Tsunade

Biodata

Feature	Value
Name	Tsunade (纲手)
Alias(es)	Princess Tsunade; Princess of Slugs 69 71
Gender	Female 73
Age	In her fifties when found in Tanzaku Town 68
Affiliation	Konohagakure; Senju Clan; Legendary Sannin; Shinobi Allied Forces 64 68 224
Occupation/Role	Medical ninja; Fifth Hokage; supreme commander of the Shinobi Allied Forces 71 73 224
Family	Granddaughter of Hashirama Senju; elder sister of Nawaki 68 222
Status	Alive, but injured and chakra-exhausted after fighting Madara 227
First Appearance	Mentioned as the remaining pure-blooded Senju in Chapter 21; appears in person in Chapter 68 21 68

Power Progression

Stage / Realm / Level	Chapter	Notes
Combat readiness restored	71	Lin Fan’s protection and declaration of his Hokage ambitions restore her resolve. Her hemophobia completely disappears, allowing her to resume fighting and seriously injure Kabuto.
Creation Rebirth: Strength of a Hundred activated	225 226	Releases her forehead seal, dramatically increasing strength and recovery. This is an existing, self-created technique—not a newly learned ability; Jiraiya recalls her using it during the Second Shinobi World War.

Background / History

Tsunade is Hashirama Senju’s granddaughter and the elder sister of Nawaki. Hashirama admits that he spoiled her as a child and passed on his gambling habit. By the time Lin Fan investigates the Senju compound, she is described as the clan’s only remaining pure-blooded member, following generations of intermarriage and wartime losses 21 68 222.

The deaths of Nawaki and Dan leave her disillusioned with Konoha and the office of Hokage, which both had dreamed of attaining. She spends years traveling with Shizune, repeatedly borrowing money, losing it at gambling houses, and fleeing creditors. Despite withdrawing from village affairs, she retains her reputation as one of the Legendary Sannin and an accomplished medical ninja 64 68 71.

Appearance

• Youthful appearance: Looks like a beautiful young woman despite being in her fifties, confusing Naruto when he examines her photograph 68.
• Build: Described as busty and shapely 68.
• Signature clothing: Wears a green coat with the character for “Gamble” on its back, including at her Hokage inauguration 73.
• Forehead seal: Bears a diamond-shaped Yin Seal. Releasing it spreads black markings across her face and body 225.

Personality

Tsunade is blunt, quick-tempered, and intolerant of unwanted advances. She threatens Jiraiya with her Heaven Kick of Pain when he presses against her and later keeps an iron training post modeled after him to kick when stressed. Her gambling and drinking coexist with a teasing streak, particularly toward Shizune and Lin Fan 68 97 124.

Her affection is especially strong toward those she considers family. Learning that Lin Fan carries Senju blood moves her to tears; she offers to protect him from Danzo even while refusing to return to Konoha. After he saves her, she insists that he call her “big sister” and begins treating him as a cherished younger brother 68 69 72.

Once Hokage, she proves far more diligent and independent than the elders expect. She undertakes reforms, protects shinobi who risked their lives on missions, and works through Hiruzen’s unfinished affairs so that Lin Fan can eventually inherit a more stable village. Although she complains about paperwork, she repeatedly returns to her responsibilities 88 89 97.

Her leadership combines forcefulness with political caution. She distrusts alliances based solely on convenience, consults Shikaku on major decisions, and strengthens Konoha’s borders before sending Lin Fan to confront the other villages diplomatically 139 180 181.

Abilities & Skills

Medical Ninjutsu

• Heals the wound in Lin Fan’s hand after he intercepts Kabuto’s kunai 72.
• Uses the Mystical Palm Technique, gathering pale green chakra in her hands to treat Ōnoki and Gaara on the battlefield 224.
• Provides healing support during the combined assault on Madara; her support allows Ōnoki to expand his Dust Release attack substantially 224 227.
• Trains Hinata in medical ninjutsu after Sakura can no longer continue as a ninja 126.
• Is sought by Orochimaru to repair his damaged hands, but refuses to heal a traitor of Konoha 70 71.

Monster Strength

• Overpowers Kabuto in close combat before he exploits her fear of blood; the passage describes him as an elite jōnin comparable to Kakashi 71.
• Seriously injures Kabuto with a punch to the abdomen after overcoming her hemophobia 71.
• Uses Heaven Kick of Pain to create a deep pit several meters across 70.
• Teaches her monstrous-strength techniques to Ino 126.

Creation Rebirth: Strength of a Hundred

• A self-created forbidden technique activated by releasing the diamond-shaped seal on her forehead 225 226.
• Dramatically enhances her strength and recovery, allowing her to fight directly on the front line 225 226.
• Automatically heals wounds: she removes a Susanoo sword from her body and immediately resumes fighting 226.
• Lets its user disregard her usual rule that medical ninja should remain out of front-line combat 226.
• Limit: Her reserves are finite. During the battle with Madara, she exhausts her chakra and collapses after protecting Mei Terumi from a Fire Release attack 227.

Shadow Clone Technique

• Creates ten shadow clones at a casino entrance to distract creditors while she and Shizune escape into the crowd 68.

Medical Preparations

• Slips a slow-acting anesthetic into Jiraiya’s drink to prevent him from following her departure from Tanzaku Town 69.
• Prepares the antidote that later restores him to normal 72.

Leadership and Strategic Knowledge

• Carries out reforms that earn the support of Konoha’s major clans and secure her position as Hokage 88 90.
• Coordinates missions, reinforcements, border defenses, and alerts to the village barrier team 126 139 166 181.
• Knows Senju traditions concerning the Sage of Six Paths’ bloodline and participates in planning counters to Pain’s abilities 168.
• Encourages the Allied Forces’ leaders to fight independently rather than rely entirely on Lin Fan 224.

Relationships

• Lin Fan — Fellow Senju descendant and affectionate younger-brother figure. His resemblance to Nawaki initially draws her attention; his protection restores her faith in Konoha. She sees him as a future Hokage and later entrusts him with representing her at the Five Kage Summit 68 71 72 97 181.
• Shizune — Longtime traveling companion and administrative aide. Shizune accompanies her through gambling debts, tries to moderate her drinking, and assists with Hokage duties. Tsunade frequently teases her about marrying Lin Fan 68 76 97 139.
• Jiraiya — Fellow Sannin and longtime teammate. Their familiarity includes insults, physical threats, and concern for one another; Tsunade offers to accompany his investigation of Amegakure as his healer 68 124 157.
• Hashirama Senju — Grandfather and founder of Konoha. His village and legacy become central to her renewed commitment as Hokage; he also acknowledges responsibility for her gambling habit 72 222 225.
• Nawaki — Deceased younger brother. Lin Fan’s appearance reminds her of him, and his dream of becoming Hokage helps motivate her acceptance of the office 68 71.
• Dan — Deceased loved one whose Hokage ambitions remain important to her. Orochimaru offers to revive him and Nawaki in exchange for medical treatment 70 71.
• Naruto Uzumaki — A young shinobi she supports and praises. She listens to his plea for Sasuke and endorses his departure to Mount Myōboku partly to keep the Nine-Tails safe from Akatsuki 88 97 167.
• Hinata Hyuga — Medical-ninjutsu disciple. Tsunade also approves of her relationship with Lin Fan and offers to approach the Hyuga Clan about their marriage 69 126.
• Ino Yamanaka — Disciple trained in monstrous strength 126.
• Danzo Shimura — Political adversary who repeatedly schemes against her authority and Lin Fan. She removes him from office and later supports the action against him and Root 90 112 120.
• Utatane Koharu and Mitokado Homura — Advisors who expect to control her but instead clash with her reforms. She and Lin Fan push to abolish their advisory system 88 120 121.
• Orochimaru — Fellow former Sannin and enemy of Konoha. She refuses his offer to resurrect her loved ones in exchange for healing his hands and continues searching for his bases after returning to office 70 140.

Story Role / Major Arcs

Arc	Tsunade’s role
Selection of the Fifth Hokage	Jiraiya nominates her after refusing the position himself. Her Sannin reputation, Senju heritage, and medical expertise make her an accepted candidate for a village recovering from war 64.
Search in Tanzaku Town	Lin Fan finds her at a gambling house. She rejects the Hokage offer, recognizes his Senju heritage, and attempts to leave after drugging Jiraiya 68 69.
Confrontation with Orochimaru and Kabuto	Refuses to heal Orochimaru. Kabuto incapacitates her through hemophobia, but Lin Fan’s intervention restores her resolve; she defeats Kabuto with Monster Strength and declares her intention to become Hokage 70 71.
Return and inauguration	Returns to Konoha with Shizune, completes the handover, and publicly assumes office. Her ceremony is brief, avoiding a lengthy speech 72 73 74.
Sasuke’s departure and the elders’ challenge	Continues efforts to retrieve Sasuke and refuses to abandon the shinobi sent after him. After Danzo’s rumor campaign is exposed, she strips him of his elder position 88 89 90.
Suppression of Root	Reviews evidence of Danzo’s schemes, leads the suppression of Root after his death, and joins Lin Fan in proposing the abolition of the advisor system 112 120 121.
Akatsuki operations	Organizes the Gaara rescue, dispatches reinforcements, signs a renewed alliance with Sunagakure, and oversees investigations into Orochimaru and Pain 126 139 140 143 166 168.
After Pain’s invasion	Proposes promoting Lin Fan to Chief Jōnin. When he refuses, she grants him an Honorary Jōnin position with equivalent benefits and participation in major decisions 176.
Five Kage Summit	Initially intends to attend with Lin Fan as her guard, but ultimately appoints him as her representative while remaining in Konoha and reinforcing its borders 179 180 181.
Fourth Shinobi World War	Helps lead the Allied Forces and joins the battle against Madara. She heals the other Kage, activates Strength of a Hundred, and fights directly before chakra exhaustion and Madara’s Complete Body Susanoo overwhelm the group 223 224 225 226 227.

Notable Quotes

“I, Tsunade, will inherit the name of the Fifth Hokage!!!” 71

“Remember, I am the village’s Hokage now!!!” 120

“We cannot always rely on Commander Lin Fan’s strength to defeat our enemies. When he is absent, we Five Kage must be able to fight on our own as well.” 224

Trivia

• Winning makes her uneasy: Because her usual gambling results are disastrous, repeated jackpots strike her as an omen. She recalls that a previous win preceded the loss of someone dear to her 69.
• “Big sister” is her preferred address: She insists that Lin Fan use it despite being old enough to be his grandmother, prompting Jiraiya to suppress his laughter 72.
• Her views on the Will of Fire are pointed rather than purely ceremonial: She avoids its rhetoric during her inauguration, but later invokes the Will of Fire she inherited from Hashirama when confronting Madara 74 225.