Samaritan Syndrome

"''"I'd like to think the world could survive another sexy night, But every time that I do, an innocent loses their life- All of the time that it takes could be better spent fighting crime, Somebody dies every time that I ignore the signal chime... Why do I have to be the one who has got to save the world? All that I ask is some special time with my important girl."''"

- TV's Kyle, "Another Sexy Night"

How unfair is it that those people won the Superpower Lottery? All of that power and not a care in the world! They can get rich off those abilities or play "superman"! That is, except... every time they take a coffee break, it means a Bus Full of Innocents somewhere fell off a cliff. When they took that Intrepid Reporter out on a date, a Giant Space Flea From Nowhere leveled Manhattan. And while they renegotiate their rent, Atlanteans invade Madagascar. And you can forget about sleeping.

You guessed it: with great power Comes Great Responsibility. While Muggles can "pass the buck" in terms of the responsibility for recycling, civic duty, or taking the government to task, Superheroes can't. Being the only ones capable of dealing with super villains and natural disasters, it means the price of their inaction is the burden of a death they could have prevented on their conscience. Or not.

This is so very seldom lampshaded that it's more of an implication than anything... because no sane superhero is ever going to mention the school bus to anyone. One also wonders what's happening on Earth while the superheroes are in space fighting an Eldritch Abomination.

When it is addressed, it's why super heroes, especially the idealistic types, tend to be workaholics who feel great guilt over any and every death that happens on their watch. You see, the problem with having the power of a god is you also get the responsibility of one... which is a burden no sane human is built to take. Being (mostly) human, Heroes will have to balance the responsibilities implicit in having their abilities with basic needs like food, sleep, friendship, fun, romance, and perhaps even un-heroic hobbies and work.

Needless to say, this can go to either extreme. Some go overboard as they attribute any and every un-prevented accident to themselves, running themselves ragged, while others deny all responsibility in favor of living a normal life.

The former type tends to shun their civilian identity, friends, and loved ones. Often becoming exhausted, unbalanced, and much more at risk of snapping and going into a Heroic BSOD over a real or perceived failure. Some Super Heroes may even become a Martyr Without a Cause out of a subconscious desire to die just to get a chance to rest. This is especially true when the setting has Ungrateful Bastards who see fit to blame the hero for things they can't control. The latter will usually be somewhat like a Zen Survivor, while they might not go into supervillainy and actively cause death and destruction, one has to wonder at the good they could have done, and how many deaths they could have prevented... if they hadn't been, oh, mowing their lawn.

This can turn into a self perpetuating cycle if the Hero Harasses Helpers that might take some of the load off.

The "happy mean" between the two is one where they use their abilities as much and as effectively as they can while taking time for themselves. The balancing itself is itself a great source of drama for a "kitchen sink" style of superhero story. Samaritan Syndrome also lends itself well as a Drama-Preserving Handicap, preventing heroes from dangerously cutting loose.

Because of this trope, one key question about any superhero-containing universe is whether there is a surplus or deficit of superpowered awesomeness relative to crime and other dangers. If there is a surplus, heroes can kick back with no guilty pangs. If not, this trope may come into play in one form or another. If the hero isn't able to take time off, this can easily lead to Heroic Fatigue.

A sort of variation of this trope is when someone feels guilt because they didn't do enough.

Prone to Think Nothing of It -- they think the heroics are part of the job, not something requiring special gratitude. See also Chronic Hero Syndrome, where the hero is constantly compelled to help everyone who needs it, regardless of circumstances.

Named in part for the parable of the Good Samaritan.

Anime and Manga

 * This happens to Gaara in Naruto. When he sleeps, the demon inside him grows stronger. If he sleeps too long, people start to die...
 * Light Yagami has to make the world a better place. Nobody else can put a stop to crime, nobody else has the intelligence, the moral courage, or the magic notebook to do it. Needless to say, this is one of the darkest uses of the trope in anime history.
 * Of course, he has no Think Nothing of It, since he sees his actions as lifting him to godhood.
 * Teru Mikami as well as part of his cutie-breaking Backstory.
 * It's implied that this is why L never sleeps.
 * Dios, the prince in Revolutionary Girl Utena, had this so badly that he collapsed due to exhaustion.
 * Sailor Moon shows this in spades, particulary during the first half of Sailor Moon R: deep inside, Usagi's tired of being Sailor Moon, especially after the events of last season and it starts futzing with her powers to the point where her Moon Tiara Action attack powers down in mid toss and her original brooch is destroyed. The second half had Ami preparing to leave for Germany to study medicine abroad, but when her friends don't show up to say goodbye, she realizes she CAN'T leave and runs back to save the day.
 * Nanoha has aspects of this. Early on, her negligence enabled a disaster that she probably could have prevented. Unlike most people in her situation, she doesn't angst about it- she just resolves never to let it happen again. Nanoha does have a tendency to overwork herself, although she toned it down somewhat after it almost got her killed.

Comic Books
"Superman: I am Clark. I need to be Clark! I'd go crazy if I had to be Superman all the time!"
 * Superman Captain Ersatz Samaritan is the Trope Namer and has such a horrible case of this that he hasn't been able to form a single normal human relationship in TWO DECADES.
 * In one story his fellow superheroes made arrangements to protect the world without him for one night so that he could go on a date with a superheroine. Both of them had a hard time relaxing on the date, but it's not implied that their being out of action for a little while cost the world anything. There's also one moment towards the very end of the issue where they enjoy a very short moment of dead silence, with no emergencies.
 * It's really brought home by the fact that he dreams of being able to fly free (as in, "just fly around for the fun of it" rather than "fly toward the latest emergency").
 * In his director's commentary for Groundhog Day Harold Ramis refers to what he calls the "Superman problem," e.g. the notion that Supes can and should be busy 24/7 doing heroic stuff, so why is he wasting time with Lois, Perry White, and Jimmy Olsen?
 * Especially in the Silver Age, when being Clark Kent was entirely a hobby. More recent stories seem to (attempt to) suggest that he'd go nuts having to be Superman every single moment.
 * Superman said this outright in The DCAU ("The Late Mr. Kent").

"Superman: You said that the world doesn't need a savior. But every day I hear people crying out for one."
 * The classic Bronze Age story "Who Took The Super Out Of Superman?" involves him being forced to choose only one of his identities to maintain. He soon realizes that both are equally important to him, because he can't stand the guilt of ignoring his calling if he stays as Clark for too long, but even Superman can't stand being Superman 24 hours a day. This theme crops up repeatedly in Bronze Age Superman stories (and even a Supergirl story), but "Who Took..." is the most well-known example.
 * Surprisingly, the Big Blue offered one of the better deconstructions of this trope. An elderly woman living in Suicide Slums (Metropolis' ghettos) gets the idea that she is able to call down Superman on bad guys after praying twice for divine intervention (only once was it for personal reasons, and that was for her own life to be saved). She eventually goes looking for trouble so that Superman will come in and stop it. Then she tries it when (unknown to her) Superman was away preventing a Cosmic Horror from devouring Earth (which would be bad), and goes into a gang's hang out hoping that they will be broken up. She is shot (not fatally) and the people of Metropolis realize that they can solve their problems without Superman. The woman bears no ill will towards him, nor do the people of Metropolis and the story concludes that Superman is a nice thing to have around, but doesn't need to be there all the time (well, except when there's a hostile Eldritch Abomination or its equivalent in the vicinity, but for human-scale problems, he can take a break).
 * This problem and one solution is used heavily in the Elseworld story Superman Red Son.
 * One storyline had Superman early in his Post-Crisis career realising that even with all his speed he can't be everywhere and save everyone even in one city, and having to learn to tune out 99% of the cries for help his super-hearing picks up every minute of every day.
 * He says something very similar to Lois in Superman Returns.


 * Good thing that doesn't go to his head, right?
 * Which actually means it's probably a good thing that Being Good Sucks.
 * Despite all this, Superman was hit with this twice in the mid to late 90s. First was when he was resurrected: he and Lois go to Europe for a nice dinner out. While he was gone, the Toyman kidnaps a bunch of children, including the son of a former co-worker of theirs, and kills them. He's so guilt-ridden by this, he vows never to take another vacation.
 * The second time had Superman mind-controlled by a powerful super villain, ditching his Clark Kent identity to be Superman 24/7 and watch over the entire world. How bad did it get? He shows up in nearly every DC Comic during one particular month (twice being tossed out of No Man's Land-ravaged Gotham by Batman), creating an entire army of Superman Robots and finally having the JLA on his ass!
 * In Marvel Comics, The Sentry (another Superman Captain Ersatz) gets so upset about being unable to save everyone that he offloaded the responsibility of deciding who gets his attention into a purpose-built robot.
 * The Sentry actually is a basket case if he has to make any decisions. Fittingly, that's a real-life symptom of certain personality disorders, such as the monstrous case of My Own Worst Enemy he at least believes he suffers.
 * In Marvel Comics, Genis-Vell had a form of omniscience and omnipotence that were unfortunately limited in time and place (could only be in one place doing one thing, however tremendous), and drove himself crazy trying to pick which help to give and then seeing how wrong his choices were.
 * In one of the City of Heroes comic books, the local Superman Captain Ersatz Statesman is seen to have this problem deep down- although he's had over 100 years to reach a good balance, his inner fear is revealed to be that he doesn't have the time to help everyone. Manticore is also revealed to have a similar problem, though more related to his own doubts about Crimefighting with Cash.
 * In the actual game, some heroes roleplay the "always be working" mentality... while in the Everyone's Welcome interdimensional nightclub. The commonly accepted belief is that, with thousands of heroes in the city, everyone can take a break on occasion. Villains, on the other hand, need no excuse.
 * Thanks to respawning, it is literally impossible to stop every crime or arrest every villain. High-level heroes routinely pass, and ignore, dozens of low-level spawns as they move around the city.
 * Driven to its brutal conclusion in Powers with the Superman Captain Ersatz who finds himself run ragged mentally and emotionally by the task of living to save the world every second of every day. He's been around for decades and, despite his best efforts and those of all the other superheroes in the world, he keeps seeing the same problems playing out... so he starts getting contemptuous and develops a God complex. And then.
 * Spider-Man, ironically, is usually good at avoiding this, since he knows that there are only so many hours in the day and that he can't always be there. Besides, there are plenty of other superheroes hanging around New York(nearly all of them for starters), so chances are that if he's not there, one of them is. However, when he knows that something might go down that he was even remotely connected with, he can't pass the buck, not even to another superhero who might be more capable. After all, he blames his uncle's death on his refusal to stop a crook.
 * He got a full-blown case when he briefly got cosmic powers, however.
 * Well, with those, came a F*CKLOAD of responsibility.
 * There's a prose short story where he's about to get out of bed and begin a day of crime-fighting and people saving. His wife convinces him to stay in bed for just five more minutes of snuggling. Later, it turns out that during those five minutes, someone committed suicide, in a manner he easily could have stopped. Heroic BSOD ensues.
 * Rorschach of Watchmen is what happens when this trope is taken off the far end. Walter Kovacs has no real friends, families, job, or anything of substance in his life as a civilian. His whole purpose of being is so Rorschach can gather information and continue to be a justice enforcing masked-hero, even though it eats away at his humanity. Given the book's Deconstruction status, this is to be expected, as Rorschach is meant to establish what would happen to people who felt responsible to bring punishment to others at their own expense.
 * In fact, every hero in Watchmen shows what happens when so-called superheroes exist. Dr. Manhattan increasingly feel disconnected from humanity by his god-like abilities; the Comedian snapped and became a sociopath in order to reconcile the horrors that he saw, Night-Owl held on to his idealism and punished himself for it later in life, and Rorschach lost his mind to his delusions, becoming the very thing he once hunted. And of course,, basically taking the First Law of Robotics (protect humans) and evolving it into the Zeroth Law of Robotics (protect humanity).
 * Alluded to in B-list books like Animal Man, where it's often mentioned that someone more famous like Superman can't show up to upstage the hero because of an Eldritch Abomination or some such.
 * In Irredeemable this is implied to have been a contributing factor to The Plutonian becoming Ax Crazy.
 * One of the few skills Batman hasn't mastered is the ability to delegate his crime fighting. No matter how horrific Gotham's threats become or how many powerhouses he has on speed dial, Bruce simply refuses to allow anyone else to shoulder his burdens. It's gotten so bad that many theorize that Batman really is crazy in his own way.
 * The one time he did after his back had been broken, the stand-in ended up with a huge case of this, essentially going crazy trying to build a better suit to fight with, ultimately fighting Batman himself, claiming to be the true Batman.
 * Consider what drove him into this business in the first place. If he called someone else, he wouldn't get to punish the bad guy himself.
 * On the other hand, Bruce has trained a lot of skilled heroes who are, for the most part, more mentally well-adjusted than him- and, to some extent, his career as the Batman has made this trope necessary, as Bruce's presumed-death-actually-timeshifted absence culminated in Gotham pretty much going to hell because Gotham needs a Batman to strike fear into the cowardly and superstitious criminals.
 * This has actually been somewhat addressed in the new Batman Inc. series, where Batman has been recruiting like-minded and able heroes all over the world to serve as the Batman of that area. This means that essentially, that most regions of the world are being taken care of it's own Batman.
 * This is a serious problem for Empowered, made worse by the unreliability of her powers. At one point, her boyfriend had to put her super-suit down the garbage disposal (it regenerates, so that's not as bad as it sounds) to prevent her from going after a supervillain when she was too sick to fight.
 * To make matters worse, almost all of her great accomplishments revolve around What You Are in the Dark -- it's not like she's going to get any credit for her self-sacrificing nature, as about 99% of the world just thinks of her as that superheroine who gets kidnapped a lot/ that superheroine who might be a supervillain in disguise
 * Played for laughs in issue #0 of Dr. Blink, Superhero Shrink by John Kovalic and Christopher Jones. A therapy session with Superman Expy Captain Omnipotent ends with the realization that the Captain is a perfectionist overachiever because of his Survivor Guilt, striving for the approval of his dead parents. A jubilant Captain Omnipotent frees himself from his heroic obsession... causing him to ignore a half-dozen crimes and disasters occurring around him.
 * Early in the career of Wally West, the third Flash, he's having problems with his powers due to this syndrome, and visits a shrink. The shrink asks him to count how many people's lives he's personally saved (leaving out foiled alien invasions and such). Wally comes up with a number around 112. The shrink says, "I once stopped a guy from taking a bottle of pills to kill himself. That thought still keeps me warm at night. Those 112 people forgive you for not being perfect. You need to forgive yourself."
 * Somewhat later, Wally doesn't check every room in a burning building, and a woman is crippled as a result. After the ensuing lawsuit, she asks him, "What about the next time? What'll you do when you're not fast enough?" He replies, "We'll never know," and proceeds to learn everything he can about the speed force, overcoming his psychological limits, and truly becoming the Fastest Man Alive.
 * Touched on in Love and Capes. Abby wants to know what being a Superhero is like, so the local expy of Doctor Strange helps get her some superpowers. Mark and Darkblade discuss that "it hasn't happened yet", and "it" turns out to being in a situation where you can't save everyone (she can only save 14 of 15 people falling off a bridge), and Mark tells her that every hero has to come to terms with the fact that no matter how good you are, you can't save all the people who need saving. Abby understands this, but knows she would have trouble handling it, and her powers fade.
 * Touched on in Love and Capes. Abby wants to know what being a Superhero is like, so the local expy of Doctor Strange helps get her some superpowers. Mark and Darkblade discuss that "it hasn't happened yet", and "it" turns out to being in a situation where you can't save everyone (she can only save 14 of 15 people falling off a bridge), and Mark tells her that every hero has to come to terms with the fact that no matter how good you are, you can't save all the people who need saving. Abby understands this, but knows she would have trouble handling it, and her powers fade.

Film
"Mr. Incredible: No matter how often you save the world, it always manages to get back in jeopardy again. Sometimes I feel like the maid: "I just cleaned this up! Can you keep it clean for...for ten minutes?!"
 * In the Fantastic Four movie sequel, the protagonists couldn't even get a few hours off to enjoy their own wedding (or have a wedding at all) before some new catastrophe intruded.
 * Poor Peter Parker, in the Spider-Man movies, suffers from this.
 * Peter Parker suffers on an even larger scale than most heroes, as he's exhausted, dirt poor and failing college because he has to stay awake all night and take random breaks in the middle of the day to stop the crimes around him, costing him studying and job advancement. When he temporarily decides to quit being Spider-Man, he becomes much, much happier for a little while, until this trope eventually catches up to him again.
 * Superman II. Superman gives up his powers so he can be with Lois Lane and what happens? 3 Kryptonian supervillains who hate his guts show up and go on a rampage in his adopted home country. He just Can't Stay Normal.
 * Mr. Incredible's very first line in The Incredibles is "Every superhero has a secret identity; I don't know a single one who doesn't. Who wants the pressure of being Super all the time?" Though he laments his lack of free time at the beginning of the film, once public opinion forces him underground Mr. Incredible finds himself driven to leap back into action.
 * Of course, who wants to be Normal all the time?
 * He also lampshades this trope moments later:

"Schindler: I could have got more out. I could have got more. I don't know. If I'd just... I could have got more. [...] This pin. Two people. This is gold. Two more people. He would have given me two for it, at least one. One more person. A person, Stern. For this. I could have gotten one more person... and I didn't! And I... I didn't!"
 * There is a scene later on in which Frozone has to cancel a dinner with his wife that they had gotten reservations for and planned for weeks.
 * Non-superhero example: Schindler's List.

"Costner: 22. Kutcher: 22? I expected it to be a bit more, haven't you been a swimmer for years? Costner: It's the number of people I couldn't save."
 * Parodied, BTW, in that one episode of Seinfeld with Judge Reinhold.
 * And in this strip from Wonderella.
 * Kevin Costner in The Guardian is shown to be the product of this kind of life as a living legend in the Coast Guard Rescue Swimmers, he spent his life always leaving movies and parties to go out and save people stuck at sea. Notable especially for a scene when Ashton Kutcher asks him "what his number is" to which:


 * It doesn't end well
 * In the Soviet Sherlock Holmes series, Holmes says that any decent man should feel guilt whenever a criminal manages to commit a crime.

Literature
""Oh lord, heal this bike," [Crowley] whispered sarcastically. "I'm sorry, I just got carried away," hissed Aziraphale."
 * Good Omens has the angel Aziraphale.

""That's why I am still in this business, Zeb. The newspapers talk about the good we do. But when I dream, only the ones I failed to save come to visit me. And I think, 'Maybe next time. Maybe then I'll get everyone out. Maybe then I'll take the killer down in time.' I owe it to the ones I've failed.""
 * David Brinkley, a Superman Captain Ersatz in the novel Super Folks by Robert Mayer suffered from this before he lost his powers.
 * Mercedes Lackey's Diana Tregarde has a minor, slightly selfish version of the trope in Children of the Night. She's a Guardian, endowed with incredible mystic powers, and she has to help anyone in her area who really needs those powers. If she doesn't, there are other Guardians who will try and stop a developing crisis, but they're a little ways away and one of them is old, one of them has a broken leg, and one has extreme acrophobia. They'll do it, but she doesn't want them to have to, not when her only problem is that the threat in question gives her panic attacks. Briefly after becoming a Guardian she tried to ignore it and live a normal life, but found out that it just meant that monsters would go after her on their terms.
 * In her Heralds of Valdemar series, this is a common feature of the Heralds that tends to go hand in hand with their Incorruptible Pure Pureness. Few have felt it more keenly than Vanyel Ashkevron, the Last Herald-Mage, who had to be practically tied up and forced to take a vacation. It's also justified to an extent in that a great enemy of Valdemar was deliberately picking off the Herald-Mages in order to drive Vanyel into exhaustion and thus make him vulnerable.
 * Odd Thomas goes through this problem when he finds out that,
 * In Aaron Allston's Sidhe-Devil, Zeb Watson is upset because a mistake he made may have kept him from reducing the death toll in a terrorist attack (even further than he did). And Doc Sidhe tells him:


 * The Beachwalker is a civilian example. Even after, she can’t take a break because she’s the only one in a position to help her patient, and her aging employer has no one else he can depend on.

Live Action TV
"Polly: Don't you care?! Cyberman: Care? No. Why should I care? Polly: Because they're people and they are going to die! Cyberman: I do not understand you; there are people dying all over your world, and you do not care about them."
 * Brought up in a few episodes of My Hero (TV); when George for whatever reason is unable to get away quickly, he agonizes over people he is unable to save.
 * In Star Trek the Original Series, Jim Kirk is like this regarding his crew. He often (as a young man, not so much in the movies) seems terribly close to curling up into a little ball of guilt every time someone under him dies, especially if it's a result of his orders.
 * The deaths of 200 people on the starship Farragut (including the ship's captain) because Kirk believed his moment's hesitation in firing phasers allowed the alien monster to attack continued to haunt him years after the event. This is despite the fact that the ship's First Officer noted that then-Lieutenant Kirk "performed with uncommon bravery".
 * In a Star Trek Expanded Universe novel, Kirk tests out one of the first holodecks (which still requires him to wear a full-body suit), which allows him to replay the destruction of the Farragut. This time, he doesn't hesitate and has the ship fire phasers. Nothing changes. The ship still gets destroyed and the crewmembers still die.
 * Generally happens to every captain in every series. Picard had a particularly painful moment when he had the choice between ordering his recent true love on a dangerous mission or forcing her to stay on the Enterprise, even though she was the most qualified for the mission. Eventually, he came to the realization that there was no choice at all, and ordered her to go. Picard's love life sucks, man.
 * Don't forget the holographic Doctor on the Voyager having the AI equivalent of a mental breakdown not once but twice over the same issue: a crewmember dying because she and another patient had the exact same chances of survival, and he chose to operate on Harry Kim because of their friendship. The first time, Janeway had his memory of the events wiped. The second time, Seven convinced her to let the events play out at the risk of losing their only doctor. Somehow, the Doctor manages to pull through and keep his program from experiencing a "cascade failure".
 * This was a common theme on Buffy the Vampire Slayer; everything normal Buffy wanted to (or had to) do seemed to conflict with some new supernatural threat to Sunnydale. In the series finale, Willow made every potential Slayer into a full-fledged Slayer, and the series ended with Buffy realizing that because she's no longer The Chosen One but just one of The Chosen Many she had more freedom to live a normal life.
 * And then
 * Well most of the time.
 * Speaking of the Buffyverse, Cordelia got hit with this bad after the events of the first season finale of Angel. She repeatedly refused to give up her visions despite the fact that they were horrifically painful; she eventually lost any trace of a social life due to her drive for helping others.
 * This is, of course, some amazing character development for her that still feels perfectly natural.
 * A variant (part inversion, part lampshading) shows up in the form of a particularly chilling Hannibal Lecture in Doctor Who, in the First Doctor's final serial "The Tenth Planet":

"Rossi: It's not about us. It's about the job."
 * Examined in Criminal Minds: Hotch has a bit of this, but Rossi points out that if one of the BAU quits, there will be someone else to pick up the slack.

"Dr. Sebastian Charles: There’s people dying in Africa of a disease that we cured over... House: Yeah, I know. I saw the concert. Seriously, let’s say you sleep six hours, that means every night you kill 1,440 people. I guess you gotta get some sleep, but come on, if you’d stayed up another 10 minutes you could have saved 40 lives. Do you send notes to the families in the morning? That’s gonna take at least 10 minutes so that’s another 40 dead, another 40 notes…why don’t you go wrack yourself with guilt in your own room?"
 * When Lois gained Superman's powers thanks to red kryptonite in Lois and Clark, she became overwhelmed by all the calls for help and even broke down into tears when she couldn't help with two disasters at the same time. Clark had to tell her that no one can be anywhere at once and it was very hard for her since as a reporter, she is supposed to do everything in her power to help others and get the story.
 * In House MD episode "TB or not TB" House confronts a man who is refusing to take TB medication as a publicity stunt. House believes that he has TB


 * Seriously Lampshaded in Smallville, as 'The Blur' became more and more well known, there was a period where citizens were upset that he could not save everyone. Every tragedy started being blamed on 'Where was The Blur?' and 'Who gives The Blur the right to decide who lives and who dies?'.
 * Like the Lois and Clark example, one episode of Smallville has Lois gain Clark's powers and become overwhelmed by the cries for help. Part of the significant character growth Clark has done by this point is that he admits he can't save everyone and while he does feel guilt over this, he must prioritise who is in the most immediate danger before moving on to the next, comparing his role to a Doctor in triage.
 * Shorty Rossi, the eponymous Pit Boss, has a serious case of this when it comes to all things involving pit bulls. This attitude is taken to the point of Deconstruction at times, as his single-minded determination to help every dog they come across has put his crew in harms' way and pushed them beyond their limits -- at which point he expects them to give even more. His own health concerns don't help much, as he has literally put his back on the line several times.
 * Michael suffered from this in Prison Break. First he sacrificed his life to get sent to prison and save Linc. Then he wanted to save Sara. Then he found out about the Company and the General and wanted to take the General down, despite the fact he had a brain tumour and maybe needed to flee somewhere he was not a fugitive and being hunted by several different groups of enemies.

Music

 * "The Ballad Of Barry Allen" by Jim's Big Ego has the Flash lamenting that by the time the people he rescues even know what happened, there's someone else who needs him.
 * That, and because of his super-speed, people around him as basically statues. A normal, idle conversation takes him subjective weeks at least.

Theater
"Christian: Good—I fly! Ah, the scoundrels! A hundred men 'gainst one!
 * Cyrano De Bergerac: Lampshaded by Christian at Act I Scene II: Christian wishes to have time to defy The Rival to a duel and woe his Love Interest, but he has to save a life!

(Looking lovingly at Roxane): I

Ah, to leave her!. ..

(looking with rage at Valvert): and him!... But save Ligniere I must!"

Video Games
"The GMan: Rather than present the illusion of free choice, I will take the liberty of choosing for you, if and when your time comes round again."
 * A recurring element in each route of Fate/stay night is protagonist Shirou's search for a way to cope with being unable to save everyone.
 * Video Game Caring Potential and Self Imposed Challenges can easily lead to this for many games, but The Legend of Zelda: Majora's Mask is a particular example. Especially irritating because a few heroic deeds are mutually exclusive.
 * But it's not so bad if you're a One Hundred Percent Completionist (or really soft-hearted). You can hit the Reset Button as many times as you like, and once you've successfully finished a quest, it stays "completed" even if you start the cycle over.
 * Sapphire lampshaded this in a recent Champions Online blog post on how to keep yourself from starving when crime won't let you stop for lunch.
 * Kingdom Hearts: Actually, Sora is not supposed to act like this and Donald even tried to remind him not to "meddle" a few times, but he eventually gives in, because Sora just doesn't stop. All There in the Manual explains that Sora's benevolence and sense for justice (and naiveté, to some degree) have always been too strong for his own good.
 * Poor Gordon Freeman went into work one day, was inadvertently part of an experiment that ripped the universe a new one, and for every waking moment since has been killing everything in his path to protect the planet from one Alien Invasion after another without a single break. Painfully subverted though, in that this isn't his choice at all.


 * Sissel from Ghost Trick has this in spades. He constantly says that he's only interested in finding the answers to his own identity, but it doesn't really match up with what he does. When he sees a young woman shot to death, he states that he's not the kind of guy who'll leave a woman dead like trash in a junkyard, and revives her. He then goes around saving the lives of pretty much every dead person he comes across (and there's a bunch) whether they're of great use to him or not because, damnit, he might only have until dawn before he disappears forever, but no one's dying on his watch.
 * Litchi Faye-Ling in Blaz Blue. After a negligience in her research caused her colleague Lotte to turn into Arakune, she has resolved to restore him to normal, and along the way, help other people so they don't have to suffer like him, putting her life below others. While it does make her a Good Samaritan,

Web Comics

 * Parodied in Keychain of Creation here.
 * In a recent update, Misho original Samaritan Syndrome was worsened when he made his Sacrifice to gain mastery of sorcery; going to the Loom of Fate and seeing the destiny of all mortals which, thanks to his perfect memory, resulted in: "So Misho sacrificed his ignorance."

Web Original

 * Sailor Nothing.
 * And Sailor Moon had that, too, at times - whatever Usagi and friends plan, is (mostly) disturbed by demons.
 * Achilles has absolutely no life outside of superheroics, specifically because of this reason.

Western Animation

 * Danny Phantom takes after Spider-Man in regards to this trope: "If not me, who's gonna protect this town?"
 * Johnny Test played with this trope, when Johnny decided to be a super hero, and found that they wouldn't let him take a nap, play video games, or even go to the bathroom.
 * A Powerpuff Girls episode featured this.
 * An episode of Batman: The Animated Series featured the hero making his annual visit to the site of his parents' murder, which makes him late for a sting operation that he helped set up. He arrives in time to help subdue the crooks, but finds that Jim Gordon has been severely wounded. Batman's guilt (which is not helped at all by Detective Harvey Bullock) over not being there in time to save Jim sends him into a Heroic BSOD.
 * In other episodes, he's refused to let minor inconveniences like a cold and, oh, blindness stop him from bringing down the bad guy because he knows what kind of mayhem is being unleashed while he sits it out.
 * In the former episode, Batman is saved from Heroic BSOD because he stops another attempt on Jim Gordon when he wakes up and finds out Jim has the same doubts.

Real Life

 * In an incredibly sad real-life case of this, a Pulitzer Prize winning photographer who took pictures of starving Sudanese children committed suicide because he was haunted by the feeling of being helpless to save any of them.
 * During the 1938 Rape of Nanking, at the Ginling Girls' College, the lead American professor, Minnie Vautrin, an American missionary and a professor of education, worked tirelessly in a parallel effort to preserve the young women of her school from rape. In cooperation with the German (Nazi!) businessman John Rabe, her efforts to protect her young women from degradation were ceaseless. Hundreds, perhaps thousands, of girls were spared gang rape as a result of her efforts. Upon her return home, in 1941, she too committed suicide.
 * Watching interviews with Lt. General Roméo Dallaire, military commander of the UN Assistance Mission for Rwanda during the Rwandan Genocide, is rather soulcrushing. He basically blames himself personally for the uselessness of the UN's response, despite having had fewer than 500 people and next to no support from the UN or anyone else.
 * Major Charles Whittlesey, who was the commander of the famous "Lost Battalion" in World War I, managed to keep his men alive under impossible odds and was awarded the Congressional Medal of Honor for his achievements. However, the combination of guilt over his inability to save all of his men and the fact that people were always constantly reminding him of the event were likely factors in his subsequent suicide.
 * Triage. The easy part is sorting out the ones who are dead and the ones that don't need any emergency care. The hard part is passing those people who need emergency care, but it would be too time and resource intensive versus their chances of survival. The only thing you can do is quick pain management and maybe find a volunteer to stay with them while they die and you move on to the next.