Prior to the game's release, an American live action television pilot based on the game was produced by Instavision/1212 Entertainment, Atlus and INdiGO, a joint venture between Atlus' parent company Index Holdings and Japanese animation studio GONZO. The series was pitched as a grounded hour-long medical drama consisting of a 13 episode first season at a budget of $1 million an episode. The pilot was shot in Los Angeles in early 2010 and starred Brandon Quinn, Eden Riegel, Jackson Davis and Julie Mond as a group of medical students who perform illegal surgeries for patients unable to afford proper treatment. It was presented to potential investors at the 2010 MIPCOM tradeshow, but did not go to series. In late 2016, the pilot was leaked online.