Dr. Mario performs a reverse roundhouse kick from his outside leg, which can be angled, allowing it to have 2-frame potential with the downwards angle, and slight anti-airing potential with the upwards angle. Comparatively, it is almost the exact the same as Mario's forward tilt, but deals 0.84% more damage. Otherwise, it has similar use, being able to be used in locks due to the Sakurai angle, as an out of shield option, while also staying a punishable move with low kill power. The slight damage increase allows the move to knock away opponents slightly farther, while also having slightly less locking potential.