LifeSigns: Surgical Unit is a first-person simulator with strategy, puzzle and anime/manga elements from the developers of Spike Co., Ltd.. The main publisher of the game is Spike Co., Ltd.. LifeSigns: Surgical Unit is also known as Lifesigns: Hospital Affairs and Kenshūi Tendō Dokuta 2: Inochi no Tenbin. Perhaps LifeSigns: Surgical Unit is being developed for PC, but this version has not yet been announced. It seems that LifeSigns: Surgical Unit turned out to be complete crap. This is evidenced by the low ratings on the Metacritic service.