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Destructoid review: Trauma Center: Under The Knife 2 photo

The first Trauma Center: Under The Knife for DS was a fantastic game, but it also came with a reputation -- that of being one of the most difficult games to grace the portable console. Placing you in the role of newbie doctor Derek Stiles, you performed surgeries of increasing difficulty due to GUILT, a man made disease causing major medical havoc.

The story and gameplay were great, and it was by far one of my favorite games of 2005, but I can testify that I nearly hurled my DS across the room more times than I can count out of pure frustration. I fantasized about strangling people that attempted to distract me as I tried to wield a scalpel at hyperspeed. This was serious business, and I was a woman on a mission --I had to save lives here!

Going into the sequel, I found myself wondering if I would be skilled enough to accomplish those incredibly difficult operations all over again, or if I would get stalled the way I did with the original so many times. Also, the storyline of the first seemed so neatly wrapped up in the end -- could a sequel be more than a GUILT rehash?

Hit the jump to find out.

Trauma Center: Under The Knife 2 (Nintendo DS)
Developed by Atlus
Published by Atlus

Released on July 1st, 2008

The story of Under The Knife 2 picks up three years after the last game, in the year 2021.We find the main characters from the first game, Dr Stiles and his nurse Angie, working out of an African refugee camp called Zakara, in the Republic of Costigar. The political turbulence in the country is finally inching towards peace, but they are shorthanded when it comes to medical care, which is where Derek and Angie come in.

It isn't long before some of the patients start to show mysterious symptoms, and before you know it, GUILT has made a full return. The story is as fully engaging as the first game's and features both old and new faces, and it beautifully circumvented the rehashing pitfall that I feared. If you loved the first game, Under The Knife 2 has a brand new, compelling story to offer that you're likely to really enjoy.

Another thing I noticed right off the bat is that the game looked more streamlined overall. Everything looks a bit smaller and cleaner, the characters look older -- a once ratty looking Dr. Stiles has lost his teenage messy look -- and more mature (which is to be expected), yet it still retains the easy touch screen movement when using surgical implements. You can definitely tell there's been some fine tuning, and it makes for an even better looking game.

Even more exciting than the modern look, however, was the addition of three levels of difficulty. The operation screen is tabbed with easy, medium and hard settings that you can easily switch to at anytime without interrupting the story. Not only does this solve the difficulty issue I mentioned previously, but once you complete the story, it opens a new difficulty called Extreme, which (if you can imagine this) is literally so hard it made me feel as if my eyeballs were melting. However, for those of you looking for an insane challenge, Atlus hasn't forgotten about you!

Under The Knife 2 also featured some new spins on operations. You will still have the opportunity to operate on several patients in a row (goody!), but you also will be put on the spot to operate in a moving car, under the annoying flashbulbs of press cameras, and on a few inanimate objects (there's an operation with a lock that I replayed no less than thirty times before I got the timing right).

The music and sound effects also hold up the series tradition of perfectly complimenting the game's action and stressful situations, and while I wouldn't want to jam out to it at my desk or anything, I still really enjoyed it in the context of the gameplay. It ended up being my favorite music out of all the Trauma Center games. Actually, I'm just trying to save face -- I put it on my iPod already, right next to my Rhythm Tengoku soundtrack. Bleeps for the win!

As thoroughly as I enjoyed this entry in the series, it left me thinking about the next, and how co-op play could be implemented. I'd love the opportunity to compete with a friend for best time on an operation or highest score. While the game is obviously strongly driven by narrative, I think this would be a highly entertaining addition for future installments.

For fans of the series, Under The Knife 2 will not disappoint. The game still works as a standalone title, so gamers who have not played the first could still enjoy this installment, although seeing old faces from the first game will of course be less impactful. Engaging gameplay and an excellent story make this a must have title for fans of simulation titles such as the Phoenix Wright series. Overall, I'd recommend it to any DS owner who has a hunger for a wonderful story to go along with addictive gameplay.

Score: 9.0  (Fantastic. Negligible flaws. Otherwise very, very good; a fine example of excellence in the genre.)









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Colette Bennett is a Destructoid features editor from New Orleans, Louisiana. She is also a founding member of Destructoid's sister sites Tomopop, a toy lover's blog and Japanator, our anime site. Likes Nintendo DS, NES, Silent Hill series, Rhythm games, RPGs Meet the rest of the team



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23 comments | showing # 1 to 23
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Chad Concelmo's Avatar - Comment posted on 07/11/2008 14:51
Chad Concelmo
I am picking this up this weekend! So excited! :)
Darren Nakamura's Avatar - Comment posted on 07/11/2008 14:51
Darren Nakamura
Guess I'll be picking this up then.
BlackSheep's Avatar - Comment posted on 07/11/2008 14:53
BlackSheep
consider it bought
Pedro Blandino's Avatar - Comment posted on 07/11/2008 15:01
Pedro Blandino
i love Trauma Center games! tho the new guy dose look allot like a girl... AMAZING is his catch phase. XD
Stella Wong's Avatar - Comment posted on 07/11/2008 15:08
Stella Wong
I hurled my old Trauma center game too. D: I'll most likely to pick this one up! I can't pass up another hair ripping game!
's Avatar - Comment posted on 07/11/2008 15:19
Clint
Glad to hear it lives of to the awesome legacy of the past games!
Pedro Blandino's Avatar - Comment posted on 07/11/2008 15:19
Pedro Blandino
I must have a dirty mind. this picture just screems sex.

Please note the "69". and I see things in the picture it self if you look at it from a new angel.

Must get some sleep.. I'm starting to see things. >_<
Gen Eric Gui's Avatar - Comment posted on 07/11/2008 15:26
Gen Eric Gui
One thing I've been dissappointed in is how many times they repeat surgeries. Like that damn "Training the Healing Touch" one they make you do like two or three times. Whyyyyyyyyyyyyyyy? I want to do crazy surgeries, not this rote bullshit.

Other than that, a fairly obvious rehashing of old assets(Did they really need to send me back THERE? You know what I mean if you've played the game.), and those damn "planned failure" missions(HATE HATE HATE those), the game really is great, and the narrative is a lot of fun to read through as well. That Mexican kid from the end of the previous game almost had me in tears.
Pedro Blandino's Avatar - Comment posted on 07/11/2008 15:38
Pedro Blandino
Gen, the better the star looks, the more time you got in the HT mode. thats why they make you train.
Bob Muir's Avatar - Comment posted on 07/11/2008 15:47
Bob Muir
As long as it's hard enough that my body feels fatigued and woozy after playing it, I totally want this!
SourceDecay's Avatar - Comment posted on 07/11/2008 15:49
SourceDecay
started playing this yesterday, and it blew my effing mind how improved it is over the first one (though the first one was still brilliant) and how much fun it is. give us more, atlus!
Aaron Mxy Yost's Avatar - Comment posted on 07/11/2008 15:52
Aaron Mxy Yost
Definitely need to get this one. I'm still stuck on the second to last mission in the first game though!
Spartacus's Avatar - Comment posted on 07/11/2008 17:27
Spartacus
I'm not even going near this one. The first game made me want to give up on everything ever.
geekjutsu's Avatar - Comment posted on 07/11/2008 17:34
geekjutsu
Loved the first game, but STILL can't beat the final operation.
Stupid spider virus.
Might pick this up.
ShawnKelfonne's Avatar - Comment posted on 07/11/2008 19:09
ShawnKelfonne
I just played the demo last night off of the Nintendo Channel and I think I'm going to have to go pick this up as well.

And anyone that wants to get the storyline from the first game but still have the option of the multiple difficulty levels can look for Trauma Center: Second Opinion for the Wii.
Magical Nathan's Avatar - Comment posted on 07/11/2008 20:27
Magical Nathan
I just picked this up yesterday, and have been enjoying it immensely.

Hard mode hits the exact line of perfection between "I need to do this and get it right" and "I want to throw my DS across the room".
SourceDecay's Avatar - Comment posted on 07/11/2008 21:01
SourceDecay
Anyone spooked about this one being as hard or harder than the last - it's not. It's much more balanced and the controls work a hell of a lot better. Choose hard mode if you're a masochist, normal mode to enjoy it. ;)
coffeesash's Avatar - Comment posted on 07/11/2008 22:29
coffeesash
I got overwhelmed by the last game too, I was really enjoying myself until a few levels into when 'GUILT' came into the game and then I couldn't continue.

My enjoyment before that, the difficulty settings and your review make me want to try this sequel :)
Kyousuke Nanbu's Avatar - Comment posted on 07/12/2008 00:23
Kyousuke Nanbu
If anyone here quit the original TC because of the guilt, don't even bother with the sequel as its twice as hard and you have new guilt to contend with as well as mutated versions of all the old ones. Real nasty fuckers those mutated guilt.

I S-ranked almost all the operations in the original and this game gives me a lot of trouble.
TheBrain's Avatar - Comment posted on 07/12/2008 00:43
TheBrain
Trauma Center is one of the maybe 2% of games I own that I didn't complete. Glad to hear I may be able to circumvent the difficulty wall in this one.
Excel-2011's Avatar - Comment posted on 07/12/2008 02:00
Excel-2011
I think the new GUILT didn't get nearly enough screen time in this game relative to the first GUILT in the first game.
SWE3tMadness's Avatar - Comment posted on 07/12/2008 10:49
SWE3tMadness
Sounds fun, but I don't think I'd get any time to finish it if I bought it right now. :(
Snaileb 's Avatar - Comment posted on 07/12/2008 15:20
Snaileb
Good call. I got it, but I'm having a hard time sharing the DS with my fiance.
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