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Casualty
Gasp! Whimper! Tremble! The melodramatic highs and lows of Trauma Center are unmatched, but in the death of Richard Anderson, Atlus outdid themselves. Contracting the Pempti strain of GUILT, you and your fellow doctors struggle through three consecutive operations to save the Head of Caduceus. It's a cruel game-developer god that allows a cure to be found, only for Anderson to succumb to the stress and die. Why? WHY?

Pikmin up the pieces
Hand-rearing any pet only to see it gobbled up by a hawk or snagged in the lawnmower is tragic, but seeing whole populations of carefully nurtured Pikmin scoffed down by a callous bulborb is too much to handle. We loved every one of those little fellas. Except for psycho whiteys.