Part 19: GUILT Returns

Good morning, Dr. Stiles!
......
......
...Hey, Leslie. Are those two... still?
Yeah... Doesn't look like they've made peace with each other yet.
Man, they're so stubborn. It's kinda true though; Derek's been getting pretty swept up in this media circus. But, I think Angie might be taking it all a little too seriously.
What do you mean, "personally?"
I mean, I think she's jealous of that beautiful nurse, or maybe even the president of Acropolis. I doubt Derek's had much, uh... experience with women, so maybe he got flustered.
Ohhh, really? So, you think it's just a regular lover's quarrel?

*Alarm rings*



PA System: "Attention all staff! There's been a GUILT outbreak at Elysium! I repeat! A GUILT outbreak has occurred! Elysium is requesting immediate support. Many have already been infected! Emergency personnel, report immediately for dispatch!"

What!? Elysium!? That's where Emilio is!
I can't believe this! A GUILT outbreak!?
Everyone, I'm sure you heard the announcement! Grab your hazard gear! We're heading over there!
Understood!



Dr. Stiles! Look at all these people who have collapsed!
...How does it look, Dr. Chase?
Chiral reactions are... positive! There's no mistaking it: it's GUILT!
Alright! Chase and Tulba, perform first aid wherever it's needed and get people ready for transport! Clarks, Stiles, Thompson, and Sears! You four need to treat those who've been infected! Start with the patients showing the most severe symptoms! Prioritizing them is crucial!
Alright, we need to hurry inside, Dr. Stiles!
Yes, sir!
Adel, let's go! You better keep up with me!
Understood!



Where are the patients who've been infected!?
They're over in that room, and the one over there too...
Alright, this area is clear! Seal it off immediately!
Y-Yes, sir!
Leslie and I will take the room in the back. You two handle the patients in the other room!

I think this is episode gives Clarks more lines than the rest of the game combined.

Understood! Let's move, Angie!
Right!

*They both move to the room*

Heather!? Emilio!



Are you OK!? Hang in there!
Emilio!?
A-Angie... It... hurts...
D-Doctor...! P-Please! Please... save Emilio...!
Heather! You shouldn't speak! Don't worry! I'm going to save both of you!
Tr... Treat Emilio... first! Please! Doctor... Stiles...! ...... *collapses*
Heather!? Damn! She lost consciousness...!
Medico...! D-Doctor... Stiles! H-Heather... Treat first... Treat... her... before me...!
Emilio!?



Heather... say so...

You had Pempti and Nous. I don't think those antibodies are going to help against a completely different GUILT...

You have... antibodies...?
Doctor!? Do you think he's right?
Yes, it's possible... but we don't know how long he'll be able to last!
Doctor... hurry! Heather... operate first! Help... Heather... Doctor!
...Angie, get ready to operate!

Operation Video


Yep. Our first encounter with Kyriaki in this game is also our first marathon operation

The examination results have confirmed that they're all infected with Kyriaki!
Kyriaki... I didn't want to hear that name again.
Who will we operate on first, Doctor?
...We should let the patients' vitals dictate the order, like we usually do. There's a female patient with an intestinal infection, and a male employee infected in the lung. Both of them are in worse condition than Heather and Emilio. Here's the order we'll use: The Elysium patient, the employee, Heather, and then Emilio.
...Are you sure Emilio will be alright if we operate on him last...?
...If it comes down to it, I'll use my power. I should be able to treat the others before Emilio's condition gets worse. This is exactly the kind of situation that calls for the Healing Touch. I will save all of them!
...Understood, Doctor. We only have one objective:

• Eliminate Kyriaki.

We have a series of operations ahead of us... but we have to keep at it!
Yes, we have to treat each patient as quickly as possible!





We have four patients to operate on, so we'd better get started, Doctor. All of them are in critical condition, so please work as quickly as possible!

In marathon operations, the time limit doesn't get renewed between patients, so it's very important to operate quickly. In this case, we have 10 minutes for all 4 patients.



These lacerations... It's definitely Kyriaki! Let's start by treating the lacerations, Doctor!

ALL Kyriaki operations will start with the lacerations and gashes. Kyriaki won't actually create gashes, so these are the only ones we'll have to treat.

It's very important to raise the vitals to max before treating the final gash for the actual fight.

Chiral reaction confirmed... It's Kyriaki! To treat Kyriaki, we'll use the ultrasound to find it, and then use the scalpel to expose it. Once it's exposed, use the laser to destroy it!



Kyriaki will cause a laceration when it appears and when it's exposed. If left alone, it'll move around and create more lacerations periodically.



GUILT strain 2: Kyriaki (Sunday)
The very first GUILT in the series. As such, it's the simplest one to treat (except in X operations, where it's the hardest). In fact, it's so simple that its introduction in this game throws multiple patients at once.

Kyriaki will quickly move away from the laser, so it's best to apply it with taps. 2 taps should kill the small ones.



Each Kyriaki is counted as a separate entity, so we're going to see this text plenty of times. The only other time this happen is with Cheir.

What!? Another chiral reaction! It's not gone yet! Please treat it again, Doctor!



Kyriaki oomes in three waves. The first one appears right after we treat the initial wounds (sometimes even with a few lacerations left) and the second after a certain number of Kyriaki is defeated.

Doctor, don't let your guard down. We're not done yet! The Kyriaki that's left hasn't revealed itself yet...



...! More lacerations! I'm detecting Kyriaki, but... it's much larger this time! Try to treat it the way you've treate dthe others, Doctor!

The third comes after all Kyraki and the wounds from the first two phases have been dealt with. It has this signature three cuts.



The big one will dive back into the organ every time it's lasered, so we'll have to find and expose it again. Keep in mind that it'll create a laceration every time we expose it.



Otherwise it's the same as the small ones. Fun fact: this is the only big Kyriaki we'll encounter in this game.



Starting the second operation.
Alright... We have to hurry!
Yes, Doctor!



Notice how the vitals changed between patients. All patients' starting vitals are fixed, so there's no need to pump up the vitals before bandaging except for the final one.



The first wave has two Kyriaki while the second wave has one.



Like I said before, the second wave comes after a certain number of Kyriaki has been defeated. That number might be less than the number of Kyriaki in that first wave, so it's best to treat all of the first wave at once.



As always, the third wave has the signature wound. However...



Huh...? That shadow looks different than the last one!
...We don't have time to hesitate. Please treat it in the same way, Doctor!

Meet Queen Kyriaki. The treatment method for it is the same as a big Kyriaki. Mostly.



Another Kyriaki appears after the queen dives. We kill the small one and burn the queen again...

Wait... Something about this new reaction I'm getting is different from the larger Kyriaki! Doctor! Something may be hiding inside the organ! Please halt the treatment on the Kyriaki for a moment, and search the area with the ultrasound!



As you can see, another small Kyriaki has appeared, along with whatever this thing is. We can cut and then remove it with the forceps.

This object... it's--
...It's very weak, but I'm getting a chiral reaction from it!
What!? Then it's a Kyriaki pupa!? Those larger Kyriaki must be kind of like a queen... They give birth to new Kyriaki!
We have no idea what it's capable of... But let's continue the treatment, Doctor.

The game calls it a pupa, but the wiki calls it an egg. I'm going to use them interchangeably.



Anyway, with it removed, no more new Kyriaki appears.

Just when we think we know everything about a strain of GUILT... I can't believe Kyriaki can reproduce like that!
...We don't have time to think about it now. Heather and Emilio are waiting for us.
You're right; let's hurry. Please close up the patient, Doctor.

Suturing ensues.

That concludes the second patient's operation!
Alright, then... Heather is our third patient!
Let's begin Ms. Ross's operation. Please do your best, Doctor!
(Heather... Hang in there, just a little longer. I'm going to save you and Emilio no matter what it takes! So... don't give up!) Let's get started!





Everything is mostly the same at first, but...



...for some reason, the game throws the second and third wave at the same time at us. Probably a bug or something

Normally, I'd panic and use the Healing Touch right here, but we want to save it for Emilio. We'll manage without it for the time being.

This is a Queen Kyriaki, just like we saw in the last patient! That means there should be a pupa around somewhere! Use the ultrasound to find them!



All eggs not removed will become a small Kyriaki after the queen dives. The wiki says that there's a rare chance of them becoming a big one instead, but I have never seen that happen.

The laser is working! ...There are no new Kyriaki reactions either! But I think that the Queen is giving birth to new pupa every time it dives into the organ... Let's try and extract the pupa before treating the Queen!



After the first hit, the queen will create 3 pupas every dive. We REALLY do not want to deal with three Kyriaki plus the queen at once.

This is probably a good time to note that every time we cut a Kyriaki (or their eggs) we lose 5 vitals. And also every time the Kyriaki makes a cut. And that's on top of whatever vital drain the wounds are causing. Using antibiotic gel should help a lot since they also stop the wound from draining vitals for a while.



Oh look, our first Bad

Ms. Ross's treatment is almost done. Next is Emilio!
We can't waste any time. I'm going to get her closed up!



The last patient and Heather took less than 2 minutes each, so we have plenty of time for Emilio.

That concludes Ms. Ross's treatment!
(I'm coming, Emilio! Hold on just a bit longer!)



Wait, what?



I have a bad feeling about this...



Angie, let's begin treatment on Emilio!
D-Doctor!? E-Emilio's--! His blood pressure and pulse are dropping! Vitals... critical! He's in danger here!
What!?
No! He's flatlining! He's going into cardiac arrest!
Dammit! Get the defibrillator! Hurry!
I've got it right here!
Emilio! I won't let you die!
Doctor! The defibrillator is fully charged!
Alright, starting at 200! Clear! *shocks*
No pulse yet!
That didn't work? Ngh...! One more time! Raising it too 300! Clear! *shocks* NO! I'm not giving up yet! Raising to 360! Clear! Come back! *shocks* Come back to us, Emilio! *shocks* Come back! Emilio!!!
...... ...Doctor.
...It's not too late! I can use the Healing Touch! Emilio, I will save you! I swore that I would!
...Doctor! It's no use! Please, stop!



Ngh... Emilio... *collapses*

Doctor!? Dr. Stiles!!