Whether through starring in his own games or stowing away as an Easter egg in others, the Year of Luigi has been just that, continuously thrusting the reluctant plumber into the spotlight. Its last hurrah is the surprise release of Dr. Luigi, a sort-of sequel to 2008’s Dr. Mario Online Rx. Aside from the classic pill-tossing gameplay, Luigi brings along new L-shaped pills that provide a fun twist on eliminating the tri-colored viruses. Despite the inventiveness of this new mode, the curious omission of a few key features from previous games in the series keeps Luigi's medical accomplishments from surpassing his brother's.
Dr. Luigi doesn’t stray from the series’ classic rules: you've got to eliminate an endless stream of viruses by matching them with three like-colored pills. What is unique to Dr. Luigi is having three distinct choices in how to go about destroying viruses. In the most drastic change to the Dr. Mario formula to date, Operation L has Luigi (apparently unconcerned with medical malpractice lawsuits) toss double-sized pills down the throats of his patients. With each L-shaped pill containing at least three segments of the same color, there is always the chance to eliminate a virus immediately, so games typically move faster than in traditional play. However, misplacing a single pill fills up much more of the screen, meaning things can rapidly get out of hand if you aren’t careful.

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