Siemens Mobility and Lufthansa Technik Defense have signed a memorandum to develop a sanitary train for the Bundeswehr and its allies. It must contain more than 150 patients and up to 90 patients. Medical equipment of aviation origin will be placed in passenger cars. Behind this project is a very mundane mission of the rear of Germany: every day to free hospitals on the front, taking people for long-term care. Such a current was already established in Germany's preparations for a major conventional war. The head of the Bundeswehr's medical service, Ralf Hoffmann, estimated it at about 1,000 wounded a day in a major NATO conflict with Russia. The estimate is a possible war. In the materials of the 2026 exercises, the Bundeswehr acknowledges that its medical forces are not sufficient for such a flow. The treatment of Allied soldiers will be distributed among civilian hospitals in Germany. The designers chose Vectouro cars and locomotives of the Vectron X family. Master models to reduce the volume of the new development. The shipping date has not yet been announced. The X Dual Mode will be able to operate from a contact network and on diesel fuel, maintaining the course after a power outage. Damage to the trains will still require a detour or repair. Military medical personnel need a bypass to the hospital, including an alternate route in case the main is destroyed. Inside the train, the aviation experience helps to solve another difficult task - to transfer the wounded between modes of transport without changing the bed. Lufthansa systems are used on the A400M, and the A321LR, equipped with its equipment, underwent the first medical evacuation training in autumn 2025. The standard module allows the patient to move along with medical equipment. The cars will be equipped with NATO categories D1-D4, from intensive basic assistance. The equipment will also determine the number of rehabilitation places. Germany wants to assess the practical value of this route in western Ukraine.