Trauma Center: Under the Knife 2 Hands-On

Prepare your stylus scalpels for another adventure in touch-screen surgery.

Although real-life surgeons have to make it through what seems like half a century of medical school before they can face the pressure of putting patients' lives in their hands, Nintendo DS owners can just play a few chapters of Trauma Center: Under the Knife. This surgical sim, released by Atlus in 2005, put players in the scrubs of Derek Stiles, a talented young doctor faced with a bioterrorist threat that he must eradicate one operation at a time. After a pair of Trauma Center spin-offs on the Wii, Atlus will be releasing a sequel to Under the Knife for the DS next month. We've spent the past few days playing Under the Knife 2 to get a feel for what you can expect when it's released early next month.

Under the Knife 2 takes place three years and half a world away from the original game. Still assuming the role of Derek Stiles, you and your trusty nurse Angie Thompson have volunteered in the African republic of Costigar. The country has been steadily improving since it was torn apart by civil war, but it's by no means a safe place to be. This is evident in the first few surgeries that you'll be performing, which range from bullet wounds to mysterious infections unseen in other parts of the world.

In terms of characters, the big new addition this time around is a Costigese native named Adel Tulba. His knack for surgery and impeccable English make Adel a prime candidate for the mentoring services of Derek. And that's the story that proceeds to unfold: Although Adel is supremely talented, he is still raw and uncertain of his own abilities. Derek and Angie must guide him through the travails of becoming an advanced surgeon.

It's not long into your stay in Costigar that you discover the reemergence of GUILT, a disease engineered by a terrorist organization called Delphi. The disease itself hasn't fully returned, but troubling aftereffects have begun to pop up in various patients. It's because of this startling news that you put your volunteering services on hold to go fight this bioterrorist outbreak. The story then spirals towards new settings and new characters, but this is foundation on which the game begins.

The surgical procedures that punctuate the game's elaborate storytelling feel quite similar to the original. You're given a set list of goals for an operation and a timer in which to achieve those goals. You'll need to repair broken bones, remove tumors, and dislodge crocodile teeth, just to name a few. Most of the tools you're using are carried over from the original. The scalpel is used to open flesh, antibiotic gel to disinfect, the drain to clear blood pools, forceps to remove foreign objects, and the needle to suture the wound shut. When things get tricky, you'll need to use the defibrillator to resuscitate a patient who's gone into cardiac arrest or, at more critical moments, call upon the power of your magical Healing Touch ability.

The surgeries tend to be just as challenging. You need to have steady hands and a good grasp of what each tool is used for when performing operations. This is the case no matter which of the game's three difficulty levels you choose to inhabit. The easy difficulty still puts the pressure on you in terms of the mechanics involved; you'll just run into fewer unforeseen complications.

Trauma Center: Under the Knife 2 is scheduled for release on July 1 for the Nintendo DS. You can look forward to seeing our review at that time.

26 Comments

  • amari1

    Posted Aug 16, 2008 8:10 am PT

    ahhh Triti them friggin thorns ahhhh although i finished the game triti was the most annoying guilt with all them multiplying ahhhh.

  • guyguyguy1234

    Posted Jun 27, 2008 7:00 am PT

    i beat Under The Knife, Second Opinion, and New Blood. I HAVE to get this

  • typeRseries

    Posted Jun 26, 2008 3:12 pm PT

    i never played the first one and i pre-ordered the second muahahah

  • Solidfox1

    Posted Jun 25, 2008 5:31 pm PT

    I'm still on the first one, chapter 5-3...

  • junggoo

    Posted Jun 25, 2008 4:04 pm PT

    I need to get this.

  • jdog_129

    Posted Jun 25, 2008 8:12 am PT

    Vman are you serious you couldn't finish the final chapter, it wasn't too difficult man, and they put in a new difficulties for those who couldn't handle the challenge. All you need is quick reflexes and an understanding of the patterns of the guilt, soon you don't even need the healing touch ability at all.

  • Iridiusstar

    Posted Jun 19, 2008 1:31 am PT

    The trauma center games are addicting, can't wait for it!

  • lionheart234

    Posted Jun 14, 2008 5:47 pm PT

    im still trying to complete the 1st trauma game on the ds..... xD
    so hard and now they are making the sequal.....

  • jjr10

    Posted Jun 7, 2008 7:08 am PT

    And an Australian release??? Please?

  • Lampooninating

    Posted Jun 7, 2008 7:00 am PT

    YESH!!! I adore the Trauma Centre series! I'm getting this, no doubt.

  • VMan

    Posted Jun 6, 2008 9:29 am PT

    While i'm indeed interesting in this one, I found the predecessor to be too hard for its own good. I'm honestly one to not back down from a challenge, but Trauma Center's difficulty felt so artificial that it detracted from the immersion. How they heck can I pretend to be a surgeon when i'm forced to be so darn sloppy?!? Given the time constaints, a practical suture is a sloppy scribble across the screen. Oh yeah, you're a great surgeon Derek, that'll seal the would...somehow?!? Like someone else said, I got near the end of the game (final chapter) and a certain series of operations were just overwhelmingly artificially difficult. It was the last straw, turned me off, and I haven't touched the game since.

    If/when I get this game, I really don't see myself even thinking about trying the medium or hard mode. They seriously do need to tone the difficulty down or at least make the gameplay challenges a bit more realistic and not so artificial.

  • sk8trux

    Posted Jun 6, 2008 6:48 am PT

    this looks cool. i played new blood and the wii port of under the knife 1 put this is something im going to look in to

  • Will47

    Posted Jun 5, 2008 7:00 pm PT

    I loved the last game I even beat the X missions!!!!!!!

  • link631

    Posted Jun 5, 2008 3:19 pm PT

    yay

  • iceveiled

    Posted Jun 5, 2008 12:08 pm PT

    They seriously need to tone down the difficulty or at least make it more clear what you're supposed to do. I enjoyed the first one immensly until I got to the 12th or so operation and I couldn't beat it for the life of me. I must've tried 100 times and I finally gave up in despair. Haven't touched the game since.

  • gameknight147

    Posted Jun 5, 2008 11:48 am PT

    Looks good... Better than the first one, at least.

  • IrishLuiz

    Posted Jun 5, 2008 7:34 am PT

    I really hope we dont have to operate on Triti again....... I gave up finishing the first one because of Triti.

  • BontraXenderKyl

    Posted Jun 5, 2008 2:24 am PT

    I don't know... the first one wasn't good enough

  • kavadias1981

    Posted Jun 5, 2008 12:31 am PT

    @cayne_phoenix - Good lord man, was the first one not challenging to you? Those final 7 GUILT, at the end of the game, drove me nuts. Not to mention the X missions. I couldn't even do the first one.

    Oh and I look forward to buying this on release.

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