Firtho
Firtho in-game bust portrait

Firtho

The Medical Lancet

Doctor

★★★★

Lv. 80
HP 5,997
ATK 441
DEF 551
Read the full Firtho guide Silver Palace Firtho Guide: Radiatio Guardian Build · 8 min

About Firtho

"Dispensing drugs, performing surgeries, chemical analysis, forensics... I'm the only person in this city who meets all your needs, no?" Her official character title page, revealed July 30, 2026, tags her The Medical Lancet and calls her a reliable examiner, a doctor, and a close friend who lives alongside death day after day, bearing witness to the final testimonies of the deceased. An earlier title page carried a different line: "Life has not been kind to me. Death, on the other hand... has been a truer friend." Trace the Reaper's steps, and let the deceased spill the truth. A cold and exacting doctor who conducts medical research in secret chambers within her clinic, Firtho is capable of applying her medical expertise in combat to deliver a fatal blow to adversaries. Due to a congenital illness she must wear a life-sustaining device at all times; she wants no pity and hates being a burden. In the endless river of death, life is only a coincidence along the way. Shown in the Monotype closed beta as a Radiatio Guardian who fights with a saw cleaver and syringes, blending defensive durability with the cleansing and sustain the Radiatio attribute is known for; treat exact kit details as beta-stage.

In the Dichotomy Beta story, Firtho is the Detective's blunt childhood friend and the coroner behind the corner clinic in a quiet, forgotten district, nicknamed 'Miss Mortis' for a reclusive childhood spent watching autopsies. She brews the stabilizer that holds the Detective's nightmares at bay, and quietly inoculates terrified gangsters against a contagious rash with an experimental serum rather than experimenting on them as they fear.

Her own quest is a locked-room 'vampire' case at Williams Manor. To prove a death was faked, she injects a tetrodotoxin nerve agent into her own arm and wears a mask through the night, counterfeiting death to expose the trick. The case cuts deep, since the culprit Baron Edgar was a colleague of her late father Irwin at the Royal Academy. Read the full case in the Silver Palace story recap.

Personality
A cold, exacting clinic doctor who patches people up and, when needed, takes the field herself. Her medical tools double as weapons.
Appearance
Closed beta footage shows her with a saw cleaver and syringe-based tools.
Birthday
3rd of September
Likes
Medical research, scalpels, rainy days
Dislikes
Unwanted concern, failing to diagnose symptoms, heart abnormalities, death
Skills
Medical affairs, the usage of medicines and poisons, surgery and augmentations

In-game profile

The Corner Clinic's doctor, the daughter of the Royal Academy scholar Erwing, and my childhood friend.

She was stricken with a congenital heart condition throughout her youth. Yet the mechanical heart that now beats within her allows her a new lease of life.

She fixed me with a somewhat resentful gaze upon my return to Silvernia, perhaps disgruntled that I left for three years without so much as a goodbye.

What Firtho calls you as Trust rises

Childhood FriendHidden DesireHeartbeat Like None Other

Intel

Elder Brother
Lost touch due to differing values, not seeing eye to eye.
Further Information: I
Though she may come across as intimidating or even scary, it's usually just a means by which she masks her concern for me.
Further Information: II
She possesses two coexisting yet conflicting sides: one burning with an academic curiosity for medicine, and the other filled with fear of death.
Further Information: III
She's grown more determined, more independent too. Yet she'll always hold a special place in her heart for me.
Silver Palace Detective Board showing characters, factions, locations, lore, and figures connected by red strings across a corkboard

Interactive investigation map

See where Firtho fits on the Detective Board

Trace Firtho's ties to other characters, factions, locations, and lore on Silvernia's interactive investigation wall. Drag cards, isolate a subject, and follow each string to its evidence.

Open the Detective Board

Firtho Gameplay Showcase (Dichotomy CBT2)

Gameplay and ultimate footage recorded during the Silver Palace Dichotomy CBT2 closed beta test, 40 seconds. Builds are pre-release and subject to change.

Firtho's kit and ultimate in action, captured from the Dichotomy closed beta (CBT2).

Skills

Levelling all 5 of Firtho's skills to Lv. 10 each, and unlocking every node, costs 221,810 Ounce plus Guardian's Instinct, Guardian's Insight, Guardian's Challenge, Guardian's Legacy, Everburning Chain Sword and Twin Argent Strands. Firtho's Identity is Guardian, which is what puts the Guardian line on this list rather than another Identity's.

Basic Attack

Amputation Saw

Press the Basic Attack button to perform a combo of up to 4 hits, dealing Radiatio DMG.

Upon triggering a Perfect Dodge, press the Basic Attack button to immediately unleash a Lv. 2 Charged Attack, dealing DMG and interrupting enemies.

Charged Attack

Lv. 1: Hold the Basic Attack button to unleash an attack dealing Radiatio DMG. Lv. 2: Hold the Basic Attack button to unleash a powerful attack dealing Radiatio DMG.

Pursuit Attack

After Dodging or during a Dash, press the Basic Attack button to unleash a Pursuit Attack, dealing Radiatio DMG.

A surgical consent must be signed before an operation, but this does not apply to self-defence.

Values by skill level

Level 1st-hit DMG2nd-hit DMG3rd-hit DMG4th-hit DMGPursuit Attack DMGLv. 1 Charged AttackLv. 2 Charged AttackPerfect Dodge Counter
Lv. 1 18.8%30%17.5%62.6%33.2%28.8%65.7%28.2%
Lv. 5 25.5%40.9%23.8%85.1%45.1%39.2%89.4%38.3%
Lv. 10 37.5%60%35%125.1%66.3%57.5%131.3%56.3%
Lv. 15 55.1%88.2%51.5%183.8%97.4%84.5%193%82.7%
Lv. 20 81%129.6%75.6%270.1%143.1%124.2%283.6%121.5%

Nodes

Ultimate Charge Efficiency +3%
Ounce×1,695 Guardian's Instinct×2
Ultimate Charge Efficiency +3%
Ounce×1,440 Guardian's Instinct×4
Show upgrade costs by level
Lv. 2
Ounce×1,250 Guardian's Instinct×3
Lv. 3
Ounce×2,325 Guardian's Instinct×5
Lv. 4
Ounce×3,400 Guardian's Insight×3
Lv. 5
Ounce×4,475 Guardian's Insight×5
Lv. 6
Ounce×5,550 Guardian's Challenge×3
Lv. 7
Ounce×6,625 Guardian's Challenge×5
Lv. 8
Ounce×7,700 Guardian's Legacy×3 Everburning Chain Sword×1
Lv. 9
Ounce×8,775 Guardian's Legacy×5 Everburning Chain Sword×2
Lv. 10
Ounce×9,850 Guardian's Legacy×8 Everburning Chain Sword×3 Twin Argent Strands×1
Skill

Second Heart

Press the Skill button to consume 2.5 Special Serum, dealing Radiatio DMG.

Hold the Skill button to consume 10 Special Serum, draining HP every 0.2s; releasing the Skill button deals Radiatio DMG and increases the ATK of all characters on the team by 1.5%. Stacks up to 8 times and lasts 40s. During this, all characters on the team are healed over time, and all but Firtho also receive an instant heal.

Parrying while holding the Skill button and draining HP immediately triggers a fully-charged Skill, consuming all Special Serum.

Max Special Serum: 10. Special Serum gained per second: 1.

"Life isn't simply a gift."

Values by skill level

Level Hold DMGPress DMG
Lv. 1 53.5%14.1%
Lv. 5 72.8%19.2%
Lv. 10 107%28.1%
Lv. 15 157.1%41.4%
Lv. 20 230.9%60.8%

Nodes

Ultimate Charge Efficiency +3%
Ounce×1,440 Guardian's Insight×2
Ultimate Charge Efficiency +3%
Ounce×1,820 Guardian's Insight×4
Ultimate Charge Efficiency +3%
Ounce×1,945 Guardian's Challenge×2 Everburning Chain Sword×1
Show upgrade costs by level
Lv. 2
Ounce×1,250 Guardian's Instinct×3
Lv. 3
Ounce×2,325 Guardian's Instinct×5
Lv. 4
Ounce×3,400 Guardian's Insight×3
Lv. 5
Ounce×4,475 Guardian's Insight×5
Lv. 6
Ounce×5,550 Guardian's Challenge×3
Lv. 7
Ounce×6,625 Guardian's Challenge×5
Lv. 8
Ounce×7,700 Guardian's Legacy×3 Everburning Chain Sword×1
Lv. 9
Ounce×8,775 Guardian's Legacy×5 Everburning Chain Sword×2
Lv. 10
Ounce×9,850 Guardian's Legacy×8 Everburning Chain Sword×3 Twin Argent Strands×1
Ultimate

Visage of Death

Upon reaching full charge, press the Ultimate button to swing the amputation saw in a powerful blow, dealing Radiatio DMG.

The mask suppresses contamination and the expression of emotion. Such is the mercy of Death.

Values by skill level

Level Skill DMG
Lv. 1 169.6%
Lv. 5 230.7%
Lv. 10 339%
Lv. 15 498.2%
Lv. 20 731.9%

Nodes

HP % +4.8%
Ounce×1,945 Guardian's Challenge×4 Everburning Chain Sword×1
HP % +4.8%
Ounce×2,135 Guardian's Challenge×6 Everburning Chain Sword×1
Show upgrade costs by level
Lv. 2
Ounce×1,250 Guardian's Instinct×3
Lv. 3
Ounce×2,325 Guardian's Instinct×5
Lv. 4
Ounce×3,400 Guardian's Insight×3
Lv. 5
Ounce×4,475 Guardian's Insight×5
Lv. 6
Ounce×5,550 Guardian's Challenge×3
Lv. 7
Ounce×6,625 Guardian's Challenge×5
Lv. 8
Ounce×7,700 Guardian's Legacy×3 Everburning Chain Sword×1
Lv. 9
Ounce×8,775 Guardian's Legacy×5 Everburning Chain Sword×2
Lv. 10
Ounce×9,850 Guardian's Legacy×8 Everburning Chain Sword×3 Twin Argent Strands×1
Tactical Assault

Law of Exchange

Switch in the selected character while having sufficient Reactor Energy to deal Radiatio DMG.

"When two objects make contact, there is bound to be a transfer of energy between them."

Values by skill level

Level Skill DMG
Lv. 1 83.9%
Lv. 5 114.1%
Lv. 10 167.6%
Lv. 15 246.3%
Lv. 20 361.9%

Nodes

HP % +4.8%
Ounce×1,695 Guardian's Challenge×8 Everburning Chain Sword×1
HP % +4.8%
Ounce×1,440 Guardian's Legacy×3 Everburning Chain Sword×2
HP % +4.8%
Ounce×1,440 Guardian's Legacy×6 Everburning Chain Sword×2
Show upgrade costs by level
Lv. 2
Ounce×1,250 Guardian's Instinct×3
Lv. 3
Ounce×2,325 Guardian's Instinct×5
Lv. 4
Ounce×3,400 Guardian's Insight×3
Lv. 5
Ounce×4,475 Guardian's Insight×5
Lv. 6
Ounce×5,550 Guardian's Challenge×3
Lv. 7
Ounce×6,625 Guardian's Challenge×5
Lv. 8
Ounce×7,700 Guardian's Legacy×3 Everburning Chain Sword×1
Lv. 9
Ounce×8,775 Guardian's Legacy×5 Everburning Chain Sword×2
Lv. 10
Ounce×9,850 Guardian's Legacy×8 Everburning Chain Sword×3 Twin Argent Strands×1
Passive Skill

Pain Management

Reduces team's DMG taken by 20% during Second Heart's buff.

Rely properly on pharmaceuticals and others.

Nodes

Healing Bonus +6.5%
Ounce×1,820 Guardian's Legacy×9 Everburning Chain Sword×3
Healing Bonus +6.5%
Ounce×1,945 Guardian's Legacy×12 Everburning Chain Sword×3
Show upgrade costs by level
Ounce×1,250 Guardian's Instinct×3

Total to max every skill

Upgrade materials are published through Lv. 10, while the value curves above run to Lv. 20.

Psyches

Pathologist

Firtho's Charged Skill provides 10% more healing. After she uses a Charged Skill, all characters on the team take 10% less DMG for the duration of the buff.

Fate-Defying Lancet

The buff from Firtho's Charged Skill also increases the Amplitude Coefficient of all characters on the team by 16%.

Shadow of the Heart

After Firtho unleashes a Charged Skill, her Basic Attack DMG is increased by 24% for 6s.

Early Cooperation

After Firtho uses her Tactical Assault, she recovers 20% Silverdrips. For each buff stack her Charged Skill grants, she recovers 2% Silverdrips.

Detective and Doctor

After Firtho uses her Ultimate, she increases the Radiatio DMG of all characters on the team by 15% for 40s.

Shared Days

Firtho's Charged Skill DMG is increased by 15%. For each enemy her Charged Skill hits, the DMG of her next Ultimate is increased by 9%, up to a maximum of 27%.

Firtho Trust and Gifts

The gifts Firtho prefers, what each Trust level costs, and what it pays out.

Trust level Trust EXP Running total Preferred gifts Rewards
Lv. 1 100 100 1
Ounce×5,000 The Science of All Things: Volume I×3 Companionship - Firtho×1
Lv. 2 150 250 3
Ounce×5,000 The Science of All Things: Volume I×3 A Special Letter From Firtho×1
Lv. 3 220 470 5
Ounce×5,000 The Science of All Things: Volume I×3
Lv. 4 310 780 8
Ounce×5,000 Paper Bookmark of Conspiracy×3
Lv. 5 Max 780 8
Standard Shot×1 Reactor Crystal×50 Interaction - Physical Exam×1

Lv. 5 is the cap, so it carries no further Trust EXP requirement. The running total counts each level's cost as you clear it.

Firtho Voice Lines

Every line Firtho speaks in game, with audio in all four dubs.

Daily

Character Quote

Life has not been kind to me. Death, on the other hand... has been a truer friend.

Scattered Thoughts

I'd rather be a deadly poison than some greenhouse flower.

Inner Feelings

As a child with a heart disorder, I always detested the pity with which people looked at me... I was weak then, but now, I'm strong enough to face the truth. Strong enough to say goodbye.

Greeting

The clinic is closed today. Explaining conditions and treatments to patients is putting a serious toll on my circulatory and nervous systems.

Outside the Detective's Office

I've only come today to monitor your activities and see how many ways you can get yourself injured.

Casual Chat

If you are experiencing a mental block, I do have some psycho-activating agents. In safe doses, of course.

Riding: I

The time a physician spends travelling may be the difference between life and death for the patient.

Riding: II

With transport, house calls are far less annoying.

Riding: Speeding Up

Faster.

Riding: Sudden Stop

(interjection)

Riding: Flying

Straight line, shortest path? Figures you'd say that.

Lucky Find: I

I have little use for this. It's yours.

Lucky Find: II

Remember to disinfect them.

Inspect

Time to observe and diagnose.

Expose

I have the conclusion.

Battle

Battle Start: I

I've seen my fair share of disagreeable patients.

Battle Start: II

Apply restraints on any uncooperative patients.

Tactical Assault: I

I'm taking over.

Tactical Assault: II

Go and take a break.

Entering Battle

I'll handle it.

Skill

Back down, all of you.

Parry

Not so challenging.

Dodge

Vital organs unharmed.

Wounded

No need to worry...

Exhausted

I can dress the wound myself...

Ultimate: I

Commencing emergency surgery.

Ultimate: II

Prepare for surgery.

Execute: I

The anatomical structure is evident.

Execute: II

I know where to make the first incision.

Victory: I

Good. Now comply with my treatment.

Victory: II

Any injuries? I'll take a look.

Other

First Meeting

Dead men don't talk? I beg to differ. I can secure testimonies even from the deceased. Which is why you're here, is it not?

Preparation for Action: I

When it comes to settling people down and shutting them up, I have my ways.

Preparation for Action: II

There's more to me than meets the eye. In fact, I've been trained to handle patient disputes too.

Potential Growth

Hmph, mind your own... I never said I didn't want it.

Potential Break

Dispensing drugs, performing surgeries, chemical analysis, forensics... I'm the only person in this city who meets all your needs, no?

In Rain

The efficacy of drugs may be influenced by weather, so make sure you acquire my advice before use.

Nighttime

It's at night that I speak with the dead. Hurhur. I wonder what the bodies will tell me tonight... hurhurhurhur...

At the Corner Clinic

Work at my clinic is manageable so long as you don't come to me with your problems. That'll be great news for both my patients and me.

Potential Break Costs

Firtho Stats by Level

Key levels below. Drag the slider at the top of the page for any level from 1 to 80.

Level HPATKDEF
Lv. 1 816 60 25
Lv. 20 1,917 141 126
Lv. 30 2,652 195 203
Lv. 40 3,386 249 281
Lv. 50 4,120 303 358
Lv. 60 4,855 357 436
Lv. 70 5,589 411 513
Lv. 80 5,997 441 551

Stats, skills, Psyches and costs on this page: last checked . Values can change as the game updates.

Team Synergies

Firtho works best with team members that complement their strengths and cover their weaknesses.

Resonance Focus Radiatio

Build teams around Radiatio resonance for maximum damage output.

Role Synergy

Balance with both DPS and Support for optimal team composition.

Pro Tip: Check the Resonance Guide for detailed team compositions and synergy builds.

Firtho guides and lore

Everything on this site that covers Firtho, from build breakdowns to the lore behind the design.

Systems this kit touches

Related Characters