If you’re looking for how to get Surgeon of Death (Room) in Anime Last Stand, you’re about to unlock one of the strongest control-based DPS units in the game. Introduced during the Summer Update 2025, this unit is inspired by Trafalgar Law’s Room ability from One Piece and specializes in high-range area control, passive debuffs, and consistent chip damage—making it a powerful addition for Infinite Mode, Raids, and Portals.
This guide explains the full evolution process, materials required, and the best strategies for farming each item efficiently.
What Is Surgeon of Death (Room)?
Surgeon of Death (Room) is the evolved version of Surgeon of Death (Awakened). This upgrade unlocks a new set of passive abilities that disrupt enemy formations, apply multiple debuffs, and slow down enemy waves effectively. It’s not built for raw burst damage but instead excels at long-term battlefield control.
Core Stats:
Base Damage: 2.32 million (S tier)
Range: 39.4 (SS tier)
SPA: 6.39 seconds (C tier)
This unit is highly effective in prolonged fights but performs best when supported by faster DPS or debuff-oriented allies.
How to Get Surgeon of Death (Room) in Anime Last Stand
1: Own Surgeon of Death (Awakened)
Before you can evolve into Room form, you must already have the Surgeon of Death (Awakened) unit. This evolved base form is required to access the next stage.
If you haven’t evolved to Awakened yet, complete that first before proceeding.
2: Gather Required Evolution Materials
To evolve into Surgeon of Death (Room), you will need the following:
| Material | Amount | Source |
|---|---|---|
| Demon Howl Sword | 1 | Purchased for 8,000 Red Corals |
| Water Essence | 300 | Farmed from Water-themed stages or events |
| Mythic Spirit Shards | 15 | Drops from Portals and high-difficulty Raids |
| Legendary Spirit Shards | 25 | Earned in Hard Raid Stages |
| Epic Spirit Shards | 25 | Found in Story Mode or daily events |
3: How to Get Demon Howl Sword
To get the Demon Howl Sword, you need to spend 8,000 Red Corals in the shop.
Efficient Red Coral Farming Tips:
Focus on Coral-specific maps or event rotations
Use high-DPS units to clear waves quickly
Participate in co-op Coral runs for better speed and efficiency
Log in daily for Coral-based rewards
4: Farming Spirit Shards and Water Essence
Water Essence (300 units):
Found in Water maps or Elemental Stages
Drop rate increases with difficulty level
Co-op mode provides faster completion and better rewards
Spirit Shards:
Mythic: Rare drop from Portals or Elite Raids
Legendary: Mid-tier Raids with higher difficulty
Epic: Story Mode, Events, and regular Portal rotations
Using shard drop events or bonus weekends will greatly increase your farming efficiency.
Passive Abilities of Surgeon of Death (Room)
Surgical Domain
Creates a domain that forces enemies to walk backward and applies a debuff zone for 15 seconds. This disrupts enemy pacing and is useful for halting rushes.
Heart Snatch
Applies Weaken, Bleed, and Blizzard effects to enemies caught within its effect range. It synergizes well with bleed and burn-based team comps.
Surgical Knife
Every fifth attack inflicts permanent slow and applies an HP drain effect over time, ideal for weakening tanky enemies or interrupting regeneration-based bosses.
These passive abilities make the unit more effective as the wave progresses, allowing it to suppress enemy advancement without relying on high burst damage.
Is Surgeon of Death (Room) Worth It?
Recommended If:
You focus on late-game content like Portals, Infinite Mode, or Raids
You already own Surgeon of Death (Awakened)
You enjoy units that offer control, debuffs, and high-range pressure
Not Ideal If:
You need a fast burst DPS unit for quick clears
You are still building core AoE or high-output teams
You prefer units with low SPA for fast cycles
As a secondary unit, Surgeon of Death (Room) is exceptional. As a primary damage dealer, it works best when supported by quicker, more aggressive teammates.
Final Thoughts
Unlocking Surgeon of Death (Room) in Anime Last Stand is a grind—but for players who value strategy, range control, and wave disruption, it’s one of the most satisfying units to evolve. With unique passives like Surgical Domain and Heart Snatch, this Trafalgar Law-inspired unit rewards smart positioning and team synergy over brute force.
Focus on farming Red Corals and Spirit Shards, plan your evolution path, and you’ll soon be controlling the battlefield with surgical precision.