To preserve the peaceful times of Paradise, the Astrostar must be cleansed by the Mamamega. This person is defended by her shrine maidens. Lilith has been selected to be a shrine maiden, and is given the task to select the other two. This goes awry when the young girl Rurubell wants to become one and others work from the shadows to sabotage both the cleansing and the coronation ceremony.

An executive accused of murder by his own victim is brought before the court of the dead to answer for his crimes.

知名製藥公司-泰達羅斯（Daidalos）的總部發生了一場爆炸案，一個少年被困在崩落的鋼架中無法脫身，生命危在旦夕。此時，在以不追究無照醫療行為的條件下，黑傑克進行了一場任誰都無法想像的「外科手術」… 同一災難引發了另一場悲劇：一位母親身受重傷而全身癱瘓，為了不拖累子女，她找來有「死神化身」之稱的奇利柯醫生以求安樂死。另一方面，他的孩子為了救母親，日以繼夜打工存錢，希望黑傑克為母親動手術。看著他們的身影，黑傑克不自覺想起自身的遭遇… 兩位醫師，一位要致死，一位要救命，就在秘密之島「伊卡洛斯島」上，黑傑克與奇利柯將展開一場生死攸關的衝擊性對決。爆炸事件的內幕為何？系列史上的最大危機，正一步步向這位天才外科醫生逼近！

2002年在TV版内容再次编集的基础上，上映的两部∀高达的动画电影《地球光》和《月光蝶》。