Doctor Shōko commands Kyoto's security forces under Kurama's directive, entrusted with protecting the adamant giant Bishamaru. Her leadership style reflects extreme authority, routinely mobilizing all personnel for trivial tasks—like retrieving a replaceable controller—causing massive city blockades. She exhibits zero tolerance for perceived disrespect or unauthorized interference with her belongings.

Her lifelong association with Yakushimaru (Myoue) is documented across eras, with historical records placing them together from childhood through adulthood in Kyoto. While the city modernized around her, Shōko’s physical appearance remained unchanged across these periods—unlike certain other residents who visibly aged.

She orchestrates operations through drone-like subordinates in white suits, structured with mafia-esque hierarchy and precision. This system enables large-scale enforcement of her orders across the Mirror Capital.