Recommended build
Revelation cards
Space card + matching set
Wisdom+ Oppression

Wisdom+ Pleasure

Perseverance+ Sorrow
P5X original
Joined during the post-launch roster expansion

Wisdom+ Oppression

Wisdom+ Pleasure

Perseverance+ Sorrow
No rotation entry is available in the imported source data.
Doctor mode: Deal Physical damage to 1 foe equal to 47.3%/52.2%/50.2%/55.1% of Attack (4 hits) and inflict 1 Bleed stack. Ripper mode: Deal Physical damage to 1 foe equal to 251.7%/277.5%/267.2%/292.9% of Attack, then remove 2 Bleed stacks from the target (can activate Rending effects).
Doctor mode: Deal Physical damage to 1 foe equal to 84.2%/92.9%/89.4%/98.0% of Attack (2 hits). At the same time, activate Bleed damage and reset the turn duration of the target's Bleed stacks 1 time. Ripper mode: Deal Physical damage to 1 foe equal to 251.7%/277.5%/267.2%/292.9% of Attack. For each Bleed stack on the target, increase the damage of Rending activated by them and this skill by 2%, then remove all Bleed stacks from the target (can activate Rending effects).
Switch to Ripper mode and change Kitazato's skills (can be activated when any foe has 7 or more Bleed stacks). When using skills in this mode, for every 3 Bleed stacks on the target, inflict 1 Rending stack (Physical damage equal to 66.7%/73.5%/70.8%/77.6% of Attack). After using this skill, Kitazato can use other skills and switches to Doctor mode at the end of the turn.
For every 30% of Kitazato's ailment accuracy, increase Physical damage from Bleed by 4% of Attack (up to 90% of ailment accuracy).
When in Doctor mode, increase ailment accuracy by 36%. When in Ripper mode, increase pierce rate by 21%.
Kitazato has 2 modes, Doctor and Ripper, and the properties of his skills change depending on the mode. He starts in Doctor mode. Doctor: Each time Kitazato deals damage with a skill, there is a 70% chance to inflict 1 Bleed stack on the target. When a foe with Bleed is defeated, its Bleed stacks are passed on to the foe with the highest HP. He can also spend SP to use Physical skills. Ripper: When Kitazato uses a skill, inflict 1 Rending stack for every 3 Bleed stacks on the target. Bleed: Each turn, deal Almighty damage equal to 1% of the target's max HP + Physical damage equal to 4% of Kitazato's Attack. This effect lasts for 4 turns and stacks up to 10 times. Rending: Deal Physical damage based on Kitazato's Attack and Nightfall's skill level (this damage cannot deal critical hits or Down Point damage).
In Doctor mode, the first time skill damage is dealt to each foe, inflict 5 more Bleed stacks on the target. In Ripper mode, when using a skill on a foe, increase that skill's damage based on the number of debuffs on the target. When they are inflicted with 10 or more debuffs, maximize this effect and increase skill damage up to 80%. Also, multiply Bleed's Almighty damage by 1.5.
Increase the Attack multiplier of Rending by 35% of Kitazato's Attack. Restore Kitazato's HP by 2% of Rending damage dealt (up to Kitazato's Lv. × 15 + 300 each turn).
Increase the skill levels of Moonlit Scalpel / Midnight Surgery and Thief Tactics by 3.
Highlight Enhanced: Increase Highlight damage by 8% for each Bleed stack inflicted on the target.
Increase the skill levels of Crimson Operation / Pathology and Nightfall by 3.
Increase the maximum stacks of Bleed to 13. Also, each foe will always be inflicted with 3 stacks of Bleed. When using Midnight Surgery in Ripper mode, do not remove the target's Bleed stacks. Also evolve Rending effects to Killing Frenzy, increase damage by 100%, and deal 50% damage to all other foes. Killing Frenzy can activate effects from Rending with all skills.
Imported from community-compiled English character data. Live values may change with patches.
Motoha Arai
Shun Kano
Riko Tanemura
Tomoko Noge
Lufel
Info compiled from official Global statements, the Megami Tensei wiki, Game8 and GameRant banner documentation. Snapshot: Global Patch 4.12 (November 2026).