Grand Theft Auto III – The Definitive Edition

Grand Theft Auto III – The Definitive Edition

29 Achievements

1000 XP

25-30h

Epic
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Playing Doctor

Playing Doctor

Complete Paramedic level 12.

35 XP

2.0%

How to unlock the Playing Doctor achievement in Grand Theft Auto III – The Definitive Edition - Definitive Guide

Wow was this a pain when the gangs are attacking you, but I finally just got it and wanted to help others out that are on the second island and don’t want to restart from the beginning. I used this guide I found on YouTube for the second island.
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24 Nov 2021 05:43

4 Comments
It's also easier if you do Donald Love's 'Grand Theft Aero' mission to put the yakuza in the construction yard, and before doing any of King Courtney's missions to trigger the Yardies. I think it's 'Kingdom Come' that you need to leave until afterwards.
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By Young Tobias on 07 Jan 2023 20:21
Just got the achievement. The thing that helped me out the most was despawning the cars/cartel members on the road. You can do this by moving the camera down until the cars are no longer showing then back up. This won't work with cars that are too close, cop cars, or your target. This works best on staunton island, it makes the roads like 90% empty and lets you speed between targets.
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By Phantom Bias on 11 Jul 2023 22:33
Before starting, break off both back doors and passanger door with baseball bat. Saves you a lot of time and makes things easier.
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By HamsterLV on 08 Sep 2023 13:56
This should be the top solution in my opinion. Tried neuromuscular times but kept getting killed by the gangs before I got to level 4. This video shows you the areas to avoid, got it my first try after watching.
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By Jamone the Afro on 25 Sep 2022 22:41
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Get into an ambulance and press cn_up to start the Paramedic mini game.
You will have to pick up patients all around town, that's why I'd suggest doing it right at the very start of the game as it's the smallest island.
This mini game will start of easy, but with every new level you reach, you must pick up an additional patient. As your ambulance only has 3 seats, you'll have to plan your route wisely, meaning, sometimes it's better if you only pick up 2 patients and bringing them to the hospital. Also, most of the time it's advised going for the patients which are far away first.

A few tips:
- Blue light and siren will cause madness on the streets, only turn it on when you feel you need it
- Block the road when picking them up, so your patient won't get run over by the NPCs
- Drive carefully, as you can't repair your ambulance and leaving it will result in a game over
- Drive carefully, or else your patients will die, which will result in a game over
- Learn the map, learn shortcuts and avoid running over too many pedestrians

Besides some cash there will also be some other rewards as you progress through the levels:
A health pack to your hideout.
An adrenaline pack to your hideout.
And once you finish level 12, you'll gain the ability to sprint without fatigue, which will be really useful for the rest of the game.

Edit:
Some commenters said that it is kind of tough to do on the first island because of the geography and patients being placed too far from each other. They said it will be much easier on the second island. So try that if you're having any problems.


If I missed anything, feel free to drop a comment below or if I should add anything!

Edit:
If you feel the need to vote negative on a working solution for a rather easy achievement, I feel really sorry for you.
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11 Nov 2021 23:02

37 Comments
Fuck this achievement I had 2 extra mins saved up then after my last drop off it adjusted my time to 30 seconds to reach everyone all at the edge of the map maybe if I didnt have to break everytime I slightly turn to dodge vehicles I could have reached one of them.
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By KeeperOfLaw on 12 Nov 2021 05:39
@KeeperOfLaw
Yeah, I know exactly what you mean. The same will happen during the taxi fare. The placement of the patients is random and the NPCs evil. Keep on trying, it'll work!
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By elefantenmensch on 12 Nov 2021 06:53
@elefantenmensch Thanks I somehow managed to get it done. Your guide/tips helped!
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By KeeperOfLaw on 12 Nov 2021 08:50
That's so frustrating. The van is ridiculously top heavy and tips easily. You definitely want to do this before opening up any of the other 2 maps because you don't want to be crossing over maps trying to rescue people. I tried yesterday and failed miserably. Going after it again today.
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By I ASK NO ONE on 12 Nov 2021 14:18
Got to level 11 and my ambulance decided to blow up randomly when it wasn't badly damaged..
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By CharnieBoy on 12 Nov 2021 15:13
I haven't tried it yet but the second island was always much easier for the paramedic missions in the original. You got more time and the map is flatter, so your ambulance is less likely to bounce around. However the Colombians are hostile and will shoot on sight, their 'turf'is right next to the hospital.
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By ChemicalEmotion on 12 Nov 2021 16:33
@ChemicalEmotion
That's yet another reason to do it right at the start when no gang is aggressive towards you. Also I didn't thought the ambulance was tough to control at all. Watch out for the traffic ahead of you, take corners carefully if you feel that the car is shaky...
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By elefantenmensch on 12 Nov 2021 16:51
2nd Island was way easier for me because the roads are more flat and you get more time for the passengers. You only have to avoid the constructon area for the enemies. Barely got a scratch.
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By Mac Chickgun on 12 Nov 2021 22:10
Think I’m gonna wait until I get to the second area because trying it in Portland has been utter hell. Terrible geography, never enough time, can only get past the first couple levels if the game blesses with you patients spawning close together. Absolute nightmare of a mission. Also I’m not attempting it at the ideal time since the Triads are hostile towards me, but most of the time them shooting the ambulance isn’t even the problem, it’s the other shit.

Also, this is entirely unrelated but has anyone got tips for the Wreckless Driving achievement? I’ve gotten “Perfect Insane Stunt Bonus” multiple times after jumping off a ramp and it’s not popping. Must be missing something.
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By Mrattty on 13 Nov 2021 07:04
@Mrattty
I'm having the exact same problem with the "Perfect Insane Stunt Bonus". It's just not popping for me. I made way over 20 perfect stunts, kind of frustrating for sure...
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By elefantenmensch on 13 Nov 2021 07:56
Wow this really isn't going my way:
Attempt 1: level 11 and ran over patient
Attempt 2: level 12, last patient and cartel blow me up
Attempt 3: level 11 game crashes
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By thug 4ng3l on 13 Nov 2021 10:34
I think some people try to do so on Portland because that's the only island where no gangs will be hostile towards you(well before completing certain missions). Whereas Staunton has Colombians and they're hostile towards you right from the get-go.
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By KCJ506 on 15 Nov 2021 07:36
Finally got this after a few attempts. Did it on Staunton Island. Much easier than Portland but it takes far longer. You're looking at about 70 minutes to complete all 12 levels. The timer is never an issue as you get loads of it per pick up, found myself usually having 6 minutes or so extra at the end of the higher levels. I recommend using the siren at all times except when approaching a patient so npc's don't run them over. Only collect one patient at a time in the construction zone to avoid the coloumbians and try to limit your time in the area. Your biggest obstacles doing this achievemenet are random game crashes, too many columbians spawning or not being careful enough driving. I got INCREDIBLY lucky in that I only had 5 construction site pick ups in total, my ambulance wasn't even smoking by the time I finished.
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By ChemicalEmotion on 15 Nov 2021 17:54
A few hours in I am struggling like a mofo on the first island (run out of time or flip the ambulance). Second island is even worse with everyone shooting me constantly. This is gonna be a pain in the a$$
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By jault0202 on 15 Nov 2021 18:33
Still working at this myself decided to try the 2nd city see if I can get it....Tip for everyone! Try bashing off the doors with a bat before starting the mission! They just jum right in n wasting time opening doors! Good luck everyone! This is a tough one!
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By DAMAGE873SIX on 16 Nov 2021 14:40
It is definitely easier on Staunton Island. Something that seems obvious but does bear mentioning is unless you are picking up a patient on one of the construction site roads, avoid those blocks altogether. You have enough time. Always go through the area by the college and stadium instead of cutting through the construction area. And don’t be afraid to drive safely. You’ll have the time. Avoid a shortcut if it has an uneven slope and could tip you over. I failed on level 10 doing this.
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By Trombonafide on 17 Nov 2021 04:03
How is Staunton easier? There are guys shooting at me whenever I go near the hospital. I can see how it 'would' be easier if this wasn't the case as the time bonuses are much more generous. Is there a mission you need to complete where you get completely left alone whilst here?
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By pantyhamster on 17 Nov 2021 10:45
Staunton is the easiest ONLY if you progress to the point of the story where the Yakuza occupy the construction site. There will still be a few Columbians lurking the area, but the Yakuza will divert their attention.
You also get a ton more time when you pick up passengers. Just be sure to use the handbrake instead of the normal one, to prevent topple.
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By DentonXCVI on 18 Nov 2021 03:32
At what point do the Yakuza start to occupy the construction site?
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By rubY kRueger on 18 Nov 2021 19:57
There is a glitch that will make your ambulance invincible, you won't be able to take damage can drive through buildings, lantern posts, pedestrians, you only have to be careful that gangs don't pull you out of the ambulance else it's mission over I recommend Shaunton Island for this as well. This video shows how to perform the glitch. Note: If you get out of the invincible 'ghost' ambulace you will not be able to get back in & you have to repeat the glitch again so make sure you make a save before doing this glitch. https://www.youtube.com/watch?v=PkLnQoj8TIQ&list=LL&...
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By Fonorona on 18 Nov 2021 23:24
First, I wanted to share my pain as my game just crashed with the 10th patient in the ambulance on level 12.

Second, a tip for those doing this on Staunton after finishing the game: Stick to the west side of the island to avoid gunfire from gangs and the crazy traffic. I had a lot less issues when sticking to the roads south of the stadium.
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By Toni Cipriani on 19 Nov 2021 19:27
I wanted to say after 30 attempts I crossed my fingers after reaching lvl 12 and only 3 patients left to pickup and I got dragged out my vehicle in Staunton I’m trying to 100% and not start over it’s been frustrating as hell any easier way to do this? Without always reloading my game and going thru it again?
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By Nostradamus1214 on 23 Nov 2021 00:35
I'm having a bad time to do it on the 2nd Island with the yardies and the colombians after me. I've tried to stick to the west side of the island but still need to pick pacients on the gang zones.
what do you guys think about the 3rd island? does it have any gangs?
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By DavidMSantos10 on 25 Nov 2021 18:51
It took me over 30 tries to this and i finally did it . It was so tricky even more worse than vice city.i did it very early in the game like right after the 2nd mission of main story .
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By MarcusGearHero on 28 Nov 2021 08:40
Picking up my last patient level 12 and then my car randomly starts flying in the air for no reason and blows up headspin
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By DevilsNightt on 28 Dec 2021 07:15
My first patient on level 12 yesterday, I ran over.. As soon as level seven started just now, I randomly got busted... No luck for me yet.
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By Mahgin on 02 Jan 2022 13:29
All the issues you guys are having are completely unfamiliar to me.
I did it as one of the first things overall in the game on the very first island and also on my very first try. Allthough I have to admit, I used to play the game years ago a lot.
Shortcuts are easy to spot, gangs are no problem at all and the map is pretty clear. You should definatly try it there first!
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By elefantenmensch on 02 Jan 2022 17:33
Staunton Island after completing Donald Love's mission "Grand Theft Aero," hands down! You will take little to no gunfire in the construction site since the Yakuza will keep the Cartel busy!
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By DeadRisingBully on 25 Jan 2022 01:20
Holy shit, I’m glad that I’m not the only one at least. Give this a try. First 5 times in the ambulance, each time it does full Star Fox barrel rolls every time I try to take a corner. I don’t see how anyone is completing this.

Edit: Coming back to this comment after 3 - 4 hours of trying. I’m convinced that it is physically impossible to do this on the first island. The map is nothing but sharp curves, near constant gridlock and the way points are ridiculous. I’m consistently getting impossible markers, telling me to traverse large regions of the map in 15 seconds.
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By Flik Nightshade on 12 Feb 2022 18:59
How you suppose to avoid construction area if you got patients to pick up there?
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By A 0 UB3RLOZ3R on 15 Feb 2022 00:26
i felt it was easier in portland even when i had the rriads after me i got lucky and most patients werent in chinatown
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By A 0 UB3RLOZ3R on 15 Feb 2022 01:47
I really recommend doing it with sirens on not off. Did it on first try using this method. And Staunton Island is easier as well, less chance to flip the ambulance.
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By chudasu on 24 Feb 2022 15:59
The second island is the way to do it. I avoided the construction area and planned my routes accordingly. The timer and roads are much more forgiving, and I'm pretty sure that dropping of patients heals your ambulance. There were a couple of times where it started smoking and then it went away. I did it my first try on the second island.
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By xPrivatexDonutx on 13 Nov 2021 12:02
Managed to get it done on Staunton. I have no idea why anyone would choose Portland instead. The only disadvantage to Staunton is the time it will take, as it’s a bigger island, but you’re often given well over a minute for each patient, so you rarely if ever have to worry about the clock. The construction site can very easily be avoided, and when a patient does spawn there, it’s easy to just drive in real quick and get him, there aren’t too many enemies. Also, I guess one extremely slight disadvantage of Staunton is the hospital layout. It’s better than Portland but the only downside is there’s only one way out, so be careful about backing over patients after they exit, happened to me on level 8, was pissed af. Also did it by mistake on level 10 but thankfully they didn’t die. So yeah, Staunton is absolutely the way to do it.
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By Mrattty on 13 Nov 2021 22:09
Got this on my third try in Portland with only the Triads as an enemy. Everyone is pretty close so time was barely an issue. Just have to watch for Triads trying to pull you out of the ambulance and take it slow when you turn. The brake is your friend when going up or down grassy areas so it doesn’t flip.
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By LastActionHer0 on 23 Nov 2021 21:03
I honestly thought I was never going to achieve this. It's a combination of luck, patience and good driving. I do recommend going first for the nearby goals to add time to the clock but keep in mind that sometimes going to the hospital doesn't give you extra time. The best island for doing this is the second one, as soon as you get there, before the yardies hate you. And if you need to enter the Colombians territory, prepare to flee in a hurry and maybe kill one or two before they burn the ambulance. Good luck.
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By AcaElic86 on 11 Dec 2021 18:17
Did this first try in Staunton Island after I had finished the game so had all gangs hostile to me as well. I didn't find it particularly hard although when you see the timer with like a minute left or see the ambulance fuming it does become a little scary. Here are some tips:

- You do have a fair amount of time given to you so don't panic, don't rush. Stay calm and follow your route at a good pace but in a careful way
- Avoid hitting things as much as possible as unlike with the vigilante missions you cannot trade vehicle
- As long as you're no stopped getting shot at by gangs I wouldn't worry too much about that
- Use the siren. When you get used to how traffic behaves to it it is actually very useful. Just make sure to stop it when picking up people or when unnecessary as it can have very dire consequences lol
- In gang areas especially try to stop right next to the NPC so that picking them up is quicker and you avoid getting shot at or hijacked
- As soon as people get on you can get going
- Beware of hijacks
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By Solid Snake RL on 18 Nov 2021 10:52
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Just an opinion but I found this infinitely easier with the siren on when almost every guide out there recommends turning it off, I found that traffic cut me up far less often and the cars were so much easier to avoid, I had attempted this achievement for about 8+ hours without the siren on and was always finding myself just hitting a car and then toppling over.

With the siren on I feel like you only have to worry about lampposts and going too fast. Traffic becomes less of an issue with this method.

Anyway this is just my opinion and maybe it will work for some of you guys.

Best of luck with this annoying achievement.
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14 Nov 2021 00:15

7 Comments
I agree, managed to do this last night. Only time I turned sirens off was near patients, as I noticed when cars go to move out the way they mount the pavement heading straight for the patients. Just takes a bit of patience to get this one done!
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By AntDrew21 on 15 Nov 2021 06:33
done it first try with them on thanks for the tip on it you saved me some money
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By Horizon Thor on 22 Nov 2021 00:22
My first few attempts without siren always ended with the ambulance on its roof due to pyscho drivers, having the siren on I did it first try. Still need to watch out for their crazy maneuvers when they're attempting to get out of your way, but found the traffic was a lot slower so wasn't getting rammed.
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By Ben21L on 23 Jan 2022 22:18
Got it after 7 attempts. The hardest bit for me was the start of every level when you only have a minute or so. Once you've dropped some people off you'll have about 4/5 (maybe more) mins to scoop up the rest and at that point it's best to just focus on good driving (no crashes and predicting the traffic etc).
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By somerandomguy97 on 11 Jun 2022 17:48
I was able to do it. A tip I could give is to use your siren strategically on an off in certain situations were it seems fit. Don’t have it on constantly help me out. I also did it on the 2nd island.
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By WarMachine9494 on 25 Sep 2022 07:23
siren off, just look away from the traffic and u have no traffic, have more problems with the gang members killing my car or random crashes which flip my car. so hard...
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By VanGeko on 18 Jan 2023 01:11
I did it on my first attempt, and while I have to say siren on is a must, you also must be aware of the cops because they don't slow down for nobody lol. Twice I evaded the cops 1-star while picking up patients. The only other advice I really have is get used to which way the cars want to move out of your way. Sometimes on-coming traffic isn't as conducive to get out of the way. Lastly, sometimes it's smarter to just go back to the hospital to drop off 1-2 people even without the purple dot to allow you to pick up three in the other direction.
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By Dragonborn Gear on 22 Jun 2022 00:37
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Some say that Staunton Island (second island) is way easier than Portland Island (first island). But note that the further you'll be in the story, the more gang members shoot at your ambulance. Going back to Portland Island (first island) and retrying it there will be more impossible than Staunton Island.

I regretted I was waiting for this second island. I think it's better to do this achievement immediately after the first mission when the gang members are not hostile yet. Starting a new game was no possibility for me, because I also want to have the 100% achievement and reaching Paramedic level 12 is also a requirement for that, and I already did all stunts, rampages, hidden packages etc.

After many evenings I finally managed to get this achievement in about 1 hour and 30 minutes.

Some tips for Staunton Island if you didn't go for this achievement in the beginning of the story:

- Make sure you put an ambulance inside your garage and save your game. If you fail, you can reload the game and try again, without searching for another ambulance.
- Before you start the mission, kick out the right- and back doors of your ambulance. Patients will get in a little bit faster. Maybe it doesn't seem to make a big difference, but in the end it is really a time saver. And when you have to pick up a patient in the war zone (construction site and big street on the east side), this is really useful to leave this area as soon as possible.

- Try to avoid all streets around the construction site (Columbian gang) and the big street on the east side of Staunton Island (Yardies gang). Don't use this streets unless you have to pick up a patient here.
- When exiting the hospital, drive all the way up to the stadium to avoid the construction site.
- You may take the hospital stairs as a shortcut, but be careful to not make too many collisions.
- If the street in front of the hospital is jammed, you may take a shortcut into the campus (across the hospital stairs) and then drive to the stadium.

- Pick up patients close to the hospital first. This should give you a lot of time in the beginning of a level.
- Then pick up patients on the west side and south side of Staunton. Any damage to your ambulance gets repaired slightly when you deliver patients to the hospital. If you don't cause any damage when going all the way to the south side, any previous damage may be undone.
- Patients in the war zone (east side and construction site) should be picked up last. By delivering other patients first your ambulance could have been repaired a lot so you may enter the war zone with a healthy ambulance, which will take the gangs more time to shoot your ambulance to fire.
- If you picked up a patient in the war zone and your ambulance is smoking, return the patient immediately without picking up another patient in the war zone, to get your ambulance repaired a little bit as soon as possible. You should have more than enough time to do this.
- Especially when you reach level 10, 11 and 12, don't take too much risks anymore. For example, if you had to be on the east side, turn around and go back to the hospital on the west side of Central Park, because on the east side the Yardies gang may shooting you.
- If a patient spawns at the upper right corner of the construction site, don't use the construction site streets, but go through the grass on the east side of the hospital. Be careful here not to roll over.

- Switch to first person view. It will be way easier to avoid cars and objects on the road. It will also be easier to see when your ambulance starts smoking.
- If you go down the stairs at the hospital, switch back to third person view.
- If you enter the war zone, do especially switch back to third person. Some gang members may try to drag you out of your ambulance which you can't see in first person view.

- Do turn your sirens on. Otherwise some roads and intersections would be really jammed by cars and they won't move at all with your sirens off.
- Do not drive on opposite lanes. Really. Cars on opposite lanes are more unpredictable with your sirens on than cars on the correct lane.
- Stay behind a car until you know what direction he will go when he hears your sirens.
- Some cars don't respect your sirens. And some cars will stop in the middle of an intersection. And police cars also won't move away for you.
- For some reason I saw some cars exploding randomly during level 12. Stop driving and wait from a distance until all nearby cars are burned out.

- Use your handbrake a lot. If you think your ambulance starts rolling over, press the handbrake and stop driving until you're balanced again.
- Don't use the gas all the time. Just slide through turns and bumps without using the gas to avoid rolling over.

- If you have to pick up many patients, go to the map and make a plan which three patients to pick up. Eventually do make a plan.
- If you feel your heart rate going up, take a break. The sirens sound will become really annoying the longer you play.
- Practice a lot. After work or school, turn on your Xbox, get in your ambulance which you should have parked inside your garage, and start this mission. If you fail, turn off your Xbox and go read a book or something. Don't progress any more in the story because I read the gangs will get heavier weapons after the story is finished (I can't confirm yet). Instead, try again next evening. Eventually even the unpredictable traffic becomes a sort of predictable to you.
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12 Jan 2022 22:28

A few tips for people who, like me, will do this after completing the main storyline. Following these rules, I did it the second time in just over an hour.

Staunton Island is the best island to do this. There are too many enemies in Portland shooting at you, and Shoreside Vale is very bad logistically.

Use sound signals - drivers slow down and move away from the road.

If there is heavy traffic - move the center of the street or the sidewalk. In the case of a sidewalk, try not to run over pedestrians. The police are the last thing you need.

Use shortcuts - stairs by the hospital, trees by the stadium, under the bridge and gaps between buildings. Try to use them, but watch out for uneven terrain - especially under the bridge.

Reduce the time - when picking up patients, I tried to manually position the ambulance so that the patient was as close to the door as possible. You can also sense 1 second from the moment the animation starts, the patient gets in to move on. At the hospital, I turned the ambulance facing the stairs, so that I could start practically immediately without fear of hitting the patients getting off the ambulance.

Avoid the construction site and the main street - the idea is to avoid the Colombians and Jamaican shooters. If you have to enter these areas - always use the method of shortening the time.

Plan a route on each level - I did this so that I first collected the three patients closest to the hospital to gain some time, and then took those who were farthest away.

Do not rush to high speeds - the ambulance has very poor grip and it is very easy to knock it over when you turn harder. Only accelerate harder on straight roads with no traffic. It's best if you can sense the ambulance moving in advance. Be prepared to brake at any moment, in case of stupidity of the drivers or just to save the card - exiting it cancels the mission with all the progress Believe me - when planning the route, the game gives you enough time.

Rain - rain further reduces the ambulance's grip.

Other drivers - drivers in GTA3 do things that are sometimes hard to expect. You won't believe it, but on the first attempt in the 12th round I rolled over only because I wanted to replace the car on the right, which had just started and turned right.

Do not use minimap zoom out - in case you have missclicka and canceled the mission;)

Good luck!
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05 Aug 2022 12:11

First of, I've found it waaay easier to complete on Staunton Island (maybe because I've completed Trial By Fire before attempting those paramedic/vigilante missions and diablos become hostile).
Second, majority of the terrain is plain flat, so there's less chance to flip the ambulance.
Third, you're given much more time - often I've finished level having 3-5mins extra.


what I've learned during my attempts to get this one + what I've read while looking for help:

1. I've followed uneed2chill advice and turned the siren on - once you understand npcs behavior, it makes driving a lot easier, no traffic jams. Only turned it off when approaching people I had to take on board, since cars can ram over your patients

2. stay away from the construction site on Staunton Island, as colombian cartel is hostile towards you from the start. Instead, go next to the stadium. It will take longer, but no one is gonna shoot at your ambulance and fortunately, you'll have more than enough time

3. plan your pickup route - you don't have to fill up the ambulance every time, sometimes it's wiser to drop off only 2 patients than going to opposite side of the island just to get one more patient, if you're gonna drive there anyway for other patients later

4. use handbrake cn_RB ALL THE TIME - this one is crucial and I cannot stress it enough - thanks to handbrake, I've never flipped the car, it magically gains some traction and firmly sticks to the ground

5. when picking up patients, when the back door opening animation starts, you can start driving without the fear of leaving patient behind. Not the case with passenger doors, here you have give patients some time


still took me multiple tries, but once I've got the hang of it, the rest went smoothly, completed level 12 without any smoke from under the mask
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01 Oct 2022 00:20

Tips from a former paramedic. It's best to get this done before you start any of the main story mission on Portland. This guide will be specific to Portland.

1) Go with lights and sirens. Traffic will either stop or get out of your way. Without the sirens, you are at the mercy of the crappy driving. Play some music in the background. Sirens have a psychological effect, making you want to drive faster than is safe to do (taught in EMT school).

2) Steal a Yankee boxtruck and park it in the crosswalk of the T-intersection across from the hospital. This may help relieve some of the traffic at that intersection. Also, try to take down the light post between the hospital and the police station (definitely not taught in EMT school).

3) Slow is fast. Go slow through the intersections. You are more maneuverable when you are going slower. You will not have to waste time backing up after a crash, which will save you more time. If you have the road to yourself, drive on the dividing line. This will give you 1 second of reaction time if you see another vehicle coming towards you. Only go fast on the straightaways without any traffic.

4) Check your map frequently. Plan your route and plan on clusters of 3 patients. You should get the group closest to the hospital.

5) Set yourself up so that one of your patients is on your right. They will automatically get in the passenger side.

6) For the 2 patients who go in the back, stop in front of them. This blocks the road and they do not start moving until you stop. Start moving once you see them step into the rig. Don't wait for those doors to close.

7) Once you get the Patients Delivered message, start driving away from the hospital. Go into the hospital through the entrance by the police station, but leave through that narrow opening between the wall and the light posts. You do not want to risk running over the patients! Do this and you will be on the street when the timer starts.

8) Know those shortcuts. The one behind the hospital to the import garage will save time.
The one going across the grass to Joey's Garage is another one.

9) Practice before you do it for real. Steal and ambulance and get comfortable with exiting the parking lot by the light posts on the sidewalk. Get a good feel for how it handles. Use the hand brake (RB) to stop. Get a feel of how to correct skids in it.

10) This is a consecutive mission. You need to deliver 78 patients to the hospital in order to pass. You get the adrenaline spawn after 75 patients are delivered. Don't forget about those last 3 to complete the mission.
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16 Apr 2022 15:32

Just got this myself, did it in Portland before unlocking Staunton Island. Unfortunately, the Triads made this quite difficult, so I picked up some techniques to counter them. These are my strategies:

1. Prep the ambulance by taking a bat and knocking off the three passenger doors, and protect the driver's side door for as long as you can. Aside from shorter patient animations to try to shave time, it often gave the edge that I needed to grab the patient and escape from a Triad that is attempting to pull me from the vehicle.
2. Really learn the routes. I did this after the taxi missions, and still picked up new routes as I attempted this achievement. This helps with avoiding Chinatown at all costs, approaching the hospital from behind, dodging through the construction, and getting through the port area quickly.
3. Slow is steady, and steady is fast. The ambulance has a high center of gravity, and rolls at the slightest provocation. Let off the gas and use the brake when weaving through cars or taking a sharp corner. When you're taking a hard corner at speed or are tipping, use the hand brake.
4. Use the siren. I had great success with cars stopping and moving out of the way, including waiting to turn until I pass. Beware of cars that dodge you by running over your patient; I haven't had one die due to that, but several were flattened. I turn off the siren when I need great precision, or when a patient may be run over.
5. Be very careful when approaching patients, as patients will frequently start running for the front seat as soon as you are within their radius; if you fly by, hoping to put them in the back seat, you may run them over.
6. Pre-emptively running over gangsters on the sidewalk before they are a threat can be a great help when you're in a rough neighborhood.

Above all, keep trying! It took me several hours to knock it out today, and handling the ambulance and dodging the Triads became more intuitive over time.

Edit: I cleared level 12 twice more since then - once at the same point for a friend, with hostile Triads and friendly Mafia, and again with all friendly gangs at the beginning of the game due to having to restart for 100%. It is way easier to not have to worry about detours to avoid gunfire, getting pulled out of the ambulance, or the extra damage from enemies making mundane collisions potentially fatal. Do it ASAP if you are starting a new run.
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23 Jul 2022 12:52

There are already several solutions for this achievement, so the basics real quick: you begin this mission by entering an ambulance and hitting cn_up (at least in the default control scheme). Level 1 requires you to pick up one patient, Level 2 requires 2 patients, and so on. Unlike Vigilante, exiting your vehicle ends the mission, so it's that much more important to keep your ambulance in good shape.

The earlier in the game you can do this, the better, both because of the in-game rewards and because as the story progresses, more and more gang factions will attack you on sight.

The two major strategy points people argue about are where to do the achievement (as the game will only spawn patients on the island where you start the mission) and whether to have the siren on or off. I argue Portland is the best place to do this; while the hills can be challenging with a top-heavy vehicle like the ambulance, there are also quite a lot of shortcuts to get between streets and avoid traffic, while Staunton Island will involve a lot of straight-line journeys that you can't really optimize; I haven't tried doing Paramedic in Shoreside Vale. I recommend having your siren on, as it will at best get traffic out of your way and at worst bring it to a stop so you can navigate around it. You really should only floor it when you get a straight stretch of road that doesn't have any cars.

In preparation I recommend getting to know as many shortcuts as possible in Portland, but in particular these ones around the hospital are super important. The road that runs south from the hospital doesn't connect with the 8-shaped road further south, but being comfortable cutting across the lawn to get to it will help you a lot when there's patients in the industrial area. Similarly, figure out a path through the trees east of the hospital that works for you, as that will allow you to cut through when patients spawn over there. Finally, get comfortable with driving into the patient drop off from both the north and south; it's a lot wider and easier to get into when you're coming from the south, but entering from the north when you're coming that way will save time over having to spin around to take the southern entrance.

The game tends to spawn patients in clusters, especially when you get to the higher levels. Always start off a level by looking at the map and planning out where you're going to go. Don't always feel like you need to fill up your ambulance; if there's one or two patients who are in a totally different part of the map than everyone else, just drop them off before heading out. The game always gives you extra time when you pick up a patient, and sometimes on drop off as well; I haven't figured out exactly what criteria determines if you get a drop off bonus or not. I've seen other guides advise to always go to the farthest group first. While I think that's a generally good strategy, I think you should first prioritize whichever group you happen to be facing when you start the level. You'll occasionally get groups of four, so just be mindful when you're planning your routes.

Finally, the most important element for success in this mission is how you drive. I found these elements really important:

    If you're driving on a hill, especially downhill, try to go straight with the incline as much as possible; anything else is a risk of flipping over. It's worth tapping the emergency brake (cn_RB with the default controls) before changing directions on hills.
      Always use the emergency brake to come to a complete stop when picking up patients. The regular brake doesn't slow you down fast enough and you might accidentally back up and run over the patient.
        Patients have a relatively long animation for getting in the ambulance. If you drive too early in the animation you'll interrupt them and they'll have to start over, but you don't have to wait for the full thing to complete; experiment with it a little to get a feel for when you can start driving safely and not lose them.
          Patients start getting out of your ambulance as soon as the blue circle disappears. You can safely drive forward as they're getting out; I don't recommend reversing over them because it can sometimes fail the mission.
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          01 Apr 2022 00:06

          I recommend doing the ambulance missions in the beginning in the game because Gang members won’t be coming after you. When doing the ambulance missions You’re siren is you’re best friend and you’re enemy, use it when necessary like when you turn a corner. When turning use you’re handbrake and brake a tiny bit. Another important thing is when you pick someone up from the back of ur car the second they change animation you can drive off. On the side of ur car you have to wait till the open the door then right before they get in start driving off. Last thing is you have to think about people before getting them like go in you’re map think to you’re self How close they are and if they’re is 3 people you can pick up. If they’re is 2 people you can pick up that are close then they’res 4 that are far, depending on the time you can drop off those people. Best of luck to you all!
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          02 Apr 2023 21:35

          For this achievement the easiest way to go is to do it at the very beginning of the game. Once you get in the ambulance make sure you press up on the D pad so that way the vehicles will move out of the way, The rest is fairly simple just be careful with the speed and use the quickest route to each pick up for each wave. If you do this achievement after the mission the “last requests” it will be way difficult where you’ll have the mobsters shooting at you get in their territory which some of the patients will be for you to pick up.
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          27 Dec 2022 00:19

          The easiest way to get the trophy is immediately after the first mission on the first island . So at this stage of the game, not a single gang is attacking you yet, all that remains is to keep within the timer and drive as carefully as possible, not to knock down passers-by, because... this causes damage to ambulances (an ambulance cannot be repaired by repainting, but after each drop of patients, the car is repaired by about 5%).

          If you have already completed the game , and all the gangs don’t like you, then I recommend completing the paramedic on the second island. The roads there are straight, there are many detours. The only difficulty you will encounter is two hostile gangs, on whose territory sick people may appear.

          Tips for passing on the second island:
          1. To quickly get to the southern end of the island, use the left side of the island. (Enemies never appear there, you can feel at home)
          2. When driving on big roads, you can clear your path. Turn the camera with the right or left stick so as not to see the road, thereby removing the cars ahead.
          2.5. This method can also be used to remove enemy gangs if you have to take a patient away from dangerous territory. Enemies may appear while you are standing still, but using this method allows you to reduce damage when approaching a sick person.
          3. At high stages of the test, first collect patients in the southern part of the island, and then the center and north.

          Extra tip for all islands:
          Passing the doctor's test on any of the islands is a fairly long process. At the time of writing this tip, the game tends to crash every 1-1.5 hours. I strongly recommend restarting the game before each race, because it will be very unpleasant if you crash during a sweaty, victorious run.

          I hope you learned something useful from my hint that will help you complete this hellishly difficult task.
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          15 Nov 2021 05:50

          3 Comments
          No need to go through the first island. You go through the easy route on the second island there and the time is given normally, and not 18 seconds and the time is given when you disembark, go around the area only where the devils are, so as not to shoot, and the map of the second island is more convenient than the first.
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          By Str1ket on 11 Apr 2022 14:03
          Now the game crashes too often (11/16/21), so don’t try to go around areas with gangs, but try to “clean up” cars and passers-by as much as possible by moving the camera left and right.
          So, don’t put off the trophy for later.
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          By danilocka on 16 Nov 2021 07:41
          Very light, but long extra. activity. I advise you to do it immediately after the first mission, because... you will get infinite stamina.

          For some reason, the main life hack is not mentioned in any of the tips: before you start, break the passenger and rear doors, so the patients will not waste time on the opening animation and you can pick them up almost without slowing down
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          By k1r1llka on 15 Feb 2024 12:23
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          You cannot use cheat codes like in the ps2 version, the trophy will not drop
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          11 Nov 2021 17:50

          3 Comments
          A hint for those who have not yet started playing the game and are just thinking - after the first mission, definitely complete this trophy!!!

          For those who went through a little of the plot, took it up and realized that the couple was not rushing, my advice is below.

          I passed on the second island as soon as I got to it. I found out about this trophy when I completed about 16 missions on the first island and even then it was not possible for me to complete this terrible trophy, since I was constantly being shot and for some reason there was a trick with a camera ( the essence of which is that if you move the camera and turn away from the trajectory of your movement, you will remove most of the traffic ) did not work for me on the first island, perhaps I just didn’t fully understand how to do it correctly, but on the second this feature made a big difference, since the roads are of course getting wider and it seems easier to navigate , but the traffic also becomes much larger.

          There was a hope that there would be new gangs on the second island and they wouldn’t press me, and this was justified BUT partly, because on the second part of the map they didn’t try to feed me so much lead and all that was left was to just hold out for so long (12 levels) on one car without crashing into or hitting patients (I probably ran over them more than saved them after a bunch of attempts..).
          It was partially justified because they would still shoot, but in a very limited part of the map, literally a couple of streets, where sick people did not spawn very often, and if they did, they would spawn somewhere in these zones and they could be easily picked up using a chip with a camera.
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          By Mikhail_Smile on 20 Jan 2022 03:04
          Try not to hit the car often. You can hit quite a few obstacles and it will survive, but not in a row. And use the brakes when turning. In this version, the ambulance seems to have become even less stable.
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          By MeJloman on 13 Nov 2021 15:34
          It's best to take place in Portland before the fight with the triads begins.
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          By Jeikobu on 14 Nov 2021 20:10
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