Doctor Nicodemus "Nic" West is a neurosurgeon at Metro-General Hospital where he developed a rivalry with a fellow doctor working there, Stephen Strange. West saved Strange's life after a near fatal car accident, although his work could not save Strange's hands which developed irreparable nerve damage. West continued working at the hospital while Strange searched for a way to fix his hands. The pair came back into contact when Strange brought in the Ancient One and personally asked West to take charge of the operation, although she could not be saved. In 2018, West was among those that were killed in the Snap. Upon his resurrection five years later, he was distraught to discover his two cats and his brother had died in that time. In 2024, he attended the wedding of co-worker Christine Palmer.