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"In the last few years, a bizarre disease with varying symptoms has been reported in several isolated cases. The two things they had in common: Each victim's body turned against itself, and they all died. Because of that, we believe each subject was infected with GUILT." -Greg Kasal

GUILT (ギルス girusu), short for Gangliated Utrophin Immuno Latency Toxin, is an artificial disease developed by Delphi that was used in Year 2018 as medical terrorism. It comes in eight strains, with seven of them corresponding to the Greek days of the week. The first few strains were identified through letters that were received by hospitals who had GUILT hosts.

It is thought by Dr. Hoffman that GUILT is a toxin that makes the host body produce GUILT cells.

GUILT are characterized by the presence of chiral reactions, and different strains produce cells that emit different kinds of chiral reactions.

It appears that overexposure to GUILT can cause genetic diseases, as it happened to Naomi Kimishima.

Kyriaki (Sunday) Edit

Kyriaki create lacerations on an organ until it can no longer function.

Kyriaki can cause Post-Kyriaki years after infection.

Types of Kyriaki Edit

Immature KyriakiEdit

Immature Kyriaki create lacerations from inside the organ.

They must be found with the ultrasound and brought outside the organ with the scalpel. They then need to be hit with the laser to be defeated.

Mature KyriakiEdit

Mature Kyriaki are larger and more durable than Immature Kyriaki and hide in organs when damaged.

Queen KyriakiEdit

Queen Kyriaki lay Kyriaki Eggs that hatch into Immature Kyriaki.

Like Mature Kyriaki, Queen Kyriaki hide in organs when damaged.

Kyriaki EggEdit

Kyriaki Eggs are laid by Queen Kyriaki and hatch after a bit of time.

If the Queen Kyriaki is hit by the laser, all Kyriaki Eggs present hatch.

Aletheia KyriakiEdit

Aletheia Kyriaki are similar to Immature Kyriaki, but more durable.

Deftera (Monday)Edit

Deftera kill a host's body by sapping stamina with Deftera-tumors.

Types of DefteraEdit

DefteraEdit

Deftera come in two different types. When the two types collide, they create tumors and drain the patient's vitals.

Mutated DefteraEdit

Along with causing Deftera-tumors, Mutated Deftera cause hemorrhaging.

Triti (Tuesday)Edit

Triti prevents an organ from functioning by spreading across its surface and calcifying it.

Triti can cause Post-Triti years after infection.

Tetarti (Wednesday)Edit

Tetarti creates toxic diverticula and releases poisonous gas within an organ.

Types of TetartiEdit

Immature TetartiEdit

Immature Tetarti release poison gas, but don't create toxic diverticula.

Mature TetartiEdit

Mature Tertarti are smaller then Immature Tetarti and come in three different colors. They appear in threes, create toxic diverticula, and release poisonous gas within an organ.

Mutated TetartiEdit

Mutated Tetarti look like Mature Tetarti, but come in five different colors. They appear in threes, and create toxic diverticula and release poisonous gas within an organ.

Aletheia TetartiEdit

Aletheia Tetarti look like Mature Tetarti and come in five colors. They create toxic diverticula, but don't create poisonous gas.

Pempti (Thursday)Edit

Types of PemptiEdit

PemptiEdit

Pempti hinders an organ's funtion by filling/covering it with a gelatinous fluid and attacks the nervous system. Pempti is particularly tenacious, with its core and the fluid supporting and regenerating each other. Pempti has 3 types of mini-cores to attack the organ, a laceration creating core, a tumor creating core and a vital sapping core.

Pempti can cause Post-Pempti years after infection.

Mutated PemptiEdit

Mutated Pempti hinders an organ's funtion by filling/covering it with a gelatinous fluid. Mutated Pempti is particularly tenacious, with its core and the fluid supporting and regenerating each other. Mutated Pempti splits in two when provoked. Mutated Pempti has 3 types of mini-cores to attack the organ, a laceration creating core, a tumor creating core and a vital sapping core.

When one Mutated Pempti is defeated, the other becomes unstable and releases multiple different cores and becomes faster.

Aletheia PemptiEdit

Aletheia Pempti look like a group of Pempti cores. They move around an organ, creating polyps.

Paraskevi (Friday)Edit

Paraskevi moves through the host's body to the heart, where it will nearly instantly kill the host if it burrows into the heart.

Savato (Saturday)Edit

Types of SavatoEdit

Immature SavatoEdit

Five Immature Savato can spawn a Blue Savato.

Blue Savato can spawn fifteen Immature Savato.

Mature and Mutated Savato can spawn Immature Savato with lacerations.

Blue SavatoEdit

Blue Savato lowers and caps the vitals upon spawning.

After a while, Blue Savato kills itself, releasing about fifteen Immature Savato.

Mature SavatoEdit

Mature Savato wraps a tight web around the heart and uses the heart beat to sustain itself.

When provoked, it creates lacerations and spawns Immature Savato.

Mutated SavatoEdit

Mutated Savato wraps a tight web around the heart and uses the heart beat to sustain itself.

When provoked, it creates lacerations and spawns Immature Savato.

Mutated Savato are more agile than Mature Savato.

BlissEdit

Bliss inhabits Adam, keeping his body "alive". The Z-Cells that Caduceus Europe used to heal a war victim had been extracted from Adam's Bliss.

Bliss is the only GUILT that does not receive its name from a Greek day of the week, as well as the only known GUILT that is not operated on so far.

GUILT OperationsEdit

Under the KnifeEdit

Note: * refers to an optional patient / location / GUILT.
Episode Patient Organ(s) Type(s) of GUILT
2-9: Please Let Me Live Linda Reid Right lung Immature Kyriaki
Mature Kyriaki
3-2: Caduceus Jack Reyes Small intestine Immature Kyriaki
Mature Kyriaki
3-4: Something Precious Amy Chase Stomach
Left lung
Deftera
3-10: Pandora's Box Reuben Pancreas Triti
4-2: Race for the Cure Joe Faison Liver Immature Tetarti
Ray Barnett Stomach Immature Tetarti
Donald Grey Pancreas Immature Tetarti
4-4: Stepping Up Greg Kasal Liver Mature Tetarti
4-6: Taking the First Step Richard Anderson Right lung Pempti
4-8: The Next Step
4-10: Doctor's Struggle
5-2: Under the Knife Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
Unnamed woman Left lung Immature Kyriaki
Mature Kyriaki
Unnamed boy Right lung Immature Kyriaki
Mature Kyriaki
Unnamed woman Left lung Immature Kyriaki
Mature Kyriaki
Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
5-3: Shifting GUILT Hugh Vogler Pancreas Triti
Shane Carter* Pancreas Triti
5-4: GUILT Evolves Eric Dorian Left kidney Mature Tetarti
5-6: Infection Cybil Myers Small intestine
Stomach*
Liver*
Heart*
Paraskevi
5-8: Devil Ludwig Milan Left lung Immature Savato
Blue Savato
5-9: Death Awaits All Kenneth Blackwell Heart Immature Savato
Mature Savato
Blue Savato*
6-2: First Sin Unnamed boy
(First Sinner)
Small intestine Immature Kyriaki
Mature Kyriaki
6-3: Second Sin Unnamed boy
(Second Sinner)
Right kidney
Left lung
Deftera
6-4: Third Sin Unnamed boy
(Third Sinner)
Stomach Triti
6-5: Fourth Sin Unnamed boy
(Fourth Sinner)
Left lung Tetarti
6-6: Fifth Sin Emilio Juarez
(Fifth Sinner)
Liver Pempti
6-7: Sixth Sin Unnamed girl
(Sixth Sinner)
Small intestine
Stomach*
Liver*
Heart*
Paraskevi
6-7: Final Sin Unnamed boy
(Seventh Sinner)
Heart Immature Savato
Mature Savato
Blue Savato*
X-1: Kyriaki Unnamed girl Right lung Immature Kyriaki
Mature Kyriaki
X-2: Deftera Unnamed girl Stomach
Left lung
Mutated Deftera
X-3: Triti Unnamed man Pancreas Triti
X-4: Tetarti Unnamed man Liver Tetarti
X-5: Pempti Unnamed boy Liver Pempti
X-6: Paraskevi Unnamed woman Small intestine
Stomach*
Liver*
Heart*
Paraskevi
X-7: Savato Unnamed man Heart Immature Savato
Mature Savato
Blue Savato*

Second OpinionEdit

Note: * refers to an optional patient / location / GUILT.

Episode Patient Organ(s) Type(s) of GUILT
2-9: Please Let Me Live Linda Reid Right lung Immature Kyriaki
Mature Kyriaki
3-2: Caduceus Jack Reyes Small intestine Immature Kyriaki
Mature Kyriaki
3-4: Something Precious Amy Chase Stomach
Left lung
Deftera
3-10: Pandora's Box Reuben Pancreas Triti
4-2: Race for the Cure Joe Faison Liver Immature Tetarti
Ray Barnett Stomach Immature Tetarti
Donald Grey Pancreas Immature Tetarti
4-4: Stepping Up Greg Kasal Liver Mature Tetarti
4-6: The First Step Richard Anderson Right lung Pempti
4-8: The Next Step
4-10: Prolonged Struggle
5-2: Under the Knife Unnamed woman Left lung Immature Kyriaki
Mature Kyriaki
Unnamed boy Left lung Immature Kyriaki
Mature Kyriaki
Unnamed woman Right lung Immature Kyriaki
Mature Kyriaki
Unnamed man Right lung Immature Kyriaki
Mature Kyriaki
Unnamed man Left kidney Immature Kyriaki
Mature Kyriaki
5-3: Shifting GUILT Hugh Vogler Pancreas Triti
Shane Carter* Pancreas Triti
George Wylie* Pancreas Triti
5-4: GUILT Evolves Eric Dorian Left kidney Mature Tetarti
5-6: Infection Cybil Myers Small intestine
Stomach*
Liver*
Heart*
Paraskevi
5-8: A Devil Ludwig Milan Left lung Immature Savato
Blue Savato
5-9: Death Awaits All Kenneth Blackwell Heart Immature Savato
Mature Savato
Blue Savato*
Z-5: Sayonara J. Webber Small intestine Immature Kyriaki
Blue Savato
Mature Kyriaki
6-3: Relapse Kathy Lyans Liver Mutated A Tetarti
6-4: Second Opinion Derek Stiles Heart Immature Kyriaki
Paraskevi
Mature Kyriaki
6-6: The Future of GUILT P. Heigl Right lung Pempti
6-7: Fallen Heroes Alex Yang Pancreas Triti
Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
Unnamed man Stomach Mutated Deftera
Unnamed man Heart Paraskevi
6-8: Vulnerability Robert Hoffman Heart Immature Savato
Mutated Savato
Blue Savato*
X-1: Kyriaki Unnamed man Left kidney Immature Kyriaki
Mature Kyriaki
X-2: Deftera Unnamed man Stomach
Left lung
Mutated Deftera
X-3: Triti Unnamed man Pancreas Triti
X-4: Tetarti Unnamed man Liver Mutated A Tetarti
X-5: Pempti Unnamed man Right lung Pempti
X-6: Paraskevi Unnamed woman Small intestine
Stomach*
Liver*
Heart*
Paraskevi
X-7: Savato Unnamed man Heart Immature Savato
Mutated Savato
Blue Savato*

Under the Knife 2Edit

Note: * refers to an optional patient / location / GUILT.

Episode Patient Organ(s) Type(s) of GUILT
3-6: GUILT Returns Yayoi Akasaka Small intestine Immature Kyriaki
Mature Kyriaki
Unnamed man Left lung Immature Kyriaki
Queen Kyriaki
Mature Kyriaki*
Heather Ross Stomach Immature Kyriaki
Queen Kyriaki
Mature Kyriaki*
5-2: Retaliation Bao Nguyen Liver Mutated B Tetarti
5-6: The Carrier Reina Mayuzumi Right lung Mutated Pempti
6-3: Widespread Fear Mick O'Mally Liver Mutated B Tetarti
6-7: Tragedy Heinrich von Raitenau Liver Mutated B Tetarti
Karl von Raitenau Large intestine Immature Kyriaki
Queen Kyriaki
Mature Kyriaki*
Christine von Raitenau Right lung Mutated Pempti
X-1: Kyriaki Unnamed man Left lung Immature Kyriaki
Queen Kyriaki
Mature Kyriaki*
X-2: Tetarti Unnamed man Liver Mutated B Tetarti
X-3: Pempti Unnamed woman Right lung Mutated Pempti

New BloodEdit

Episode Patient Organ(s) Type(s) of GUILT
A-4: Challenge Four Simulated man Small intestine Immature Kyriaki
Mature Kyriaki
Simulated man Stomach Deftera
Simulated man Left lung Deftera
Simulated man Left lung Immature Kyriaki
Mature Kyriaki
Immature Savato

TriviaEdit

  • GUILT seems to be capable to undergoing transformation into a different GUILT when exposed to airborne conditions, as Tetarti (Second Opinion 6-3) was able to turn into Immature Kyriaki, Mature Kyriaki and Paraskevi (Second Opinion 6-4), while Bliss (from Z-Cells) could turn into Pempti (Second Opinion 6-6), Triti, Immature Kyriaki, Mature Kyriaki and Mutated Deftera and Paraskevi (Second Opinion 6-7).
    • It also displays a transformation when Naomi's Rosalia Virus assimilates it just before the final operation of Trauma Team.
  • GUILT is based on several parasites found in real life.
    vde Trauma Center series
Games Under the KnifeSecond OpinionNew BloodUnder the Knife 2Trauma Team
Characters Derek StilesAngie ThompsonNaomi KimishimaMarkus VaughnValerie BlaylockElena SalazarCR-S01Maria TorresHank FreebirdTomoe TachibanaGabriel Cunningham
Fields SurgeryFirst ResponseOrthopedicsEndoscopyDiagnosisForensics
Organizations Caduceus InternationalDelphiEidoth PharmaceuticalsHumaniParnassusAcropolis PharmaceuticalHands of AsclepiusResurgam First CareCumberland Institute of Forensic Medicine
GUILT KyriakiDefteraTritiTetartiPemptiParaskeviSavatoBlissPGS
Stigma CheirSomaOpsOnyxBrachionCardia
Neo-GUILT NousBythosSigeAletheia
Other Rosalia Virus

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