This is my impression of the game, I have not beaten the game, I'm simply giving my opinions on the game so far. Trauma Center UtK2 is definitely superior to its prequel. The art style for one is much better and sleeker than before. It takes the more glamorous anime style that Second Opinion and New Blood used on the Wii. There are still dialogs in the game to tell the story with character faces to show who is talking. However, it doesn't have two faces at the same time so it disappoints me in that matter. What matters most is the gameplay though, right? The gameplay hasn't changed from the previous trauma centers but it does use some new equipments that people thought would never imagine on the DS. The defibulator has made its way on the DS. It works actually very well. You slide the machine onto the patient and touch the defibulator. A meter will then show up and like the Wii one it will zoom itself to the other side of the meter. You let go of the stylus in order for the defibulator to do its thing. So instead of click the trigger buttons on the wii you just let go of the touch screen when it reaches a certain point. The operation interface seems much smoother and much more clean. The graphical technicalities have been cleaned up for the most part. This game is definitely smoother, cleaner, and flashier than the first DS game and is definitely worth checking out. I'll be writing a review for this game in a week or so, look forward to it.