Fighting Shadows is dangerous work, so it helps to have a doctor who can provide the health items and consumables it takes to survive. Fortunately, there's a back-alley clinic a block away from Leblanc, so Joker can get all the medicine he needs from Tae Takemi, the Death confidant of Persona 5 Royal.

Ranking up Takemi's relationship unlocks bigger and better health items, making her one of the most essential confidants in Persona 5 Royal. She's also one of the first confidants Joker can build up, so players should get started on this relationship as soon as they can.

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General Information

Persona 5 Royal Death Hangout

The infamous Death Arcana of the Tarot deck depicts a battlefield, a decapitated head looking to the left, and other symbols of death like a scythe, a sword, and a skeleton. The card can refer to a sudden transition, a great loss, or an illness, while reverse meanings include stagnation or a partial transition.

As an essential merchant, players can find Takemi in her Yongen-Jaya clinic every day, and her rank events can also happen on any day when Joker has time to spare. The only restriction is that players must wait at least three days since the last rank event.

Takemi doesn't like to go out anywhere, but Joker can spend time with her if players don't have enough relationship points to see the next rank event. During these hangouts, Joker can give Takemi a gift for extra points, and her favorite gifts are the Heart Ring, Mini Cactus, Black Mug, and 48-Sided 3D Puzzle.

Takemi is also a potential love interest. If players choose the romance route and reach rank 10, they can invite Takemi to spend Christmas Eve together. Her present is a Muffler, and in New Game Plus runs this item will give players extra points from the same-Arcana bonus. Joker can also spend time with Takemi on Valentine's Day to get Takemi's Chocolate (an item that restores all SP to one ally), and date her on White Day.

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Rank 1

persona 5 royal death 1 choice

Players can start the Death confidant as early as 4/18, which is when Morgana suggests asking the doctor about her special medicine. Most of the dialog choices don't matter, but the last one can give players a few starting relationship points.

  • Fine by me. 2
  • Please go easy on me. 3
  • So many pretty lights... 2

Players can get an extra point by holding a Death Persona in their stock, and the point values in this guide will assume that players are doing so. For establishing the Death confidant, Joker unlocks Rejuvenation, which adds Takemedic-All and Takemedic-All V to Takemi's inventory. These items restore 50 or 100 HP to all allies.

Rank 2

persona 5 royal death 2

Before starting this event, Joker will need Guts 2 (Bold). During the second clinical trial, an officer shows up to harass Takemi.

  • I have a bad heart. 2
  • We're on a date. 0
  • I know my rights. 0
  • I agree. 2
  • Harassment? 0
  • The Plague? 0
  • I'm totally fine. 2
  • I feel lightheaded. 0
  • I think I have superpowers. 2

For getting through the trial, players are rewarded with a small Guts boost.

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Rank 3

persona 5 royal death 3

The next trial gets interrupted by a phone call, and Takemi mentions her bad reputation in the larger medical field.

  • What was that about? 0
  • Was that an emergency? 0
  • A medical error? 0
  • What do you mean? 0
  • I don't mind. 2
  • Is it true? 0
  • I need the medicine. 2
  • Of course not. 2
  • I don't think I did... 0
  • Have you? 0

Joker gets another small Guts boost and unlocks Sterilization. This adds Rejuvenating IV, Kajaclear-R, and Kundaclear-R to Takemi's inventory. The first item restores HP in safe rooms while the other two items clear enemy buffs and ally debuffs during combat.

Rank 4

persona 5 royal death 4

A young girl suffering from a rare disease shows up in the clinic one day, and Joker volunteers Takemi to take care of her.

  • You'll be okay. 0
  • Dr. Takemi will help. 2
  • You seem happy. 3
  • You're so kind. 2
  • Why free? 2
  • I'll reflect on my mistakes. 2
  • But she ended up okay. 0
  • Punish me more. 0

The rank reward is another small Guts boost.

Rank 5

persona 5 royal death 5

Takemi starts opening up about her past, and she explains how she lost her last job at a hospital.

  • They trust you. 0
  • Was it really your fault? 0
  • I had no idea. 0
  • It's not too late. 0
  • That's good. 3
  • When will it be done? 2
  • ..."Probably"? 0
  • About Miwa-chan? 2
  • About Oyamada? 0
  • About Crawford-Ende's? 0

Joker gets another small Guts boost and Immunization. This is a big one, because it unlocks a set of accessories offered exclusively at Takemi's clinic: Regen Patch 1, 2, and 3, and SP Adhesive 1, 2, and 3. These items are expensive, but equipping them gives the character the passive skills Regenerate or Invigorate. Takemi also adds Takemedic-All Z, which restores 200 HP for all allies, and Life Ointment, a full-HP revive item.

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Rank 6

persona 5 royal death 6

This event takes place outside Takemi's clinic, which means it can't happen on rainy days. Takemi is starting to get locally famous since the father of the girl from last time went out singing her praises.

  • Well, someone's popular. 0
  • You seem annoyed. 0
  • Did something happen? 0
  • Having fun? 0
  • You ARE a genius. 0
  • You're a masochist. 0
  • It suits you. 3
  • You're not honest. 2
  • You can count on me. 2
  • I think I'm at my limit... 0
  • Anything for you. 2

Joker gets another small Guts boost from this rank.

Rank 7

persona 5 royal death 7

Word of Takemi's practice gets back to Oyamada, the man who ruined her career. He's back to threaten her to get out of the medical business for good.

  • This is harassment. 2
  • She's a great doctor. 2
  • Please be quiet. 2
  • Don't lose hope. 0
  • Let's ask for details. 0
  • ...... 0
  • Just rest for today. 2
  • Anything I can do? 2
  • Let's retaliate. 0
  • It was inevitable. 0
  • We all do sometimes. 3
  • I'm glad you did. 2

Joker gets another small Guts boost from the clinical trial, and for sticking up for her Takemi gives Joker a Discount. All items at the clinic, including the accessories, are now 50 percent off.

Request

persona 5 royal death request

The next event doesn't improve Takemi's rank, but players need to see it to continue this confidant. First, however, Joker will need Charm 4 (Charismatic) to get through to Takemi.

  • What about Miwa-chan? 0
  • You okay with this? 0
  • Don't give up. 0
  • Anything you can do? 0
  • I'm your ally. 2
  • You gonna run away? 0
  • And your patients? 0
  • What's his full name? 0
  • Tell me about him. 0
  • I won't do anything. 0
  • It's for my research. 0

This event will unlock the Mementos request "Bad Medicine," and players must clear it to continue with the Death confidant. Oyamada's Shadow is on Chemdah Area 2, and it turns into Thoth. Thoth has a strong or better affinity with every magic element, so focus on Physical attacks to take him down. After the fight, Oyamada's Shadow drops a Mediarama Skill Card.

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Rank 8

persona 5 royal death 8

During the next rank event, Takemi will get some incredibly good news now that Oyamada has had a change of heart.

  • Miwa-chan is alive. 0
  • Oyamada lied to you. 0
  • You should hurry. 2
  • Let's get to work, Doctor. 3
  • It's not over yet. 3
  • It's for Miwa-chan. 3
  • It's for my exams. 2
  • It's for you. 3
  • I'll be cheering you on. 2
  • Don't burn yourself out. 0
  • Anything else I can do? 2

This rank comes with another small Guts boost.

Rank 9

persona 5 royal death 9

The tailored medicine is finally ready, so Takemi sends it off. This event takes place at Inokashira Park, so it's unavailable on rainy days.

  • Don't worry about it. 2
  • It was for my exams. 2
  • It was rough. 3
  • That's troubling. 0
  • And your patients? 0
  • I wanted to see you. 0
  • It was for my exams. 0

If players choose the first response:

  • I love you. 2
  • What do you think? 0

If players choose option one again:

  • It isn't a joke. 3 (romance flag)
  • That sounds good. 0

If players are on the friendship path:

  • You're welcome. 0
  • It was a breeze. 0
  • I'm glad we saw it through. 2

If players are on the romance path:

  • It's true love. 0
  • So did you. 2
  • I've always loved you. 0

Rank 10

persona 5 royal death 10

The rank 10 event is completely different on the romance and friendship paths. For one thing, the romance event takes place at night, while the friendship event takes place during the day as usual. Relationship points no longer matter, but players can get the best results from choosing any, 2, and 3.

The final confidant ability is Resuscitation. Takemi's inventory expands to include Reviv-All (revive all allies to half health), Renew-All (revive all allies to full health), and both Magic and Physical Ointments (these items create magic or physical barriers that reflect attacks). Finally, Joker gets access to Alice, the most powerful Death Persona.

On 3/19, Joker can stop by the clinic to meet with a max-rank Takemi and get her Dog Tag. During a New Game Plus run, players with this item will get full access to Takemi's inventory once they restart the Death confidant. However, this doesn't include the discount.

Persona 5 Royal is available now on PC, PS4, PS5, Switch, Xbox One, and Xbox Series X/S.

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