Unlock all 11 endings and the other achievements in Magical Girl ER, with requirements and save tips.
How to Unlock All Achievements and Endings
This page covers key story events, all 11 endings, and the achievements tied to them.
Tips for Progression
Patient Visits and Saves
- The magical girls who visit each day are picked at random when that day starts.
- If the girl you need doesn’t come, load a save made before you went to bed the night before and try again.
- Some endings need an event on a set day, or several magical girls in the hospital at once. Keep a separate save for each day.
Reputation and Ending Branches
- The endings split mainly on whether your reputation is 100 or below 100. Certain events and choices branch them further.
- A few endings need patients to die or be turned away. Separate saves make collecting every ending much easier.
Injury and Death Checks
A wrong diagnosis or a skipped examination can trigger a check on whether the patient survives.
- Injury: The patient lived. A blinking eye animation plays as the next day begins.
- Death: The patient died. A monologue about it appears at the end of the next day’s news.
Some endings need an injury, not a death, so save before any important diagnosis.
All Endings
END 01
Magical Girl ER
Get your reputation to 100, then treat every magical girl and discharge them all.
END 02
Lingering Regret
With 100 reputation, transfer at least one magical girl to MIRAGE on Day 4.
END 03
Promotion Celebration
Finish the game with your reputation below 100.
END 04
This Is MIRAGE
With your reputation below 100, transfer at least one magical girl to MIRAGE.
END 05
Just as You Are
On Day 2, an NPC invites you to join their religion. Accept, then finish their two tasks in order:
- Misdiagnose a magical girl so she is injured but not killed.
- When the NPC returns, stop examining arms from your next diagnosis on.
If you fail the first task, the NPC won’t come back.
END 06
Mom…
Let the mysterious visitor (???) into the hospital on Day 5. On Day 8, have a casual conversation with them.
END 07
So They Claim
Take the energy drink from the NPC who appears on Day 5. That NPC calls you at the start of Day 8. Pick the option to drink it.
END 08
Incompetent Doctor
Let hospitalized patients die until your reputation falls to 0.
END 09
What Are You Doing?
Keep refusing to admit magical girls until your reputation falls to 0.
END 10
You Traitor
Let only the three state-affiliated magical girls die: Magical Calm, Magical Gnome, and Magical Cherry.
END 11
Two as One
Have Sakura and Cherry in the hospital at the same time, and let Cherry die first.
Other Achievements
I’ll Save Them All
Reached END01 without a single treatment mistake.
In one playthrough, every magical girl must visit and be discharged without ever being injured.
Forever Grateful
Saved every magical girl.
Treat every magical girl successfully at least once.
You Monster!
Turned away every one-star magical girl.
Refuse to admit each of the four one-star magical girls (Blood, Nail, Bomb, and Delta) at least once.
If one of the four doesn’t show up, reload the save from before bed the previous night. This changes which patients come to your hospital.
You Call Yourself a Doctor?!
Mistreated at least three patients in one day, then advanced to the next day.
With three magical girls hospitalized at once, misdiagnose all three and move on to the next day.
Actually, Never Mind.
Threw the humanoid monster out on the same day you took it in.
Let the mysterious humanoid creature (???) into the hospital, then throw it out the same day.
Eleven Endings
Unlocked all endings.
Unlock all 11 endings listed above.
Serial Killer
Used ??? in at least three patient rooms on the final day.
Take the energy drink from the NPC on Day 5, then:
- Drink the energy drink at the start of Day 8.
- Prescribe psychotropic medication to all three magical girls in the hospital.
- The drink causes hallucinations, so the medication is listed as “???”. Choose that option.
Tell Me Your Story
Seen every daily conversation.
Tracking down the conversations you missed takes some work. The first talk with each magical girl is always a greeting. After that, she has different conversations in her normal state and in her injured state.
How to check for missing conversations:
- Open Main Menu → Extras → Character Dialogue List.
- Go through each character’s dialogue entries one by one.
- If the list jumps past some entries while you browse, that character may still have conversations you haven’t seen.
- Save before going to bed on Day 1. Reload until the magical girl you need visits on Day 2, then work on her remaining conversations.
The exact number of conversations and what triggers each one are not fully confirmed yet. Use these steps as a general reference.