Blu-ray Movie TOKYO MER: Mobile Emergency Room - Deluxe Edition Considering the wear and tear from previous viewings, this is the condition of the item. However, I have confirmed that it plays without any issues. There appear to be no noticeable damages on the disc, but this is a second-hand item that has been in someone else's possession. Please refrain from purchasing if you are looking for a pristine item or do not understand the nature of used goods. Everything in the photos is included. There may be missing items that I am unaware of, so please check the images for the included accessories.