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It was available as a reward for completing the weekly challenge "Deal Critical Hits to Enemies (0/150)" in Survival mode from April 2 to April 8, 2019. The weapon was then made available again from July 30 to August 6, 2019.
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Medical Malpractice was a reward for completing the weekly challenge of "Deal Critical Hits to Enemies (0/150)" in Survival mode.
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