 Skilled Healing Touches
 * 1 Passable Healing Touch

Episode 2-4: Awakening

 * Max CHAIN over 50
 * No aneurysms ruptured
 * Completed with 150 left, 2:30
 * No mistakes

Episode 2-6: Just Let Me Die

 * Max CHAIN over 20
 * Less than 1 hemorrhage
 * Wound did not reopen
 * 7 COOLs earned

Episode 2-9: Please Let Me Live

 * Max CHAIN over 50
 * Completed with 180 left, 3:00
 * Wound did not reopen
 * No mistakes

Episode 2-11: For the Greater Good

 * Max CHAIN over 14
 * Fibrillation occurred less than 3 times
 * Completed with 240 left, 4:00
 * No mistakes