
If you haven't read the most recent chapter and are looking for a walkthrough, be aware that the page is full of spoilers. |
This page contains the choices in Do No Harm, Book 1 and their outcomes.
This game revolves around the choices you make. They can improve or decrease relationships with the characters. This walkthrough is made to assist others in helping them make the right choice for their game. Good luck and happy playing!
On April 9, 2025, Pixelberry changed a few diamond options' prices. This walkthrough will include the new prices with an asterisk (*) marking if it's been affected.
On July 11, 2025, Pixelberry issued another update with a few changes. The affected prices are marked with a double asterisk (**).
Choices that have no outcome on the side have not been explored yet, please help this page by contributing those answers!
Setup Choices
Content Warning: This book contains mature sexual content as well as gunfights and other intense violence. Player discretion is advised.
Choice 1
- No... They found it. (No effect)
Choice 2
- It's not what you think. (No effect)
- Give me my phone! You have no right! (No effect)
Choice 3 (Dom)
- A man.
- A woman.
Choice 4
- Beg for mercy. (No effect)
- Defy him/her. (No effect)
Choice 5 (MC)
- Woman.
- Man.
Choice 6 (MC)
- Yes! Get me to that ambulance! (Go to Choice 10)
- Let me customize my look. (Go to Choice 7)
Choice 7 (MC)
- Face 1
- Face 2
- Face 3
- Face 4
Choice 8 (MC) (Woman)
- Business
- Unwind
- Tied Up
- Waterfall
- Platinum
- Scarlet
Choice 8 (MC) (Man)
- Side Slick
- Tousled
- Ride the Wave
- Unwind
- Teal on Top
- TWA *
* This hairstyle was added later when PB released the continuation of this book and updated the first two chapters.
Choice 9
- Get me to that ambulance! (Go to Choice 10)
- Let's try something else. (Go Back to Choice 5)
Choice 10
This is a fill-in-the-blank choice.
- What is your name?
Default is "Gray".
Choice 11
This is a fill-in-the-blank choice.
- And your family name?
Default is "Gould".
Chapter One: A Life for a Life Choices
Choice 1
- C-spine. (No effect) ⬅ Correct
- Internal bleeding. (No effect)
- Face wounds. (No effect)
Choice 2
- How is that legal? (No effect)
- Screw the policy! (No effect)
- Can't we make an exception? (No effect)
Choice 3
- Show me everything you can. (💎 12)
- Not now. (Hands Tied)
Diamond Choice 1
- What thread do I use? (No effect)
- How should I hold the needle and thread? (No effect)
- When is myoplasty necessary? (No effect)
You get to choose all of them. This just determines the order.
Diamond Choice 2
- Stitch, align the fibers, close the skin. (No effect)
- Align the fibers, close the skin, suture. (No effect)
- Align the fibers, stitch it shut, close the skin. (No effect) ⬅ Correct
You repeat this choice until you get it correct.
"Myoplasty Mastery"
Choice 4
- Give others a second chance. (No effect)
- Make my parents proud. (No effect)
Choice 5
- White Coat (💎 25) (All Cleaned Up)
- No thanks (No effect)
Choice 6
- Captivating eyes. (No effect)
- Strong features. (No effect)
- A commanding presence. (No effect)
Choice 7
Choice 8
- He's not moving. (No effect)
Choice 9
- What have I gotten into? (No effect)
Choice 10
Choice 11
- Does that gun have anything to do with how this night ended up? (No effect)
- What do you need that for? (No effect)
Choice 12
- Think you can scare me. (No effect)
- Threaten me unless you mean it. (No effect)
Choice 13
- No! (No effect)
Choice 14
- Are you crazy?! (No effect)
- Then you'd better keep the wheel steady! (No effect)
Choice 15
- Manually realign the tissue. (No effect) ⬅ Correct
- Suture the muscle back together. (No effect)
- Close the skin. (No effect)
You repeat this choice until you get it correct.
Choice 16
- Suture the muscle back together. (No effect) ⬅ Correct
- Close the skin. (No effect)
You repeat this choice until you get it correct.
Choice 17
- Now I just wrap this up... (No effect)
"Deft Hands" if you got 3 correct on the first try.
"Trial and Error" if you got 0-2 correct on the first try.
Choice 18
- You can trust me. (No effect)
- There's no way I'm going to let you die. (No effect)
Choice 19
- One improvised airway, coming up. (No effect)
Choice 20
Choice 21
- Have it your way. (💎 15)
- Hope you don't die from sepsis. (Patient Privacy)
Diamond Choice 3
Diamond Choice 4
Diamond Choice 5
Chapter Two: In For a Penny, In For a Pound Choices
Choice 1
- There's only one thing to do with it... (No effect)
Choice 2
- Sketchy landlord who pops up at all hours of the night. (No effect)
- Cheap chief of medicine. (No effect)
Choice 3
You couldn't look bad if you tried. (
+SPARK)
Oh, I'm so sorry I won't let you kill people on my behalf. (
+DEFIANCE)
Choice 4
- Apologize. (No effect)
- Stand my ground. (No effect)
Choice 5
- The what? (No effect)
- Thanks for your... understanding. (No effect)
Choice 6
- The least you could do. (No effect)
- Weirdly thoughtful. (No effect)
Choice 7
- Been thinking about you too. (No effect)
- Tried not to think about you. (No effect)
Choice 8
Choice 9
Diamond Choice 1
Diamond Choice 2
Diamond Choice 3
- Put on a show! (No effect)
- Focus on myself. (No effect)
"The Ride of a Lifetime"
Choice 10
- The valet wouldn't take my car! (No effect)
- I have to park down the street. (No effect)
Choice 11
- Show him and Dom who's in charge. (💎 18) *
- Accept his apology. (Expedited Parking)
Diamond Choice 4
- Here you go. (No effect)
Diamond Choice 5
- Right now I'm in charge. (No effect)
- What do you say, Dom? (No effect)
Diamond Choice 6
Diamond Choice 7
- Fix my car. (No effect)
- Bring me bottle service inside. (No effect)
Diamond Choice 8
- Whether they know Mr./Ms. Coine too. (No effect)
- How they're a human being who deserves some respect. (No effect)
Choice 12
Diamond Choice 9 (if you made the valet do your bidding and made him bring you bottle service inside)
- Don't mind if I do. (No effect)
Choice 13
- Resisting your brother/sister is a job all by itself. (No effect)
Glad to see one of you is normal in this family. (
+DEFIANCE)
Choice 14
- What is it you actually do? (No effect)
- What does being in the Coine Family mean? (No effect)
Chapter Three: If I Tell You, I've Got to Kill You Choices
Choice 1
Choice 2
- Peace of mind. (No effect)
- Happiness. (No effect)
- Morals. (No effect)
Choice 3
- I'm about saving lives. You're about taking them. (No effect)
- I didn't have a choice that night. (No effect)
Choice 4
- There's no hiding this... (No effect)
Choice 5
- There are other mob employees here? (No effect)
- The Family has spies in the hospital? (No effect)
Choice 6
- Janice, the respiratory therapist. (No effect) ⬅ Correct
- Mark, the janitor. (No effect)
- Linda, the nurse. (No effect)
Choice 7
- Show me everything you can! (💎 20)
- I think she's waited long enough. (Hands Off)
Diamond Choice 1
- Setting the splint. (No effect)
- Checking alignment. (No effect)
- Initial realignment. (No effect)
You get to choose all of them. This just determines the order.
Diamond Choice 2
- Set the splint. (No effect, but you repeat Diamond Choice 2)
- Verify alignment. (No effect, but you repeat Diamond Choice 2)
- Realign the bone. (No effect) ⬅ Correct
Diamond Choice 3
- Be honest with her. (No effect)
- Focus on the procedure. (No effect)
Diamond Choice 4
- Set the splint. (No effect, but you go back to Diamond Choice 2)
- Verify alignment. (No effect) ⬅ Correct
Diamond Choice 5
- Explain the process. (No effect)
- Stay focused. (No effect)
Diamond Choice 6
- Set the splint. (No effect) ⬅ Correct
- Check alignment again. (No effect, but you go back to Diamond Choice 2)
If you get anything wrong, you go back to Diamond Choice 2 and have to start all over again.
"Perfect Form" if you got all 3 correct on the first try.
"Quick Study" if you didn't.
Choice 8
- I'm one student loan payment away from selling a kidney. (No effect)
- I can't wait until the real money starts coming in! (No effect)
Choice 9
- Building has some open three bedrooms. (No effect)
- Lease is running out. (No effect)
Choice 10
Choice 11
- Think this is kind of your fault though. (No effect)
- Am so sorry. (No effect)
Choice 12
Choice 13
- Do your worst. (💎 25)
- I don't think so. (Playing it Safe)
Diamond Choice 7
Diamond Choice 8
Diamond Choice 9
Diamond Choice 10
- Reel him/her back in with a kiss. (No effect)
- Send him/her over the edge. (No effect)
"Power Play"
Chapter Four: Family Matters Choices
Choice 1
- A trophy from med school! (No effect)
- My heavy medical textbook! (No effect)
- My stethoscope! (No effect)
Choice 2
Choice 3
- I trust you. (💎 20)
- Let him go, Dom. (First, Do No Harm)
Diamond Choice 1
- What was taken. (No effect)
- Why you were really here. (No effect)
Diamond Choice 2
Guide him/her with gentle touches. (
+SPARK)
Use commanding undertones. (
+DEFIANCE)
Play good cop to his/her bad. (
+SPARK)
Diamond Choice 3
"Puppet Master"
Choice 4
I'm not one of your soldiers to command. (
+DEFIANCE)
How do I know this wasn't your plan all along? (
+SPARK)
Choice 5
- Predator, Not Prey (💎 17) ** (Dress to Kill)
- Street Soldier (No effect)
Choice 6
- He/She's their protector. (No effect)
- He/She genuinely cares about his/her people. (No effect)
"First Impressions", +RESPECT if you're wearing "Predator, Not Prey".
Choice 7
- Jokingly clap back! (-RESPECT)
- Be understanding. (+RESPECT) ⬅ Correct
- Demand respect! (-RESPECT)
Choice 8
- Hmm... (No effect)
Choice 9
This is a timed choice.
- Queens! (Queen's Court)
- Jacks! (Jack of All Trades)
- Aces! (Aces High)
If the timer ends, you stare at the cards and decide to collect queens at random. (Queen's Court)
Choice 10-12
This is a series of timed choices. The option order is random. You must follow the on-screen instructions.
- Keep it! (Queen's Court/Jack of All Trades/Aces High if the card matches the collection you started, otherwise no effect) ⬅ Correct if the card matches the collection you started
- Discard it! (No effect)
If the timer ends, you stare at the card and eventually discard it. (No effect)
The cards are random and you are not guaranteed to get 3 of the same kind. You can't win if you ever discard or keep a card that is different from the collection you started.
+SPOONS if you got all 3 correct.
-SPOONS if you didn't.
Choice 13
- Ask for details. (No effect)
- Keep a close eye on my opponents. (+SPOONS)
- Pay attention to my cards. (No effect)
Choice 14
- Try to steady my hands. (No effect)
- Focus on my breathing. (+SPOONS)
- Force the panic down. (No effect)
"Card Shark", +RESPECT if you got 2-3 +SPOONS.
"Game Over" if you got 0-1 +SPOONS.
Choice 15
- Check his airways! (No effect) ⬅ Correct
- Start compressions! (No effect)
- Get the defibrillator! (No effect)
Choice 16
- Doing what was best for your people? (No effect)
- Not just power hungry? (No effect)
Choice 17
- Why don't you walk me through it? (💎 18)
- The past is the past. (In The Now)
Diamond Choice 4
- Ambition runs in the family. (No effect)
- She was formidable. (No effect)
- You respected her. (No effect)
Diamond Choice 5
- You. (No effect)
- Them. (No effect)
Diamond Choice 6
- Had a death wish. (No effect)
- Wasn't the boss for much longer. (No effect)
Diamond Choice 7
- Incredibly strategic. (No effect)
- Like he saved them from themselves. (No effect)
"Family History"
Chapter Five: Everybody's Got a Boss Choices
Choice 1
- Empathetic. (No effect)
- Professional. (No effect)
Choice 2
- Work fast, even if it's messy. (No effect)
- Take the time to do it right. (No effect)
Choice 3
- Show me everything! (💎 25)
- I'll stay with the patient. (Bedside Manner)
Diamond Choice 1
- The same area. (No effect)
- Slightly to the left. (No effect)
- Closer to the tumor. (No effect)
Diamond Choice 2
- Test, identify, cut. (No effect)
- Cut, identify, test. (No effect)
- Identify, test, cut. (No effect) ⬅ Correct
You repeat this choice until you get it correct.
Diamond Choice 3
- Cautiously. (+CAUTIOUS)
- Confidently. (+CONFIDENCE)
"Brain Trust"
Choice 4
- Another patient needs my help. (No effect)
- I had a family emergency. (No effect)
Choice 5
- Check for proper blood flow. (No effect) ⬅ Correct
- Realign the joint. (No effect)
- Stabilize with a splint. (No effect)
You repeat this choice until you get it correct.
Choice 6
- Realign the joint. (No effect) ⬅ Correct
- Stabilize with a splint. (No effect)
You repeat this choice until you get it correct.
Choice 7
- Apply the splint. (No effect)
"Steady Hands", +RESPECT if you got all correct on the first try.
"Field Medicine" if you didn't.
Choice 8
Choice 9
- Put Dom in his/her place! (💎 20)
- Stay here. (Standing Down)
Diamond Choice 4
Diamond Choice 5
Diamond Choice 6
Diamond Choice 7
"Playing with Fire"
Choice 10
Choice 11
Choice 12
"Show of Force" if you got mostly +DEFIANCE so far throughout the book.
"Know Your Role" if you got mostly +SPARK so far throughout the book.
Choice 13
- Work out some emotions! (💎 25)
- Back away. (Playing it Safe)
Diamond Choice 8
- Shove him/her back! (No effect)
- Pull him/her closer! (No effect)
Diamond Choice 9
- We should have a little privacy. (No effect)
- Let's put on a show. (No effect)
Diamond Choice 10
- Take control! (No effect)
- Push Dom further! (No effect)
Diamond Choice 11
- Leave him/her wanting. (No effect)
- Give him/her one for the road. (No effect)
"Raw Power"
Chapter Six: To Do Or Die Choices
Choice 1
- There's been a scheduling conflict. (No effect)
- You're holding out for the proper preparations. (No effect)
Choice 2 (High Defiance Score)
Don't act like you didn't love every second. (
+DEFIANCE)
You deserved every bit of it! (
+DEFIANCE)
Choice 2 (Low Defiance Score)
Choice 3
- Happy when you talk about it. (No effect)
- Sad underneath the memory. (No effect)
Choice 4
- You let me walk into that meeting completely blind? (No effect)
- So this really is my fault? (No effect)
Choice 5
- Power Play (💎 18) ** (Underboss, +RESPECT)
- No thanks (No effect)
Choice 6
The option order is random.
- Aligned their territory with their business interests. (+RESPECT)
- Has territory stretching across the whole city! (-RESPECT)
- Inherited most of their territory. (-RESPECT)
Choice 7
The option order is random.
- Yes. Their club, Vibe, is incredible! (No effect)
- They run a fishing company. (-RESPECT)
- I believe they focus more on retail. (+RESPECT)
Choice 8
The option order is random.
- Hard at work. (+RESPECT)
- Unplugged. (-RESPECT)
- Relaxing. (-RESPECT)
"Social Graces" if you got 2-4 +RESPECT in Choices 5-8.
"Out of Depth" if you got 0-1 +RESPECT in Choices 5-8.
Choice 9
- Time to scramble Delilah Bardot's nest egg. (💎 25)
- Let's just go. (Better Safe)
Diamond Choice 1
- Every painting in sequence! (No effect)
- The chandelier in one crash! (No effect)
- As many artifacts as possible! (No effect)
Diamond Choice 2
- So hard for you as a child. (No effect)
- Lonely to maintain. (No effect, but you learn about Dom and Neil's childhood)
Diamond Choice 3
- What you need in your life. (No effect, but you allude to keeping quiet in the past leading to danger)
- Not always a good thing. (No effect, but you allude to speaking up in the past getting you into trouble)
Note: This choice determines how your childhood memory, revealed in the next chapter, plays out. If you don't take the premium scene, it defaults to the second option.
Diamond Choice 4
- Slowly, savoring every moment. (No effect)
- Hard and fast. (No effect)
"Crime of Passion"
Choice 10
- Kill your father? (No effect)
- Go to jail? (No effect)
Choice 11
Chapter Seven: Bury the Hatchet Choices
Choice 1
- My grandfather's antique shop in Old City? (No effect)
- The local community theater? (No effect)
- The city library's reading room? (No effect)
Choice 2
- Travel the world as a photojournalist. (No effect)
- Become a professional mountain climber. (No effect)
- Join the circus as an acrobat. (No effect)
Choice 3
Choice 4
- Oh my god... (No effect)
Choice 5
Choice 6
Choice 7
- ...Get on your knees. (💎 25)
- Kiss me. (One Last Kiss)
Diamond Choice 1
Diamond Choice 2
- Go faster. (No effect)
- Take your time. (No effect)
Diamond Choice 3
- Look at me while you do that. (No effect)
- Prove how much you love this. (No effect)
Diamond Choice 4
- Make it last. (No effect)
- Let go completely. (No effect)
"Trust Fall"
Choice 8
- Thoughtful, but so misguided. (No effect)
- Insanity! (No effect)
Choice 9
- Just follow my lead. (💎 20)
- All we have to do is let him go. (Clean Getaway)
Diamond Choice 5
- A new clinic. (No effect)
- Changes to the admission policy. (No effect)
Diamond Choice 6
- Expand preventive care. (No effect)
- Improve follow-up care. (No effect)
Diamond Choice 7
- A charitable care fund. (No effect)
- Sliding scale payments. (No effect)
"Power Play"
Choice 10
- Kill Dom's father. (No effect)
- Be the cause of a mob war. (No effect)
- Let Dom down. (No effect)
Choice 11
- Meet me in the locker room in five. (💎 20)
- I'll just rush through the scut. (Going Solo)
Diamond Choice 8
- Guide his/her hands to my hips. (No effect)
- Trace his/her chest. (No effect)
Diamond Choice 9
This is a timed choice. The option order is random.
- Duck into a patient room! (No effect)
- Hide behind the cart! (No effect)
- Take the long way! (No effect)
If the timer ends, the third option is selected.
Diamond Choice 10
- Upload everything at once. (No effect)
- Upload in small batches. (No effect)
Diamond Choice 11
"Role Reversal"
Chapter Eight: Code Silver Choices
Choice 1
- Throw myself at her mercy. (No effect)
- Try to reason with her. (No effect)
Choice 2
- This patient has a family too. (No effect)
- He never asked to be part of this. (No effect)
Choice 3
- Appeal to her training. (No effect)
- Remind her of the patient. (No effect)
Choice 4
- Take another step! (No effect, but you get shot)
- Stay still! (No effect)
Choice 5
- The... coffee machine is acting up in OR 2. (No effect)
- I need a surgical consult. (No effect)
- There's a woman with a gun in OR 2! (No effect)
Choice 6
- Jason needs his mother. (No effect)
- I need your help with the surgery. (No effect)
I'm asking you not to. (
+DEFIANCE)
"Brain Surgery" if you learned advanced neurosurgery in Chapter 5.
"Winging It" if you didn't.
Diamond Choice 1 (if you learned advanced neurosurgery)
- Taste processing. (No effect)
- Auditory processing. (No effect)
- Visual processing. (No effect)
Choice 7 (if you didn't learn advanced neurosurgery)
- The taste center. (No effect)
- The hearing center. (No effect)
- The vision center. (No effect)
Choice 8
- Encourage them to connect. (💎 18)
- Focus on the surgery. (Eyes on the Prize)
Diamond Choice 2
- His motor functions. (No effect)
- A different part of his hearing center. (No effect)
- Another visual region. (No effect)
Diamond Choice 3
- I never pegged you for an astrologer. (No effect)
- Somehow that tracks... nerd. (No effect)
- Who knew you were so gullible? (No effect)
Diamond Choice 4
- Some chances don't come twice. (No effect)
- Pride isn't worth regret. (No effect)
- Whatever it is, I'm sure your father wants to hear it. (No effect)
"Father Knows Best"
Choice 9
This is a timed choice. The option order is random.
- Direct pressure. (No effect)
- Packing the site. (No effect)
- Quick closure. (No effect)
If the timer ends, the third option is selected.
Choice 10
You only get the third option if you gave Dom and Xander time to connect.
Choice 11
- Afraid I would never leave that OR again. (No effect)
- More afraid of what would happen to your dad. (No effect)
- Fine the second I heard your voice. (No effect)
Choice 12
Choice 13
- Give in to temptation! (💎 25)
- Walk away. (Duty Calls)
Diamond Choice 5
Diamond Choice 6
- Take control. (No effect)
- Make me beg. (No effect)
Diamond Choice 7
Diamond Choice 8
- Curl into his/her arms. (No effect)
- Trace his/her scars. (No effect)
"Doctor's Orders"
You have reached the end of Do No Harm, Book 1. For choices in Book 2, click here.