Tsunade

Biodata

Feature	Information
Name	Tsunade
Alias(es)	Konoha Sannin; Fifth Hokage
Gender	Female
Affiliation	Konohagakure; the Konoha Sannin
Occupation/Role	Medical ninja; Fifth Hokage
Status	Departed the shinobi world with Tianqi and Karura 423
First Appearance	24

Power Progression

Stage / Realm / Level	Chapter	Notes
Early Genin combat training	27 34	Rapidly learns water-walking through chakra control; identifies taijutsu and basic medical ninjutsu as her primary skills.
Hundred Healings Jutsu acquired	44	Receives Tianqi's cultivation method for the Hundred Healings Jutsu, intended to let her fight at the front line while protecting herself.
Strength of a Hundred Technique completed	114	Years of stored chakra culminate in a black diamond-shaped forehead mark; her full-powered strike clears Tianqi's Thorn Forest.
Recognized as a Konoha Sannin	129 175	Tianqi publicly recognizes Tsunade, Jiraiya, and Orochimaru as the Konoha Sannin; they are later stated to have received the title from Hanzō during the Second Great Ninja War.
Hemophobia overcome	354	Overcomes the fear of blood that had prevented her from fighting and practicing medicine effectively.

Background

Tsunade is the granddaughter of Hashirama Senju and Uzumaki Mito, and the sister of Shinsetsu. As a young Genin, she is placed with Jiraiya and Orochimaru under Uchiha Tianqi's supervision at Sarutobi Hiruzen's request. Though she initially considers Sarutobi the strongest ninja in Konoha, she becomes increasingly curious about Tianqi and his past. 24 26 30

Her early aptitude lies in taijutsu, medical ninjutsu, and chakra control rather than conventional ninjutsu. During Tianqi's training, she quickly learns to walk on water, while Tianqi recognizes her potential as a future medical ninja. 27 34

Tsunade and Tianqi's relationship grows from a sibling-like dynamic into a marriage. By age seventeen, she and Tianqi are planning their wedding, and they later share a home together. 32 69 74

Appearance

Tsunade has yellow hair and is described as a beautiful woman whose mature appearance draws notice by age seventeen. 69 224

• Develops a black diamond-shaped chakra mark on her forehead after completing the Strength of a Hundred Technique. 114
• Possesses exceptional physical strength, capable of shattering terrain with a single strike. 114
• Is seen wearing an apron while preparing meals at home with Tianqi. 74

Personality

Tsunade is direct, emotional, and fiercely protective of the people she loves. When Tianqi is arrested, she immediately moves to confront the Anbu despite the danger, and she later attempts to stop him personally after his defection. 44 111

She can be impulsive in battle, particularly when Tianqi is involved, but she is also compassionate toward civilians, injured allies, and Konohagakure as a whole. Her grief over Shinsetsu and Dan Katō drives her toward medical research, while Dan Katō's death leaves her with hemophobia and causes her to leave the village with Shizune. 114 175

Tsunade also enjoys gambling and drinking, sometimes recklessly. Tianqi eventually finds her drunk in a gambling house after years apart. 223 224

Abilities & Skills

Medical Ninjutsu

Tsunade is regarded as an exceptionally skilled medical ninja and uses medical chakra to diagnose, treat, and preserve lives.

• Receives the Hundred Healings Jutsu method from Tianqi because of her talent for medical ninjutsu. 44
• Uses the Mystical Palm Technique to examine Tianqi when he is near death. 156
• Examines Karai's condition after he is infected with Xuanyuan Group explosive worms. 312
• Her medical teachings are extensive enough for Shizune to inherit her techniques and perform surgery under Tianqi's direction. 313
• Heals large numbers of Konoha residents through Katsuyu during Pain's attack, though the exertion leaves her severely weakened. 369 370

Strength of a Hundred Technique

After years of chakra accumulation, Tsunade completes the Strength of a Hundred Technique and manifests its forehead mark. 114

• Channels chakra into overwhelming physical blows capable of cracking the ground and clearing masses of thorns. 114
• Releases the technique during her desperate charge toward Tianqi after Konoha's destruction. 150
• Her chakra reserves enable Katsuyu's wide-scale healing support during the Pain incident. 371

Superhuman Strength and Taijutsu

Tsunade specializes in close-quarters combat and immense physical force.

• Identifies taijutsu as her most reliable combat skill while still a Genin. 34
• Her full-strength punch sends rocks and thorns flying across the battlefield. 114
• Challenges the Fourth Raikage, Ei, to arm wrestling and initially gains the advantage before losing to his strategic use of speed. 312

Chakra Control

Tsunade demonstrates refined chakra control from an early age.

• Learns water-walking almost immediately after a brief initial wobble. 27
• Uses controlled healing chakra for diagnosis and treatment. 156 312

Summoning Jutsu: Katsuyu

Tsunade can summon Katsuyu, the slug of Shikkotsu Forest.

• Summons Katsuyu while trying to transport and save the critically injured Tianqi. 157
• Relies on Katsuyu for healing support during Pain's destruction of Konoha. 369 371

Items

• Family heirloom pendant — Given to Dan Katō before his death; Tianqi refers to it as the “Death Pendant.” 175

Relationships

• Uchiha Tianqi — Husband and former mentor. Their bond develops from companionship during the Sannin's training into marriage; Tsunade repeatedly risks herself for him, while Tianqi continues to seek her out and protect her. 44 69 150 224
• Sen'u — Son. Tsunade leaves him in Konoha after Dan Katō's death, later reunites with him, and entrusts him with protecting his family before her departure. 175 371 423
• Shinsetsu — Younger brother. Tsunade is deeply protective of him and is devastated by his death. 69 150 175
• Hashirama Senju — Grandfather. Tsunade admires his legacy but later questions whether his decision not to unify the shinobi world was correct. 129 225
• Tobirama Senju — Grandfather and protective elder family member. He and Hashirama attempt to stop Tsunade from confronting Tianqi when Tianqi is unstable. 128 150
• Uzumaki Mito — Grandmother. Tsunade seeks Mito's account of Tianqi's past and later regrets not being present when Mito died. 30 225
• Jiraiya — Teammate, fellow Sannin, and longtime friend. They train under Tianqi and fight together during major conflicts. 24 39 116
• Orochimaru — Teammate and fellow Sannin. He fights beside Tsunade, later accompanies her when she tries to save Tianqi, and is present during her recovery from hemophobia. 39 157 354
• Dan Katō — Close friend whose dream of becoming Hokage reminds Tsunade of Shinsetsu. His death contributes to her hemophobia and departure from Konoha. 175
• Shizune — Dan Katō's niece and Tsunade's companion after she leaves Konoha. Shizune studies Tsunade's medical techniques. 175 224 313
• Katsuyu — Summoned slug and medical support partner. 157 371
• Kakashi Hatake — Tsunade appoints him as the Sixth Hokage before leaving the shinobi world. 418 423
• Naruto Uzumaki — Tsunade views him as Konoha's most suitable future Hokage and places faith in his ability to resolve the Pain crisis. 371

Story Role / Major Arcs

Training the Future Sannin

Sarutobi entrusts Tsunade, Jiraiya, and Orochimaru to Tianqi. Tsunade trains in chakra control and combat, joins the escort mission to the Land of Hot Water, and narrowly survives a hidden ninja's attack while protecting Tang He. 24 27 32 39

Tianqi's Defection and the Five Nations War

Tsunade refuses to believe that Tianqi has defected, then joins the Allied Shinobi Forces to find and persuade him to stop. She completes the Strength of a Hundred Technique to clear the Thorn Forest and confronts Tianqi alongside Jiraiya and Orochimaru. 105 111 114 116

As Tianqi's Wood Release overwhelms the trio, she reflects on his promise to protect her. Later, when Konoha is destroyed and Shinsetsu dies, Tsunade recklessly charges toward Tianqi; her call briefly reaches his rational mind, and Tianqi heals her after attaining Six Paths Mode. 119 150 151

Tianqi's Collapse and Tsunade's Losses

When Tianqi collapses after using his ultimate technique, Tsunade desperately attempts to heal him and returns him to Konoha with Jiraiya and Orochimaru. 156 157

Shinsetsu's death and Dan Katō's later sacrifice profoundly affect her. She immerses herself in medical research, develops hemophobia after Dan Katō's death, and leaves Konoha with Shizune. 175

Reunion and Restored Memories

Tianqi finds Tsunade years later in a gambling house. She is overwhelmed by his return, but remains reluctant to return to Konohagakure because of her past losses and disappointments. 223 224

Tianqi later admits that he used a forbidden jutsu to extract her memories of the Uchiha clan and the northern border war. He restores those memories, leaving Tsunade conflicted over his actions. 314

Fifth Hokage

Tsunade assumes the position of Fifth Hokage after the Konoha invasion. 355

During Pain's assault, she exhausts herself supporting Katsuyu's healing across Konoha. Tianqi heals her afterward but keeps her bedridden so Danzō can temporarily take the Hokage position. Tsunade ultimately agrees to step down, believing Danzō's rule will not last and intending Naruto to become Konoha's future Hokage. 369 370 371

Final War and Departure

During the conflict with Kaguya, Tsunade appoints Kakashi as Sixth Hokage and expresses confidence in Sakura as her Sannin successor. 418

Before interdimensional travel begins, she bids farewell to Kakashi and Sen'u, urging her son to protect his family. She then leaves the shinobi world with Tianqi and Karura. 423

Trivia

• Tsunade is interested in gambling from her youth; Jiraiya's proposed dinner wager immediately catches her attention. 26
• Tianqi gives her the Hundred Healings Jutsu with the explicit goal of allowing a medical ninja to fight on the front lines safely. 44
• She loses an arm-wrestling match to the Fourth Raikage despite superior brute force because Ei uses speed strategically. 312