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Alissa isn't totally without morals, it's just her programming overrides everything. Some unknown person in the tournament reconfigured Alisa's programming, and once the programming was executed, she was free to act on her own accord again, hence why she pressed the call button to summon a nurse, so they could find Lili in her beaten state and administer aid. Her fight or flight code told her to get out of there without being noticed. Easy to explain why Alisa would do something like that.

Also, yes, a coma is defined as a period of unconsciousness lasting six or more hours in which the person is unable to be awakened. I think getting her skull pounded to a bloody squash qualifies.