1 | Monster Episode

: Tenma's belief in saving everyone is pitted against the cold, political reality of the hospital.

: The surgery is a success, but the Mayor dies under the care of other surgeons. Monster Episode 1

: Tenma’s career is instantly derailed. He is stripped of his promotion, Eva breaks their engagement, and the Director ensures he has no future in medicine. The Twist: A Grim Reward : Tenma's belief in saving everyone is pitted

The episode ends by setting a 9-year time jump, where Tenma will eventually realize that the life he sacrificed everything to save was that of a sociopathic killer. He is stripped of his promotion, Eva breaks

: When twin children, Johan and Anna Liebert, are brought in after a brutal massacre of their foster parents, Tenma prepares to operate on the boy, Johan, who has a critical head wound. Moments before the surgery, the Mayor of Düsseldorf is admitted with a stroke. The Director orders Tenma to abandon the boy to save the high-profile politician. The Climax: Saving a "Monster"