Some plot devices initially seem like lazy setups for new challenges, such as the media’s request to document a live operation – complete with distracting camera flashes. It’s a trivial moment, but one that eventually creates a rift between Dr. Stiles and his trusted assistant. It’s a shame that you won’t make choices as to how the story progresses, which makes the game feel like an interactive novel ala Hotel Dusk or Jake Hunter. There are even a handful of episodes without operations. The developments are always interesting, but 15 minutes of text in place of an operation hardly seems like a fair trade.

Simulation games are a dime-a-dozen on Nintendo’s handheld. None of them have been able to match the series’ masterful blend of storytelling, engrossing gameplay, and touchscreen interaction. Trauma Center was one of the original sleeper hits for the DS and this is just another step ahead of the pack. Under the Knife 2 is more of the same, but it feels so good to get the scalpel back in hand.

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