Plot
Pure Trance takes place in the future, after World War III, which left the surface of the earth inhospitable to life. The humans able to escape underground now live underneath a dome in Tokyo, Japan, while those unable to became creatures resembling brains with eyes and a spine. The people living underground survive on Pure Trance, nutritional capsules which have caused overeating in females to become a serious issue.
The plot of Pure Trance follows Kaori Suzuki, who works as a nurse at Overeaters Treatment Center 102 under the drug-addicted and abusive director Keiko Yamazaki. After the preventable deaths of three expectant mothers caused by a lethal combination of medicines, Kaori fights with Keiko, as their deaths could have been prevented if the director had not been experiencing visual hallucinations due to her addiction. Keiko develops a grudge against her and plots to replace the nurses with artificial nurses. Meanwhile the deceased women's fetuses—strong Yuriko; silent Rika, and twins Miki and Yuki, who possess magical powers—are raised in an artificial womb, and after they leave it, Keiko has her imprisoned by the artificial nurses Umeko and Takeko, and tortures her. When Keiko threatens to kill the children, Kaori escapes and brings them to the surface. Furious, Keiko orders security guard Kimiko and the artificial nurses to capture her.
While the children adjust well to the surface world, Kaori does not. After several years of living on the surface, she is captured and killed by Keiko, causing great distress to now-adult Rika, Miki, Yuki, and Yuriko. When Rika is revealed to be pregnant from one of her boyfriends, the twins reveal that they will die soon and Rika will die in childbirth. They suggest combining with Yuriko, and she accepts reluctantly. Afterwards, she finds Rika dead, and Rika's body sheds a brain-like creature, who holds her silent daughter, Yuka, before departing with the other brain-like creatures. Yuriko then raises Yuka, who grows by shedding her body. With parts of the dome breaking in Shinjuku, one of the twenty-three special wards of Tokyo, animals and plants from the surface begin to fall down; a research team finds the surface hospitable to life again, and take Yuriko and Yuka underground. The dome is dismantled, meat and vegetables are encouraged instead of Pure Trance, and a cure for overeating is developed from a surface-dwelling animal, causing Overeaters Treatment Center 102 to be unnecessary. Keiko is arrested for murder, and the artificial nurses are revealed to be pregnant, while Kimiko finds work as a wrestler. While hunting, Yuriko and Yuka stumble upon Keiko's prison cell, and Yuriko orders Yuka to kill her. The artificial nurses, meanwhile, give birth to a pair of daughters resembling Keiko.
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“The plot was most interesting. It belonged to no particular age, people, or country, and was perhaps the more delightful on that account, as nobody’s previous information could afford the remotest glimmering of what would ever come of it.”
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