Otome Itami
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Otome Itami
You can't just take care of the patient's body. You gotta take care of the heart too.

Otome Itami is the elderly director of the Itami Hospital. She has worked with the police as a coroner on at least two occasions and is never seen without her granddaughter and assistant Tōko Mutō at her side.

Forging evidenceEdit

Main article: IS-7 Incident

In 2000, Chief Prosecutor Bansai Ichiyanagi blackmailed Itami into creating a fake autopsy report for Isaku Hyōdō, the victim in the IS-7 Incident, despite the body having gone missing before it could actually undergo an autopsy. The report was then given to Manfred von Karma, the presiding prosecutor for the case, and presented in court. However, the defense attorney Gregory Edgeworth knew that the body had gone missing, and so tried to prove that the evidence was falsified in court. However, von Karma had the backing of the police force that the autopsy report was legitimate. The trial continued for a year before ending in a conviction for Edgeworth's client.

Tsubasa Kagome's murderEdit

Main article: The Forgotten Turnabout
Otome Itami
I will accept whatever wrongs you may have done. Just tell me everything.

Itami with her granddaughter Tōko Mutō.

Eighteen years later, Mutō found Kay Faraday unconscious and took her to the Itami Hospital, where it was discovered that she had lost her memory. Itami was then called to the Prosecutorial Investigation Committee (P.I.C.) meeting room to act as coroner for the murder of Tsubasa Kagome. She relayed her autopsy report to Mutō to write down, and refused to let Miles Edgeworth near the body until Prosecutor Franziska von Karma arrived. She gave the written report to Yumihiko Ichiyanagi before leaving the meeting room. She and Mutō then bought cotton candy from a stand at the top of the tower before heading home.

The next day, Itami was summoned to the meeting room during a P.I.C. hearing to determine Edgeworth's future, as it had been discovered that the autopsy report she had given the police was incorrect. Itami was surprised when Edgeworth showed her that the information that she had dictated to Mutō was not what was written in the report itself. Mutō admitted that she, too, was being blackmailed by Bansai Ichiyanagi, who had threatened to reveal Itami's involvement in the IS-7 Incident. She had even been forced to act as an accomplice to Bansai's plot to kill Kagome, but her testimony to Edgeworth allowed him to prove that Bansai was the true culprit. Shortly afterward, Faraday finally regained her memory. Itami congratulated her and reminded Mutō that they had to mend hearts as well as bodies.

Von Karma took Itami and Mutō into custody for the crimes that they had committed. Since they had been blackmailed, they were not punished severely.




Itami dislikes having to speak up, so often relays what she was saying via her granddaughter. She is very opinionated and dislikes having her time wasted or explaining herself to other people. She occasionally hits Mutō on the back of the head with her cane and reminds her that bedside manner is just as important as patient safety.


  • Her full name comes from the Japanese phrase "Itami o tome" (痛みを止め), which means "stop the pain".
  • "Otome" (乙女) means "a young and pure lady, maiden or virgin", likely chosen to contrast with her aged appearance.
  • Itami's English name in the fan translation of Gyakuten Kenji 2 is "Bonnie Young", which is likely meant to have a similar meaning to her Japanese given name; "Bonnie" coming from the Scottish word for "pretty/attractive" and "Young" being in contrast with her age.