Uploaded September 2026 | Updated September 2026, 3 hours ago

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Shmup where you can absorb bullets and melee enemies to charge a powerful bullet cancelling burst shot. Crazy good game that shows a lot of love for the genre. A lot of thought seems to be put into the scoring too.

Clearing out enemies and bullets with your melee aura and building up meter for a big beam is very satisfying. Cancelling higher value bullets gives big score items.
Being at low health or low hyper lowers your shot power a bit.

You can chain back to back hypers by collecting EN up items which spawn faster the more you're cancelling bullets and killing enemies, eventually spawning bigger and bigger gems from every enemy kill. To make it tighter the hyper timer counts down faster each time you extend it.

Website with download, manual, old leaderboard etc:
osabisi.sakura.ne.jp/m2/games/medicalat0/index.html

This game runs on the same engine as Vacant Ark & Iwanaga so using dgvoodoo or similar is recommended on modern Windows. The background frame achieving transparency by blinking every other frame is awkward if any frame pacing is lost but everything else holds up well (for me this was invisible when playing but appears in recording)