Kyudai Garaki/Synopsis

History
At some point, he met All For One and became his personal doctor.

Sometime later, All For One found a discarded boy named Tenko on the streets who had been through a traumatic event. At his master's request, he brought for several sets of hands belonging to the boy's family who were accidentally slaughtered when the boy's quirk manifested. Daruma watched as the boy started experience episodes from recalling the events. Daruma questioned All For One if he should modify Tenko but All For One declines and states that he will teach him how to take his feelings and frustrations and give them purpose.

U.S.J. Arc
While Tomura was reporting of his mission's failure of killing All Might, Daruma expresses annoyance at his Nomu being defeated before All For One calms him since they've found something intriguing about All Might's students.

Pro Hero Arc
After Endeavor and Hawks's fight with the Artificial Human, High-End, Dabi confronts the two heroes and initiates a fight with them. He is interrupted by Mirko, prompting Dabi to retreat by asking Ujiko for help. Ujiko has Dabi warped away.

Meta Liberation Army Arc
A month prior to the Hero Billboard Chart JP event, the League of Villains were facing Gigantomachia. As they were struggling against the behemoth, Daruma contacts them from the radio that Gigantomachia is wearing, as he implies Tomura's uncertainty in the League's current state and need for help. Tomura was shocked to hear his voice.

Daruma asks Tomura Shigaraki if he's keeping his remaining allies healthy, in which the latter admits that the League is running short on members. However, A sa tearful Gigantomachia proceeds to destroy a majority of the landscape, Daruma introduces more info on Gigantomachia to the League, explaining that he once served as All For One's bodyguard. The doctor points out that the colossal beast possesses unlimited stamina and capable of welding multiple Quirks without any complex modifications. The doctor adds on that as All For One's power began to wither away thanks to All Might, the megalomaniac knew that he'll eventually meet his defeat, thus leading to him hiding Gigantomachia from the public eye.

Before Gigantomachia prepares to unleash another one of his devastating attacks, Daruma plays a voice recording of All For One from the radio that effectively calms Gigantomachia as he cuddles up to the voice of his "beloved" master. An irritated Tomura claims that he doesn't want to handle Gigantomachia. The doctor tells the young pupil that he spent too much time with Kurogiri and tells him to grow up. Suddenly, black ooze emerges from the League's bodies, transporting them all to a secret laboratory filled with multiple Nomu hybrids.

It is revealed that the doctor was responsible behind the Warping Quirk once used by All For One from the Kamino Incident. He reveals that All For One did this just to make sure his legacy would live on through Tomura's command. The Doctor calls them High-End and says they're much more advanced than the old Nomu. Tomura asks if the Doctor if he can duplicate the Quirk-Destroying Bullets.

In Daruma's lab, Mr. Compress says that he can't see the Doctor and this spooks the latter into hiding in a dark tunnel. The Doctor apologizes and explains that they are not to approach him unless they want to be transported back to Gigantomachia. He introduces himself as Daruma Ujiko, an admitted alias. Daruma tells Tomura that he's only helping out of loyalty to All For One. He claims Tomura himself hasn't accomplished anything and he that must prove that he can carry on All For One's will.

Daruma listens when Tomura confesses that he felt empty before meeting All For One and that the hands he wears on his person make him feel both nauseous and at peace, yet his heart feels heavy which causes his rage. However, Tomura explains that it's this juxtaposition of feelings that makes him hate everything and want to destroy everything. Tomura tells Daruma that he will show heaven and hell if he will help. Amused, Daruma responds that it's a childish dream but is impressed by how serious Tomura is in his dream. Daruma agrees nonetheless.

Mr. Compress notes how easy it was to convince the doctor. Daruma admits that the plan was to always help but he wanted to see Tomura's development. He also admits that he cannot help until they get Gigantomachia to submit. Dabi interrupts saying he will not go back to fight Gigantomachia plus he has a good potential ally waiting. Daruma interjects that Dabi can stay back to help him test the High-End Nomu Hood. Daruma sends the remaining League of Villains members back to Gigantomachia at Tomura's request using Johnny.

During the following month and a half, Shigaraki and the rest of the League members fight almost constantly against Gigantomachia, having only a few hours of rest between combats. Keeping his word, Daruma refuses to fully help the League until Gigantomachia submits. He only gives them a one-time meager allowance. During one of these breaks, they receive the call from Re-Destro, Grand Commander of the Meta Liberation Army. Re-Destro explains that the Army desires to destroy the status quo and allow people to use their Quirks freely, but the League's popularity is interfering with their plans, so they have kidnapped Giran. He explains that only the Army can be credited with the revolution that changes society, therefore the League of Villains must be eliminated to signal the Army revival. Re-Destro informs Tomura to go to Deika City in Aichi Prefecture within the next hour if he wants to get Giran back. He ends the conversation, giving Tomura two choices: 1.) stand against the Army and be destroyed or 2.) do nothing and be captured by the heroes when he gives their location.

Shigaraki decides to accept the challenge, saying he has a plan. He radios the doctor, who is surprise that the Liberation Army still exists. Mr. Compress thinks that Shigaraki is going to ask Daruma to send a High-End Nomu, but the doctor clarifies that is not possible because they are not ready for testing and he cannot do much in regards to producing more Nomu without All For One's help. Tomura comments he did not want to rely on the Nomu, his plan is to kill two birds with one stone: Use Gigantomachia against the Army. Once the Meta Liberation Army is decimated by Gigantomachia's rampage, he plans to attack Gigantomachia, hoping the Army weakened him enough to finally take him down.

The doctor yells how underhanded Tomura is being and wonders if Re-Destro was bluffing. Tomura replies, "Then the fool dies. Plain and simple." at the doctor's thought. They still have over two hours until Machia wakes up, and Tomura asks the Doctor to warp the entire League of Villains to Aichi. Once in Deika city, they are attacked by members of the Liberation Army.

Later on, members of the League endure almost an hour of battling the Meta Liberation Army and cause a large number of casualties to the opposing side, but members of the League begin to show weariness by the consistent battles and increasingly powerful enemies. Overhearing everything from his lab, Daruma decides to help by waking Gigantomachia prematurely and ordering him to the League's location. Doing so causes Gigantomachia to erupt from under a wooden mound.