Mikan Tsumiki (罪木 蜜柑), is a student of Hope's Peak Academy's Class 77-B, and a participant of the Killing School Trip featured in Danganronpa 2: Goodbye Despair and its upcoming remake, Danganronpa 2x2.[11] Her title is the Ultimate Nurse (超高校級の「保健委員」 lit. Super High School Level Health Committee Member). She also appears in Danganronpa 3: The End of Hope's Peak High School, which explores her school life leading up to the Killing School Trip and The Tragedy. Mikan is an extremely meek, paranoid and fragile individual who suffers from hazardously low self-esteem as a result of severe abuse and bullying. This has resulted in many behavioral symptoms such as being easily intimidated, breaking down and crying with little provocation, profusely apologizing and nervously stuttering while speaking. She constantly worries about annoying, boring or offending others, going so far as asking Hajime if it would be alright for her to remember his name when introducing herself. This delicate persona, added by her lack of will to fight her bullies, makes her a natural target for Hiyoko's cruelty. Despite Hiyoko's bickering and attitude, Mikan still cares for her, a feeling that seemed one-sided during the Killing School Trip.