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Kyriaki

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"This... is mankind's first sin. Man created swords to kill, and was in turn killed by swords. Don't you see? Man has always sought ways to achieve death." -Adam
"That's not true! We created many other things in order to live!" -Derek Stiles
"Even still, the swords we created could also be used to create justice." -Naomi Kimishima

Kyriaki (キリアキ kiriaki) is the first strain of GUILT encountered in Under the Knife, Second Opinion and Under the Knife 2. They use their sharp tail to create lacerations.

Upon opening a patient infected with Kyriaki, lacerations in the organs will be found; these must be healed to make the Kyriaki emerge.

If left untreated, the Kyriaki's host goes into cardiac arrest and dies.

After surviving a Kyriaki infection, the host may contract Post-Kyriaki.

Types of KyriakiEdit

Immature KyriakiEdit

S1Kyriaki

Immature Kyriaki

Once the final laceration is healed, Immature Kyriaki will emerge. They will need to be revealed by using the ultrasound.

Upon finding an Immature Kyriaki, it must be brought to the organ's surface with the scalpel. After exposing the Immature Kyriaki, it will be vulnerable to the laser, requiring laser hits to be defeated.

Mature KyriakiEdit

S2Kyriaki-LoRes

Mature Kyriaki

After defeating all of the Immature Kyriaki and healing the wounds, a Mature Kyriaki (if no Queen Kyriaki) will make three long lacerations in the middle of the operation.

Mature Kyriaki usually attack alone, but are sometimes assisted by one Immature Kyriaki.

Mature Kyriaki are much more resistant to the laser than Immature Kyriaki, they take more hits from the laser and will dive back into the organ after being hit.

Queen KyriakiEdit

QueenKyriaki

Queen Kyriaki and Kyriaki Eggs

In Under the Knife 2, after defeating all of the Immature Kyriaki and healing the wounds, a Queen Kyriaki (if no Mature Kyriaki) will make three long lacerations in the middle of the operation.

Queen Kyriaki are the same as Mature Kyriaki, but they lay Kyriaki Eggs as they dive into the organ.

Kyriaki EggsEdit

Kyriaki Eggs will hatch into Immature Kyriaki (most likely) or Mature Kyriaki (rarely).

Kyriaki Eggs must be revealed with the ultrasound, excised with the scalpel, then extracted with the forceps.

Attacking the Queen Kyriaki while there are Kyriaki Eggs present or waiting too long will cause them to hatch.

Aletheia KyriakiEdit

Aletheia2

Aletheia Kyriaki

Aletheia Kyriaki create lacerations while switching positions around Aletheia. Aletheia Kyriaki take a longer exposure to the laser to be defeated then Immature Kyriaki.

Aletheia Kyriaki look similar to Immature Kyriaki, but are more of a violet color.

Post-KyriakiEdit

KyriakiPGS

Post-Kyriaki, a tumor, and a pool of pus.

About three years after an infection with Immature Kyriaki and a Mature Kyriaki in the lung, a unique form of tumors and pus form in the lung.

The removal of tumors is identical to that of normal tumors, but the difference is that after using the forceps to remove the tumor, a pool of pus will form in the wound and it must be drained before placing a synthetic membrane.

Kyriaki OperationsEdit

Under the KnifeEdit

Episode Host Organ(s) Type(s) of Kyriaki
2-9: Please Let Me Live Linda Reid Right lung Immature Kyriaki
Mature Kyriaki
3-2: GUILT Jack Reyes Small intestine Immature Kyriaki
Mature Kyriaki
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
6-2: First Sin First Sinner Small intestine Immature Kyriaki
Mature Kyriaki
X-1: Kyriaki Unnamed girl Left lung Immature Kyriaki
Mature Kyriaki

Second Opi​nionEdit

Episode Host Organ(s) Type(s) of Kyriaki Other GUILT Present
2-9: Please Let Me Live Linda Reid Right lung Immature Kyriaki
Mature Kyriaki
None
3-2: GUILT Jack Reyes Small intestine Immature Kyriaki
Mature Kyriaki
None
5-2: Under the Knife Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
None
Unnamed boy Left lung Immature Kyriaki
Mature Kyriaki
None
Unnamed woman Right lung Immature Kyriaki
Mature Kyriaki
None
Unnamed man Right lung Immature Kyriaki
Mature Kyriaki
None
Unnamed man Right kidney Immature Kyriaki
Mature Kyriaki
None
Z-5: Sayonara J. Webber Small intestine Immature Kyriaki
Mature Kyriaki
Blue Savato
6-4: Second Opinion Derek Stiles Heart Immature Kyriaki
Mature Kyriaki
Paraskevi
6-7: Fallen Heroes Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
None
X-1: Kyriaki Unnamed man Left lung Immature Kyriaki
Mature Kyriaki
None

Under the Knife 2Edit

Note: * refers to a Kyriaki that will only be in the operation if a Kyriaki Egg hatches into one.
Episode Host Organ(s) Type(s) of Kyriaki Other GUILT Present
3-6: GUILT Returns Yayoi Akasaka Small intestine Immature Kyriaki
Mature Kyriaki
None
Unnamed man Left lung Immature Kyriaki
Queen Kyriaki
Kyriaki Eggs
Mature Kyriaki*
None
Heather Ross Stomach Immature Kyriaki
Queen Kyriaki
Kyriaki Eggs
Mature Kyriaki*
None
6-7: Tragedy Karl Large intestine Immature Kyriaki
Queen Kyriaki
Kyriaki Eggs
Mature Kyriaki*
None
7-7: Mother of Sins Reina Mayuzumi Heart Aletheia Kyriaki Aletheia
X-1: Kyriaki Unnamed man Left lung Immature Kyriaki
Queen Kyriaki
Kyriaki Eggs
Mature Kyriaki*
None
X-7: Aletheia Unnamed woman Heart Aletheia Kyriaki Aletheia

New BloodEdit

Episode Host Organ(s) Type(s) of Kyriaki
A-4: Challenge Four Simulated man Small intestine Immature Kyriaki
Mature Kyriaki
Simulated woman Right lung Immature Kyriaki
Mature Kyriaki

AttacksEdit

Attack Usable By Information
Lacerate Immature Kyriaki Kyriaki creates a laceration while within the organ or on its surface.
Mature Kyriaki
Queen Kyriaki
Aletheia Kyriaki Aletheia Kyriaki creates a laceration while swapping positions around Aletheia.
Leader Enterance Mature Kyriaki Mature / Queen Kyriaki creates three large lacerations in the shape of an asterisk when entering the operation.
Queen Kyriaki
Counterattack Immature Kyriaki When pulled to the surface of the organ, Kyriaki create a laceration in addition to the incision wound.
Mature Kyriaki
Queen Kyriaki
Retreat Mature Kyriaki When hit by the laser, Mature Kyriaki retreats into the organ.
Queen Kyriaki When hit by the laser, Queen Kyriaki retreats into the organ and spawns Kyriaki Eggs.
Early Birth Kyriaki Egg When Queen Kyriaki gets attacked by the laser or if too much time passes after spawning, Kyriaki Eggs hatch to produce immature Kyriaki.

TipsEdit

  • Kyriaki can be slowed by applying antibiotic gel to them.
  • Priority rests on exterminating Immature Kyriaki and healing lacerations until after all of the Immature Kyriaki have been defeated. However, keep a laceration unsutured so you have time to raise vitals before progressing to fight the Mature/Queen Kyriaki. If you are pressed for time, there is no need to max out vitals before moving to the next stage of the fight - a vital count of 50 to 60 is sufficient.
  • In Under the Knife, Kyriaki create lacerations so often that players simply decide to completely ignore treating the lacerations until all Kyriaki bodies have been defeated. This is due to the fact that there is a maximum number of lacerations the game can support on the organ. Vital loss from bleeding can simply be suppressed by regularly applying antibiotic gel to the organ.
  • In Second Opinion, finding the Kyriaki may be hard. A good strategy would be to repeatedly use the ultrasound near the center of the organ - as the Kyriaki move rather quickly theres is a high chance that the ultrasound will pick up them up. You can tell when you can cut out a Kyriaki when you move the cursor over its shadow and the Wiimote makes a light pulse.
  • There are a few missions where it is impossible to get an S/XS rank when moving extremely fast though the operation. If you are encountering this problem, let the Kyriaki create some lacerations, and get some Cools. Beware of the time limit required to get the special bonus at the end of the mission and work within that to max out your score.
  • In Under The Knife 2, X1-Kyriaki requires you to quickly stitch up wounds instead of exterminating the Immature Kyriaki, as the lacerations cause a lot more damage than normal Kyriaki lacerations.

TriviaEdit

  • Kyriaki is the only strain of GUILT to appear in all games before Trauma Team.
  • Adam states that Kyriaki was made to mimic the sword as the first great weapon, and thus sin, of humanity.
  • In Under the Knife, Kyriaki are slow-moving, in Second Opinion and onwards, the Kyriaki are much faster.
  • A symptom of Kyriaki is a high concentratrion of syprohedrine, which causes mood swings and suicidal behavior.
    • A real life parasite called Toxoplasma gondii is linked with Schizophrenia and suicidal behavior.
  • There is a glitch in Second Opinion where mature Kyriaki have a black color. [1]

References Edit

  1. Trauma Center Second Opinion's Black Kyriaki
    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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