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I think the author did try to do that in the arc where she had to choose to save people between two different parties. But she ended up saving both of them, so it might seem unrealistic. However, I think this is the kind of story you go in knowing Elise is more than capable as a doctor.
Besides that, I don't think she needed a moral dilemma. She was mainly a static main character because it was the people around her that needed to develop. She's already retained the memories of her past two lives and suffered many challenges there. The author sets this up in the beginning to show that Elise as a character has maxed out in development, and now as the audience, we will see how she lives the same life again as a fully developed character without needing to go through any internal dilemma.
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But I felt like it was a just a bit STALE because of that. Like after 100 chapters she never once had ONE intruding thought? Ik she wasn’t the one who was meant to have trauma or anything but with everyone changing and evokving around her and her just staying the same it just didn’t seem right to me.
Okay as much as I liked this, it had a bit of a stale ending to me because Elise got no character development and in my opinion no real personality. She was forever the blonde do gooder, the doctor that always succeeded and the optimistic FL. Like not once did she have a thought to question her moral compass, while the ML had a BUNCH of these thoughts. I feel like a good chance for the authors to do that was wasted. She could have went on the moral question of "is it right to save one murderer who goes on to kill 30 innocents" or something akin to that but she just didn’t....she never even failed ONE surgery which in my opinion was not only unrealistic but didn’t make her mature