Each operation is prefaced by a briefing, describing the patient's condition and possible treatments. The ten available surgical tools are required for different operations and injuries, selected using icons along the edges of the touch screen. Operations take place from a first-person view over the affected area. Each operation tasks players with curing the patient of one or multiple ailments within a time limit. Players take on the role of protagonist Derek Stiles, a young surgeon with a mystical ability called the Healing Touch. The top screen of the Nintendo DS is dedicated to story sequences and level statistics displayed as 2D artwork, while the bottom touch screen is dedicated to the operations themselves rendered using 3D models. Trauma Center: Under the Knife is a video game that combines surgical simulation gameplay with storytelling using non-interactive visual novel segments using static scenes, character portraits, text boxes, and voice clips during gameplay segments. A DS sequel, Under the Knife 2, was released in 2008. A remake for the Wii, Trauma Center: Second Opinion, released the following year. While a commercial disappointment in Japan, it sold beyond expectations in both North America and Europe, boosting Atlus' profits for that year. The game was positively reviewed by journalists, who praised the title for its use of the DS controls while criticising its difficulty spikes and repetition. Development proved challenging for the staff, who were veterans of the Megami Tensei franchise and had little experience with genres outside role-playing. Its early inspirations included Western television series ER and Chicago Hope, with science fiction elements incorporated during a later stage. The gameplay combines surgery-based simulation relying on the DS's touchscreen controls with a story told as a visual novel.ĭesigned to take advantage of the DS's control options after planned development for earlier consoles stalled due to inadequate hardware, development lasted just over a year. Doctor Derek Stiles, a surgeon possessing a mystical "Healing Touch", works with the medical group Caduceus to find a cure to GUILT. Set in a near future where medical science can cure previously incurable diseases, the world's population panics when a new manmade disease called GUILT begins to spread. The debut entry in the Trauma Center series, it was published in Japan and North America by Atlus in 2005, and by Nintendo in Europe in 2006. Trauma Center: Under the Knife is a simulation video game developed by Atlus for the Nintendo DS.
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