Tsunade

Biodata

Feature	Details
Name	Tsunade (纲手)
Alias(es)	Lady Tsunade; Princess Tsunade; one of the Sannin
Gender	Female
Affiliation	Konohagakure; Senju Clan 144 280
Occupation/Role	Jonin; renowned medic-nin; former head of Konoha's Medical Department; former Hokage candidate 144 169
First Appearance	Chapter 116

Power Progression

Stage / Realm / Level	Chapter	Notes
Initial Sage Body	176	Possesses an initial Sage Body alongside the Strength of a Hundred Seal.
Uchiha Enhancement Vaccine enhancement	280	Receives three injections, improving her Chakra and physical condition.
Wood Release Kekkei Genkai awakened	283	Uses Shadow Clones and the Strength of a Hundred Seal to blend Yang, Water, and Earth Chakra, awakening Wood Release.
Advanced Sage Body	432	After half a year of Shikkotsu Forest training, advances from an Intermediate to an Advanced Sage Body; her Chakra reserves rise to Super Kage level.
Sage Mode	432 466	Masters Sage Mode through Shikkotsu Forest training and later activates it against Nagato.

Background and History

Tsunade is Hashirama Senju's granddaughter, with three-quarters direct Senju ancestry and one-quarter Uzumaki ancestry. Before returning to Konoha, she recuperated in the Land of Hot Water with Shizune after an encounter with Uchiha Qingcheng left her conflicted and furious with him. 116 347

She was summoned back when Hiruzen Sarutobi's condition and Konoha's political crisis worsened. Tsunade refused to become the Fifth Hokage merely to clean up Hiruzen's problems, but returned to assess the village for herself after Shizune appealed to her responsibility toward its people. 144

On her return, the Police Force attempted to fine and arrest her for criticizing the village's new order. Tsunade retaliated with Super Strength Leg, shattering streets outside the Hokage Building; her pregnancy left her weakened afterward, preventing her from fighting at full strength. 161

Her relationship with Qingcheng developed through repeated clashes, negotiations, and training. She later gave birth to Tomoki, whom Qingcheng recognizes as his child, and became fiercely protective of the boy's inheritance and future. 176 278 279

Qingcheng persuaded Tsunade to accept the Uchiha Enhancement Vaccine, then trained her in Chakra composition until she awakened Wood Release. Although she often opposed his policies and considered removing him from power, she ultimately remained in Konoha to supervise him and protect Hashirama's legacy. 280 283 299 348

During Konoha's campaigns, Tsunade served as both a frontline combatant and medic. She healed hundreds of injured shinobi through Katsuyu, captured Ōnoki during the Hidden Stone conflict, overwhelmed the Four-Tails and Five-Tails with Wood Release, and fought Nagato alongside Qingcheng during the assault on Amegakure. 315 358 361 466

She later trained in Shikkotsu Forest, mastering Sage Mode and developing an Advanced Sage Body. Her increased strength made her one of Konoha's most feared combatants outside of Qingcheng himself. 432 452

Appearance

Tsunade maintains the appearance of an eighteen-year-old despite her actual age. After attaining an Advanced Sage Body, her skin is described as flawless and increasingly radiant; she is also seen wearing a yellow coat. 432

• Fair complexion. 116
• Distinctively youthful appearance maintained through her enhanced vitality. 432
• Emits a bluish-green Chakra cloak while activating Sage Mode. 466
• Develops two markings beneath her eyes in Sage Mode. 466

Personality

Tsunade is blunt, volatile, and quick to answer disrespect with overwhelming force. Her anger can fade as suddenly as it appears, especially when Qingcheng offers money or compensation, and Konoha's officials are notably wary of provoking her. 161 452 460

Despite her dislike of politics and Qingcheng's increasingly aggressive rule, she remains deeply attached to Konoha, the Senju legacy, and the village her grandfather founded. She stays not out of obedience, but because she believes someone must restrain Qingcheng and defend Konoha's reputation. 144 304 348 361

She is highly family-oriented and protective of Tomoki, while also being proud, competitive, and resentful when Qingcheng surpasses her in Sage Art or appropriates Senju techniques. 279 395 462

Abilities & Skills

Chakra Enhanced Strength

Tsunade's signature combat style channels Chakra into devastating physical strikes.

• Uses Mystical Strength Technique to deliver attacks powerful enough to create sonic booms. 169
• Uses Super Strength Leg to split streets and fracture the ground around the Hokage Building. 161
• Her strength becomes even more dangerous after Sage Art training; most Konoha shinobi fear being caught in her attacks. 452 453
• Her physical performance was reduced while she was pregnant. 161

Medical Ninjutsu

A renowned medic-nin, Tsunade possesses exceptionally precise Chakra control and specializes in treating battlefield casualties.

• Developed her career around researching and practicing Medical Ninjutsu. 283
• Offers to accompany Qingcheng's forces to reduce Konoha's casualties. 283
• Commands Katsuyu to distribute Katsuyu: Immense Network Healing across hundreds of injured Konoha shinobi. 315
• Her medical-grade Chakra control allows her Shadow Clones to precisely blend multiple Chakra natures. 283

Strength of a Hundred Seal

Tsunade possesses the Strength of a Hundred Seal, which she can release to draw upon greater reserves of Chakra.

• Opens the seal on her forehead while attempting to awaken Wood Release. 283
• Uses its Chakra output to strengthen the blending of Yang, Water, and Earth Chakra. 283

Wood Release

After receiving the Enhancement Vaccine and training under Qingcheng, Tsunade awakens the Senju Clan's Wood Release Kekkei Genkai.

• Learns the Chakra ratios required to combine Yang, Water, and Earth Release. 283
• Summons a Wood Dragon during the Hidden Stone campaign. 358
• Uses Wood Release: Deep Forest Emergence to counter the Four-Tails and Five-Tails. 358
• Uses Sage Art: Wood Release: Cutting Sprigs Technique against Nagato. 476

Sage Mode

Tsunade cultivates Sage Mode at Shikkotsu Forest, advancing her body and Chakra reserves substantially.

• Spends half a year training at Shikkotsu Forest. 432
• Advances to an Advanced Sage Body with Chakra reserves near Qingcheng's Super Kage-level output. 432
• Activates Sage Mode against Nagato, producing facial markings and a bluish-green Chakra cloak. 466
• Enhances her Wood Release and physical combat capabilities with Sage Art Chakra. 466

Summoning Jutsu

Tsunade holds a summoning contract with Katsuyu of Shikkotsu Forest.

• Summons Katsuyu to heal injured Konoha forces. 315
• Katsuyu addresses her as “Lady Tsunade.” 315
• Trains at Shikkotsu Forest, Katsuyu's domain, to cultivate Sage Mode. 432

Additional Ninjutsu

Under Qingcheng's instruction, Tsunade expands beyond Medical Ninjutsu and her usual combat style.

• Multiple Shadow Clone Jutsu — A-rank technique used extensively during her Wood Release training. 283
• Water Release: Water Dragon Bullet — Learned during her initial training. 283
• Earth Release: Earth Dragon Bullet — Learned alongside Water Dragon Bullet. 283

Relationships

• Uchiha Qingcheng — Romantic partner and Tomoki's father. Their relationship is marked by rivalry, bargaining, mutual dependence, and repeated political disagreements. 176 278 283 348 432
• Tomoki — Her son. Tsunade dotes on him, seeks to secure Uchiha assets for him, and once considered changing his surname to Senju. 279 435
• Shizune — Longtime companion and assistant. Shizune urges Tsunade to take responsibility for Konoha, worries about her impulsiveness, and assists her during difficult moments. 144 161 280
• Hashirama Senju — Grandfather and the central figure of Tsunade's Senju legacy. She is fiercely protective of his name, techniques, and village. 304 395 594
• Senju Nawaki — Younger brother. Tsunade's anger toward Hiruzen intensifies after learning of Danzo's involvement in Nawaki's death; Nawaki is later revived through Impure World Reincarnation. 282 512
• Katsuyu — Her slug summon and Shikkotsu Forest connection. Katsuyu provides wide-area healing under Tsunade's command. 315 432
• Jiraiya and Orochimaru — Former comrades from the era in which the three fought Hanzō and became known as the Sannin. 461

Notable Quotes

“I'm not becoming the Fifth Hokage!” 144

“You, inherently evil Uchiha, I must supervise you. I need to prevent you from causing trouble in Konoha Village.” 348

Trivia

• Anko Mitarashi and Yugao founded the Anti-Tsunade Alliance to resist Tsunade's bullying, gambling habits, and volatile temper; Shizune and Sasuke are among its core members. 502
• Tsunade's gambling habit remains well known even to Hashirama after his revival. 591