| TRAUMA CENTER: UNDER THE KNIFE 2 |

-------------------------------------------
| TRAUMA CENTER: UNDER THE KNIFE 2 |
| X OPERATIONS GENERAL GUIDE |
| Ver. 1.0 |
| By NickOfTime ([email protected]) |
| Copyright 2007 by Nicholas Carrasquillo. |
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--------------
| Legal Notice |
--------------

The only sites allowed to host this guide are:

http://www.gamefaqs.com

Please don't take it without my permission.

I only list GameFAQs since it's the site I visit it almost every day (as
opposed to a site like neoseeker), and tend to forget updates for those other
sites. So I might decline an offer to host my guide on your site because of
that.

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| Contact Info |
--------------

If you wish to contact me, my e-mail is [email protected]. However, if
you're going to ask me a question that is answered here, don't e-mail me. If I
get back to you when you e-mail me something like that, it'll probably be
something very mean. :|

Contact me if you have a new strategy for a certain X operation, as this will
aid those who view this guide. I will give full credit to those who contact me
with new strategies, as long as they provide a name. Or I'll just use the name
I got as an e-mail address (except for the @email.com part; so, using my e-mail
address as an example, "[email protected]" would be credited as just
"NickOfTime146").

Also, have the subject of the e-mail be something like "Trauma Center X
operations guide" and I'll know that you have something to say about it.

Since I may forget to add something, let me know if you're still having trouble
with a certain part in an operation. Be sure to detail it so I know what you're
talking about. If I add it to the guide, I'll credit you for bring it to my
attention.

--------------
| Introduction |
--------------

This guide uses the same template as my X-operations guide for Trauma Center:
Under the Knife 1. The difference, though, is that in this guide I will detail
almost everything about the GUILT, the Special Bonuses, and give general tips
for XS-ranking.

There is going to be some spoilers, obviously. Despite this, the guide assumes
you know what you're doing in terms of where the tools are, what they do, and
what the procedure for defeating each GUILT is.

This guide will also be really detailed, based on the pattern I have for each
one. How much HP they have, what their attacks do, what you should do after
attacking, and other details will be included.

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| Table of Contents |
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1. General Tips
2. X Operations "Story"
3. X Operations
3.1. X1: Kyriaki
3.2. X2: Tetarti
3.3. X3: Pempti
3.4. X4: Nous
3.5. X5: Bythos
3.6. X6: Sige
3.7. X7: Aletheia
4. Version History
5. Credits
6. Copyright Information
7. Conclusion

Just Ctrl+F and find what you're looking for.

-----------------
| 1. General Tips |
-----------------

If you just started on these X operations, one easy thing to do is learn how to
use two styli. It helped me finish nearly all of them easier, and it'll help
with getting higher ranks on them.

If you want to learn how to use two styli, try doing simpler operations with
both of them, using your left hand to pick out the tools on the left, and using
your right hand to get things done and pick out the tools on the right. Or vice
versa, if you're left-handed. After a while, you could try doing things with
your left hand, like cutting open a patient or suturing.

Just know that it'll be a bit easier to get the operations done with two styli.
It's definitely possible with one, but it probably might take a little longer.

As always, practice makes perfect. If you're stuck on a mission, don't feel bad
about it. All you need is a little more practice to be more precise and a
little faster. Especially on Tetarti and Sige.

-------------------------
| 2. X Operations "Story" |
-------------------------

I put "story" in quotes because of the fact that there's pretty much no story.
The only reason these operations exist is to give you that extra challenge you
crave so much. However, there is that little bit of dialogue between Stiles and
Raitenau/Mercer/Mayazumi that some people would consider a small bit of
"story." So I'll include that bit of info. Look for it in the "X# operations"
sections; it'll be there.

And again, the patients you're operating on are completely anonymous. But since
Adam isn't there anymore, I don't have any theories on who they are.

-----------------
| 3. X Operations |
-----------------

Each GUILT is accompanied by their respective "owners." Kyriaki, Tetarti, and
Pempti (the "old" GUILT), are joined by Heinrich von Raitenau. Nous, Bythos,
and Sige (the "neo-GUILT") are accompanied by Patrick Mercer. Aletheia has some
meaning with Mayazumi even though it just made her look really old, so she's in
the background of that operation.

They all have their own intimidation lines, which are said during the
operation, after the operation, and whenever you fail.

Von Raitenau (X1, X2, X3):

During the operation: Do you seriously believe you can defy the laws of nature
that bring humanity its rightful death?
After the operation: Doctors like you, with your foolish ideals... You'll
destroy the world!
Failed the operation: A foolish mortal, choosing to defy the providence of
nature... Your struggles are futile, Doctor.

Mercer (X4, X5, X6):

During: Soon you will see for yourself just how powerless doctors are!
After: Even with the power you hold, there are diseases that can't be cured...
Failed: Do you see how weak doctors are? You won't be needed in the world still
to come...

Mayazumi (X7):

During: These GUILT are my children... Let's see you try to rebel against their
might!
After: Th-This can't be...! My children! Are you saying that I... that we...
were wrong...!?
Failed: The old world shall end soon... Now sleep, in the furthest reaches of
the darkness...

And now for the reason you're here.

------------------
-----| 3.1. X1: Kyriaki |
------------------

Time Limit: 5:00:00
Condition: Confidential Operation 1: Kyriaki, the wicked blades

Raitenau: Through GUILT alone can mankind find salvation. My grandfather, the
greatest patriarch, Adam... Why do you refuse to understand his noble
teachings?

Derek: I'll never accept such twisted, self-serving logic!

-

Special Bonus:
No Healing Touch 100
No misses 500
Completed with 100 left 700
MAX CHAIN Over 50 700

Kyriaki HP: 3
Queen Kyriaki HP: 6

Kyriaki's laceration: 5 vitals
Cutting out an egg: 3 vitals
Cutting out the Queen: 6 vitals (+5 from the resulting laceration)
The initial "spawning" lacerations (including the 3 from the Queen) don't do
any actual damage, other than the normal blood loss vital damage.

-

The strategy for this operation has changed drastically compared to Under the
Knife 1. Instead of gel+syringe every 2 seconds, you now have to actually
suture every cut as soon as possible.

In the beginning, the regular lacerations spike vitals more than the large
gashes, and since time matters quite a bit in this for the bonus, suture the
normal ones first so you won't have to waste as much time with the stabilizer.

There will be 3 Kyriaki for the first wave, and when you defeat 2, another 2
more will spawn. The first thing you should do is suture everything right when
they spawn. They don't cause lacerations that quickly, so if you need to raise
vitals, just go ahead and use the stabilizer after suturing.

For the remaining 2 Kyriaki, make sure you leave some kind of injury on the
patient before defeating that last one. Unless you're a miracle worker, you
more than likely have around 20 vitals left. This won't last you very far with
the Queen. So leave some kind of cut or laceration, raise vitals to 99, then go
ahead and fix it up.

When the Queen appears, suture the 3 lacerations, and ultrasound the four
corners. This gives you a large area of effect, and will help find the
eggs, along with the Queen, a bit faster. If you haven't found any from the
corners, go along the centers of each side. If you still haven't found any,
then they're most likely just in the middle.

If you know what you're doing, 99 vitals will most likely cover two hits on the
Queen. You may be able to go as low as 65 vitals for two hits, but that's
risking it a little.

Your priorities should be (in order): Find/extract the eggs, keeping vitals up
past the death zone of 15-30, suturing, then finding/lasering the Queen. Each
repetition of this should only take you around 20 seconds.

If you're just aiming to pass it, use the Healing Touch after the 3rd hit on
the Queen. It'll most likely go over the remaining 3 hits.

For the XS:

The major obstacle is the time bonus. You only have 3:20:00 (in the operation,
you have to finish with more than 1:40:00 left). In general, if the Queen does
4 or more lacerations (excluding the one it does when you cut it out) before
each hit, you're taking too long. You also cannot allow any eggs to hatch. It
may not directly take away your bonus, but it will take time.

For the chain, you just have to suture correctly enough. You can either suture
in the shape of a small "N" across the center of the laceration, or make
oversized zig-zags across the entire thing. Both ways work fine.

------------------
-----| 3.2. X2: Tetarti |
------------------

Time Limit: 5:00:00
Condition: Confidential Operation 2: Tetarti, a myriad of toxins

Raitenau: Man's deep attachment to life has led to the uncontrolled
advancement in medicine. Are you aware of what awaits in the end? A
world of madness, where life's course is manipulated without care
for the world's natural order! Is that what you doctors wish for?

Derek: Is it so wrong that people want to live? We're only here to serve those
who need help!

-

Special Bonus:
No Healing Touch 100
No misses 500
Completed with 180 left 700
MAX CHAIN Over 35 700

Tetarti HP: 6

Toxic gas: 2-3 vitals/sec (rough estimate)
Note that that's for one of the three bodies.

-

As always, there will be three diverticula there. But unlike the original, you
don't have to wait for them to grow to see the colors. So take care of 'em

This GUILT has gotten a serious upgrade in terms of difficulty. They move quite
a bit faster, and stay white for less time. So what you have to know is just
how much you need to inject, and when you can start injecting. Take the time to
notice that there's 8 distinct frames in the syringe's animation. Based on what
I know, the 3rd frame is just how much you need to inject.

Use the Healing Touch after your 4th injection since it will only go over two.

For the XS:

Practice the injection on an easier Tetarti if you need to. This operation
realistically only has two ranks: A and XS. Fill the syringe by the audio cues
if it's easier (it was for me). When they appear, establish in your mind which
colors of serum are needed, and where they are. If you can focus on just the
three that are needed each time, you can spend less time looking for it and
more time actually using them.

-----------------
-----| 3.3. X3: Pempti |
-----------------

Time Limit: 5:00:00
Condition: Confidential Operation 3: Pempti, the raging nightmare

Raitenau: If man refuses to live in harmony with nature, then nature will
eventually destroy him. That is humanity's fate! Their dreams,
desires, and wishes are what ultimately bring about their
destruction. Ironic, isn't it?

Derek: Shut up! No matter how sinful we may be, I have faith in mankind...

-

Special Bonus:
No Healing Touch 100
No misses 500
Completed with 30 left 700
MAX CHAIN Over 130 700

Top/Right Pempti HP: 4
Bottom/Left Pempti HP: 6

Laceration core: 8 vitals each laceration
Tumor core: 5 vitals each tumor when you laser them
Revolving core: Variable (increases vital spike over time even if one is left)

-

Skipping to when they split into two.

They will always spawn 6 of any given core. This is more useful to know for
the laceration cores, though, since after the sixth one, you can suture or
raise vitals.

The cores give you enough time to laser them before they attack, as well, so
it's even easier. You don't have to be instantly on them, but you still have to
be quick.

The laceration cores have nothing too special about them. They should just be
lasered without incident. If one happens to go by, though, it stalls a bit
before sending out the next core. If you don't wanna wait until after the 6th
core, go ahead and suture it.

The tumor cores are important. The goal for them is to laser at least 4. Doing
so will leave you with time to laser/gel the tumors and raise vitals. If you're
going for the XS, purposely leave 2 cores for your chain.

The revolving cores are also important. After lasering that last one, you have
enough time to inject two full syringes of stabilizer. This is really useful.

Since the bottom/left Pempti has 2 more HP than the other, focus your first
three attacks on that one, then go back and forth between the two. If you
leave one with 2+ HP when it becomes unstable, you're going to have to use
the Healing Touch or restart.

After one disappears, raise vitals as much as possible (4 full syringes can be
injected), because you'll need it. The unstable Pempti can take as much as 60
vitals before being hit once.

For the XS:

The only minor problem is the chain. As stated above, the tumors can help your
chain quite a bit. They only do 5 vital damage each, they give +2 to your chain
each, and there's usually only 4 or 5, which isn't much vital damage, and is
an extra 8-10 to your chain. The time bonus is extremely easy, it's almost
impossible to miss (unless you screw up the nanomachine injections), and the
Healing Touch isn't needed much unless you mess up by leaving the unstable
Pempti with 2+ HP. Overall, if you can beat it, you can XS-rank it.

--------------
-----| 3.4. X4: Nous|
--------------

Time Limit: 5:00:00
Condition: Confidential Operation 4: Nous, the malignant side of wisdom

Mercer: You possess the gift of the Healing Touch... yet you refuse to use it
effectively. Are you content with just saving people's lives? Have you
ever considered what lies beyond that? I have. I'm about to change the
world! Reformation is impossible without firm belief!

Derek: I don't care what vision you have for the future! I'm determined to keep
saving lives!

-

Special Bonus:
No Healing Touch 100
No misses 700
Completed with 120 left 700
MAX CHAIN Over 97 500

Nous HP: 6

Exploding tumor: 35 vitals each

-

Whoo, X4 is easy despite what GUILT they use for it. The only real advice for
this is to just remember what order they appear. It gives you more than enough
time to extract each tumor even with the 6 at the end.

You can either drain/scalpel each tumor seperately, then get them all out at
once, or drain/scalpel/forceps each one. Whatever works.

Note that if you don't drain them in the large amount of time it gives you,
they'll all explode for 35 vital damage each.

For the XS:

Don't miss. That's pretty much it.

----------------
-----| 3.5. X5: Bythos|
----------------

Time Limit: 5:00:00
Condition: Confidential Operation 5: Bythos, the profundity of the abyss

Mercer: It is the Neo-GUILT--the true hands of Asclepius--that will guide us
to the new age! Those incapable of symbiosis with GUILT will wither
away... No one can stop this!

Derek: GUILT brings us nothing but death! Your so-called "new age" is the end
of mankind!

-

Special Bonus:
No Healing Touch 100
No misses 500
Completed with 90 left 700
MAX CHAIN Over 70 700

Bythos HP: 6

Hitting a spore/shard with the core: 25 vitals
Laceration: 20 vitals
Laceration + Hemorrhage: 15 vitals (+15 when you cut out the hemorrhage)
Hemorrhage bursting: 25 vitals

-

This is a major annoyance.

Whenever it makes lacerations, suture them. Some people also leave them there
and just gel every 2 seconds to save time. If you've worked on your suturing,
however, you won't need to do this.

The easiest thing to do is laser it as much as possible without bursting it,
then waiting until it gets into the bottom right so it bursts near the tray.
This covers up a significant majority of the spores (and some of the shards,
too), making it a lot easier to extract the core.

When it bursts, look at the ring of spores closest to the core. When there's an
opening at that point, and you're near the tray, extract it as fast as
possible. While you're waiting for the opening, raise vitals.

When you're not near the tray, and your vitals are high, you can probably
risk it by trying to extract the core. If it's purple or red, though, don't do
it. The opening in the nearest ring of spores is almost always covered by
spores in the outer rings.

Another thing you can do is use two styli and "warp" the core to the tray. If
you've been playing with two styli, you probably know that if you touch two
seperate spots, the game will register it as you touching the spot right in
the middle of those two. To warp, use one stylus to pick up the core, touch the
other stylus at the tray (warping the core to the middle), then lift the first
stylus (warping it to the tray).

If you're seriously low on vitals, you can burst it, completely ignore it, and
just use the stabilizer until it regenerates.

For the XS:

Again, wait until Bythos is in the bottom right area to burst it. You can allow
it to regenerate once (for stabilizer, as seen above) before risking your time
bonus. Letting a hemorrhage burst will break your chain, so take care of it
right when it occurs.

If you wanna use warping, then go for it.

---------------
-----| 3.6. X6: Sige |
---------------

Time Limit: 5:00:00
Condition: Confidential Operation 6: Sige, the dense fog of silence

Mercer: No matter how advanced medicine becomes, there are always those who
cannot be saved... Intractable diseases... Incurable ailments...
Inescapable deaths! How many souls have you forsaken? Have you ever
considered the feelings of those who lie in bed, with no hope of being
cured!? If you call yourself a doctor, then treat those people right
now!!

Derek: I'm only human... but I'll do everything I can to save my patients! I
will never give up!

-

Special Bonus:
No Healing Touch 100
No misses 500
Completed with 120 left 700
Pus formed < 24 times 700

Sige HP: 6

Cutting out Sige: 10 vitals
Sige and its clones running around: roughly 1-2 vitals/sec each
Cutting out a hemorrhage: 10 vitals
Hemorrhage bursting: 25 vitals

-

Sige is serious business.

Thankfully, when you cut it out, you still have all your tools (as opposed to
the earlier operation where you only have the stabilizer when you cut it out).
So as soon as you do, spread gel everywhere while blowing into the mic. If you
know where a hemorrhage is, fix that up instead of spreading gel.

After the gas is gone, spread gel everywhere once more to temporarily stop
the Sige, then drain the pus, then fix up the gas hole.

If you need to raise vitals, fix up the gas hole, spread gel everywhere, use
the syringe twice (the second time, Sige will start moving again, but the
vital spike isn't as bad), then drain the pus it makes. Repeat if necessary
(I usually raise vitals to 50, which is enough to hit Sige twice).

When you gel/cut Sige, ultrasound that exact spot it went into. You'll see the
shadow there every time.

For the XS:

The major obstacle here is the pus bonus.
You can't really hesitate here. You have to know what you're going to do and
waste no time in doing it. The basic pattern is:

1. When Sige appears after fixing up the initial injuries, suture the 4
lacerations as fast as possible, then ultrasound the middle until you find
it. If you took more than two ultrasounds, it more than likely made a
hemorrhage.
2. When you cut it out, spread gel everywhere while blowing into the mic.
3. When the gas disappears, drain the pus/blood and fix up the gas hole.
3.1. Raise vitals if necessary, draining pus every 2-3 injections.
3.2. Heal inflammations if necessary.
4. Gel/Cut Sige.
5. Ultrasound that same spot. Cut Sige out instantly before it has a chance to
create a hemorrhage.

Repeat five more times.

After 3 hits, if you're fast enough, you can raise vitals to 60, and just rush
the Sige. Skip the stabilizer, skip the pus, and just fix the gas hole each
time (if you need to drain the pus to fix it, then do it). It takes about 10
seconds to go through the steps each time in this way. Your vitals only go
down by 10 (+5 or so based on how much gel you spread each time you cut it
out), so 3 times would only take out about 30 vitals, leaving you with a
buffer of 30 more. You can't skip fixing the gas hole, though. Just the pus
and stabilizer. And that's only if you're generous with the gel while you're
blowing into the mic.

-------------------
-----| 3.7. X7: Aletheia |
-------------------

Time Limit: 10:00:00
Condition: Confidential Operation 7: Aletheia, the omniscient eye of truth

Mayazumi: The new age is just over the horizon... and I'll bring about the new
age of mankind! Don't we all want to be smarter, stronger, and more
beautiful? The world will be populated by those who are superior.
My beloved GUILT will eliminate all else...

Derek: Don't give me that! GUILT won't bring happiness to anyone!!

-

Special Bonus:
No misses 300
Completed with 240 left 600
MAX CHAIN Over 50 700
Red pipe not touched 400

Every summoned GUILT HP: 1
Aletheia HP (Phase 1): 11 full syringes
Aletheia HP (Phase 2): 12 full syringes
Aletheia HP (Phase 3): 13 full syringes

Kyriaki lacerations: 1-2 vitals/sec each
Nous green tumor: 1 vital/sec
Nous green tumor explosion: 35 vitals
Pempti tumors: Roughly 1.5 vitals/sec for a group of 3 tumors
Sige pus: .5 vitals/sec each pus cloud
Tetarti diverticula: Roughly .5 vitals/sec each polyp
Tetarti diverticula gas: 3-5 vitals/sec each release
Bythos hemorrhage: 1 vital/sec each
Bythos hemorrhage bursting: 10-15 vitals

-

Do NOT use the Healing Touch until the end. I hope you know that by now.

Aletheia is awesome-epic. Especially with that music. This one's probably my
favorite X-operation.

Every time you defeat a GUILT body, Aletheia's eye... thing... opens. You can
inject the serum into it when it's like this.

It also has 3 phases, like my other favorite GUILT.

Phase 1:
Kyriaki: Instantly laser one, inject; laser another, inject, suture.
Repeat until they're all gone, then inject 3 times and suture while it
summons Nous. Simple enough.

Nous: When they first appear, excise the ones on the left and the top, since
you have more than enough time. This leaves the ones that are closest
to the scalpel, so it's a little easier to excise them in the small
amount of time it gives you for that. Making the tumor explode by
skipping it will break your chain.

Pempti: If you've injected as much as you could (once for each GUILT body, and
3 times when it's summoning another bunch of GUILT), you won't be here.
Seriously, though, you're not supposed to see Pempti throughout this
entire operation. If you do, you're doing it wrong. :<

Cut, cut, cut

Phase 2:
Sige: Gel/Scalpel/Inject/Drain (if necessary) one at a time, to maximize the
serum injections. Note that cutting without gel and causing it to create
pus will break your chain. If you don't have a 50 chain by the time this
happens, you probably won't be able to get it later because of Bythos's
hemorrhaging.

Tetarti: From where they spawn, they will always go to the nearest spot
counterclockwise (credit to Azn Psycho for this tip). There's not
much time to notice the colors, so be sharp on this. Alternatively,
the pause trick (pausing right when they show their color so you know
where they're going to go) works wonders here.

Kyriaki: Again, you're doing it wrong; you're not supposed to be here. :|

Cut, cut, cut once more

Phase 3:
Bythos: This is a major obstacle. The cores by themselves (after being
lasered) make hemorrhages. Injecting the serum will cause any
hemorrhages to burst, breaking your chain. But if you did what I did
at Nous, and didn't mess up Sige, you already have a 50 chain by that
time. If your vitals are below 30, you risk being caught off guard by
two or more hemorrhages, so raise vitals past 45 before proceeding.

If you want to, you can use the serum for only 3 extractions of the
Bythos. This may save your vitals, and may or may not take some time,
depending on your work with the Sige. If you're on top of it and you
don't need to use stabilizer much on the Sige, you'll be well-advised
to do this.

Sige: Same as the Sige before, except they're a bit more aggressive with the
pus. After the second or third injection, Aletheia will be ready for
cutting (if you've injected as much as possible with the Bythos), so
just get rid of the Sige as fast as possible. Or, if you want, you can
replace the serum with the stabilizer in the pattern.

Pempti: Doing it wrong, etc. You'll have some serious trouble with this, so
don't end up here.

Cut, cut, cut one more time

Aletheia will then reduce your vitals to 30 (if it's lower, it stays at
wherever that happens to be) and go crazy, so use the Healing Touch, and
finish X7.

For the XS:

The major obstacle is the chain. Nous from phase 1, Sige from phase 2/3, and
Bythos from phase 3 all have chain breaking abilities. The easiest way to chain
to 50 is to deal with the Nous. You don't need to make them explode if you take
care of the ones on the left and top first. This will leave the ones that spawn
on the right every other time, which are closest to the scalpel. The second
easiest chain is the distance between the Nous phase (if you exploded a tumor)
and the Bythos. You can chain off the pus of the Sige between them very easily
if you need to. If you don't chain to 50 those two ways, you probably won't get
the bonus...

The minor obstacle is the time. Unless you totally screw up and touch the red
pipe, though, you won't have to worry too much about it. The only risk you'll
probably have for the time bonus is if you try to chain in the second manner
explained above.

---

After you finish X7, it'll show your rank (XS I bet), then fade to a black
screen, which states the following:

The threat of GUILT has ended, and so has your journey filled with peril and
hardships... Your phenomenal surgical skills and indomitable spirit will be
forever remembered by all. For now, rest... until the day comes that you must
wield your scalpel once more. As long as there is illness in the world, the
doctor's battle will carry on...

---

Congratulations to you when you manage to beat all of the X-operations.

-----------------
| Version History |
-----------------

-------------
-----| Version 1.0 |
-------------

The first version of the guide.

---------
| Credits |
---------

Credits go to:

Nintendo: For making such a great handheld console, the Nintendo DS.
Atlus: For making such a great game, Trauma Center: Under the Knife 2.
You: For reading this guide, of course.

-----------------------
| Copyright Information |
-----------------------

Trauma Center: Under the Knife 2 is Copyright 2008 by Atlus.
This guide is Copyright 2007 by Nicholas Carrasquillo.

Please do not take this guide and do something bad with it, or else. >:(

------------
| Conclusion |
------------

Pretend this is a well written, nicely thought out conclusion. In fact, the
only reason this is here is to provide some buffer between the end of the
meaningful stuff up there and the bottom of the page. Hooray.

If you find something that isn't right, or you have another strategy for a
certain operation, feel free to notify me. I'll credit you for it, and you can
live on knowing you helped some people.

End.