Trauma Team^{[lower-alpha 2]} is a 2010 simulation video game developed and published by Atlus for the Wii. It is the fifth and current final entry in the Trauma Center series. The narrative of Trauma Team follows six protagonists who operate in different sectors of the medical profession, and their united conflict with a virulent infection dubbed "Rosalia". The gameplay combines medical simulation with visual novel-style storytelling through motion comic cutscenes. The different storylines focus on simplified versions of surgery, emergency medicine, endoscopy, diagnosis, orthopedics and forensic medicine.

Beginning preproduction in late 2007 following the completion of Trauma Center: New Blood, the development team's aim was for Trauma Team to be both a "conglomeration" of the series and something different. The wish for variety after multiple titles with similar gameplay resulted in the different playable medical professions, which each required a dedicated designer. The story was influenced by the 2009 swine flu pandemic, and reduced the usage of supernatural and science fiction elements prominent in earlier entries to create a more grounded narrative.

While it met with low sales, reception was generally positive. Critics praised the narrative's grounded tone, presentation, and greater variety compared to earlier Trauma Center games. Criticism focused on the control and pacing issues of some gameplay modes. A pilot episode for a live-action series of the same name was produced, but the series was not taken up and the pilot received no official release.

Trauma Team is a video game that combines simulation gameplay with non-interactive visual novel storytelling using fully-voiced motion comic segments.^[4][5] The campaign is split between six medical-themed disciplines; surgery, emergency medicine, endoscopy, diagnosis, orthopedics and forensic medicine.^[6] Each of the six main characters have episodic storylines that interweave to form a larger narrative, with a seventh chapter involving all the characters once all six storylines are completed.^[7] Across each campaign, players control the action with the Wii Remote and Nunchuk.^[6][8]

Surgery and emergency medicine follow the gameplay pattern of earlier Trauma Center titles, with characters working under pressure to save patients.^[9] In the surgery segments, players operate on patients using a variety of tools, including scalpel, antibiotic gel and sutures. Players must perform a number of tasks to complete the operation while keeping vital signs stable.^[2] During the emergency medicine segments, the player must treat a number of patients with a basic set of tools while each patient loses health. The types of injuries include surface burns, wounds and broken limbs that must be reset. Tools include cotton pads, splints and scissors to cut clothing and expose wounds.^[2][6][10]

Endoscopy and orthopaedics are also invasive surgical professions, but have different gameplay to surgery and emergency medicine.^[9] Endoscopy has players guiding the endoscope through a patient's internal organs and carry out operations on small injuries such as ulcers, located using a radar. Players navigate using the Remote functions to mimic the endoscope's motion, while the Nunchuck is used to steer, move the camera, and select medical tools.^[6][8][10] Orthopaedics, which almost exclusively uses the Remote, has players performing scripted skeletal operations, including bone reconstruction and replacement. Tools are provided depending on the operation, with successful use creating a score chain which continues until a mistake is made. Rather than patient vitals, the player has five hearts represented on-screen, depleting when a mistake is made.^[6][8][9]

Compared to the other professions, diagnosis and forensics play very differently, being based around dialogue-based investigation and deduction with gameplay elements similar to point-and-click games.^[3][9] Diagnosis has players asking patients questions and examining them for symptoms. Between these sections, the player looks over the described victims and medical reports which include X-rays and CT scans to deduce what the patient is suffering from.^[6][9][10] Forensics sees players investigating crimes, going between the crime scene and the lead character's offices where the body and evidence ranging from clues on the corpse to witness testimony are collected. The player gathers clues represented as cards, with different cards combining to create either new clues or solid evidence. These trigger question-answer segments which can produce further clue cards and evidence.^[6][9][11]

Two difficulty levels are available from the start, "Intern" and "Resident", with a higher difficulty dubbed "Specialist" are available after the game's completion.^[7] Depending on their performance during each chapter, players are ranked and higher ranks unlock new content.^[2] The "XS" ranking is only achievable on the post-game "Specialist" difficulty.^[7] In addition to single-player, a second player can join in for local cooperative multiplayer during surgical levels; players can either take turns with actions, or work together in real-time.^[3][6][12]

Preproduction of Trauma Team began in 2007, following the completion of Trauma Center: New Blood.^[16] The concept was to create a gameplay experience unlike anything in the series. After much discussion, the team opted to combine a wide variety of medical practises into a single game. While director Daisuke Kanada himself described the concept as "pretty farfetched", the team felt Atlus were the ones best suited to successfully turning the concept into a game.^[17] While initially planned as a sequel to the other Trauma Center titles, it was decided to change the title from the beginning of development, and by its completion the title had changed substantially from previous entries so that Kanada compared it more to an original title.^[18] The new Japanese title Hospital referenced the increased number of represented medical procedures.^[16] Kanada defined the game as a "conglomeration" of the series up to that point.^[7]

The decision to include so many medical professions was influenced by perceived fatigue with players experiencing only surgery in previous entries. Each gameplay style had a different planner and programmer due to the radically different gameplay designs, with Kanada supervising them all.^[7] Each of the concepts were designed around the functions of the Wii. The first two decided upon were surgery and forensic medicine, described by Kanada as being opposite ends of the medical spectrum. After that, the team included endoscopy, diagnosis, orthopaedics and emergency medicine.^[19] The forensics segments were included partly at the request of Atlus USA and partly due to popularity in North America of forensic crime dramas.^[7][19] The design team examined earlier Trauma Center games for what could stay or needed to be changed. Discarded elements included the often-strict victory conditions and lack of clarity about loss conditions.^[7] Supernatural and science fiction elements present in earlier titles, such as the Healing Touch, were removed or downplayed to promote greater realism.^[13]

The gameplay of surgery was refined from earlier Wii entries, in addition to its difficulty being lowered. Emergency medicine was tricky to design so it would be "compelling" for players, with the staff suggesting elements based on drama series which showed the profession; a successful suggestion was CPR. Endoscopy was suggested to the team by a real doctor who had played New Blood and asked whether the feature could be included. It was the only part of the game that was in full 3D. The easier difficulty of Orthopaedics was designed to contrast other surgical game modes. For Diagnosis, the team had to conduct extensive research to make the gameplay fun. All the CT scans, X-rays, MRIs and ultrasound clips were real, provided by staff members. Forensic medicine, inspired by the team's liking of crime dramas, focused on investigation over autopsies at the suggestion of Atlus USA. The card fusion elements were directly inspired by the Demon Fusion of Atlus's Megami Tensei series.^[7]

Due to a greater focus on action, programmer Takaaki Ikeda used programming modified from the script engine of Shin Megami Tensei: Nocturne. The adventure-style gameplay of Cunningham and Kimishima's chapters were the most difficult due to Takaaki Ikeda's inexperience with the genre.^[20] The game originally took up too much disc space and had overly long load times.^[7] This was due to each individual asset of the game using a separate programming file, a common issue in development magnified by the sheer number of files. The file number was double that of New Blood, which would have required the game to ship on two discs without additional modifications. Tataaki Ikeda remembered the efforts to fit the game onto a single disc as one of the most difficult parts of the programming stages. These issues were compounded by Kanada's insistence that the game run at 60 frames per second.^[20]

The game was first announced under its Japanese title Hospital.: 6 Doctors in a late May issue of Famitsu.^[29] At the time, Kanada said that development was 30% complete.^[30] It was announced for a North American release two days later, with a trailer being released at the 2009 Electronic Entertainment Expo.^[31] Outside Japan, the game was titled "Trauma Team", more clearly showing its relation to the Trauma Center series.^[29] Previously scheduled for a North American release in April, the date was later delayed to May 18, 2010.^[32] The Japanese release, originally scheduled for May, was similarly delayed to June 17 of the same year.^[33] A guidebook, which also included artwork from the game, was published by Enterbrain on July 30, 2010.^[34] Trauma Team was not released in Europe.^[4][35]

The game was later ported to the Wii U in 2015 through Nintendo's Virtual Console service; it released on August 19 in Japan and December 3 in North America.^[36][37] Trauma Team was the first third-party Wii title to be ported to the Wii U.^[38] The game was incompatible with the Wii U's Off-TV Play option, and requires the original Wii controls to play.^[36] The game is the fifth and to date final game in the Trauma Center series, and the third developed for the Wii.^[4] During an interview regarding Shin Megami Tensei IV (2013), Doi stated his wish to work on another series entry, but was committed to working on the Megami Tensei series.^[39]

The English and Japanese voice tracks were produced at the same time alongside the game's production. Kanada wanted to include the English and Japanese voices in both releases, but disc space restrictions meant the idea had to be abandoned.^[22] The game's marketing created troubles inherent to the Trauma Center series as a whole with portraying its gameplay, and presented new challenges due to the wider range of medical professions represented.^[40] In Japan, the video marketing focused on the game's narrative, while in North America the focus was on the different gameplay styles. The cover art was also different; the Japanese version was very colourful, while North America used a plainer cover art similar to earlier Trauma Center titles.^[41] Between its announcement and release, Atlus USA were able to turn comments from the developers and other staff into featurettes. Due to its greater story and character emphasis, the team had to translate a large amount of text and cast numerous actors.^[40] The localization was led by Yu Namba, with the script edited by Mike Meeker.^[42] The English voice work was recorded at PCB Productions, which had worked on the Trauma Center series since the first Trauma Center.^[42][43]

More information Publication, Score ...

Review scores

Publication	Score
1Up.com	B[9]
Eurogamer	9/10[10]
Famitsu	33/40[48]
G4	[49]
Game Informer	8/10[12]
GamePro	[50]
GameSpot	8/10[6]
GamesRadar+	[51]
GameTrailers	8.3/10[3]
IGN	7.5/10[2]
Nintendo World Report	9/10[11]

Close

Upon its debut week in Japan, Trauma Team failed to reach the top ten best-selling titles, coming in at nineteenth place.^[52] By the end of the year, the game had sold over 16,700 units, selling through just under 60% of its stock.^[53] In their fiscal summary of the period when Trauma Team released, Index Holdings did not include the game among their commercially successful titles at the time, which included Persona 3 Portable and Demon's Souls.^[54]

The narrative was seen as generally enjoyable and more grounded than earlier entries despite still having some outlandish elements, and some noted poor pacing in the cutscenes.^{[2][3][11][50][51][55]} Surgery was noted as a polished version of the series' previously established gameplay.^{[2][3][11][55]} The faster pace of emergency medicine was seen as a pleasant change while carrying over mechanics from surgery.^{[2][10][12][50]} Endoscopy saw a mixed response, as several critics found its controls awkward.^{[9][10][11][50]} Orthopedics was seen as enjoyable and a change of pace from the other modes.^{[6][9][10][51]} Diagnosis met with mixed reactions due to its unconventional approach.^{[2][6][9][10]} The forensics sections were praised for their innovative style and entertaining progress.^{[6][9][10][12]} Several noted Diagnosis and Forensics had pacing issues or grew repetitive.^{[2][12][49][51][55]} The controls were generally lauded for their implementation.^[6][50][51] The graphics also met with general praise.^{[9][11][50][51]}

Japanese magazine Famitsu praised the additional gameplay modes and motion comic style, though one reviewer found the switching between screens in some modes disorienting.^[55] 1Up.com's Ray Barnholt enjoyed his time with Trauma Team, and said he would enjoy a sequel if one were developed.^[9] Chris Schilling of Eurogamer lauded the new direction the game had taken, saying it was a refreshing change for the series.^[10] G4's Alexandra Hall called it "a decent game that's held back by its weaker elements" in story and gameplay pacing.^[49] Brian Vore of Game Informer enjoyed the greater realism and added modes compared to earlier entries.^[12] GamePro's Stewart Shearer disliked the stories and faulted the gameplay for uneven difficulty, but overall found it an enjoyable addition to the series.^[50]

Chris Watters of GameSpot summarised the game with an overall positive view: "Though the characters and the activities have their flaws, the whole comes together impressively, making Trauma Team a great bet no matter what your specialty is."^[6] GamesRadar's Andrew Hayward noted a lack of tension and faulted the forensic and endoscopy gameplay, but overall found the game enjoyable and praised its narrative and graphics over previous entries.^[51] GameTrailers enjoyed the ability to switch between gameplay modes, and praised the title as a positive step forward for the series.^[3] Ryan Clements, reviewing for IGN, most enjoyed the surgery and emergency sections, but felt that the overall gameplay experience was mixed due to uneven implementation and pacing.^[2] Nintendo World Report's Neal Ronaghan called it the most accessible title in the Trauma Center series to date, praising its gameplay and calling it one of the best titles released for the Wii.^[11]