Objectives: A second-order repair kinetics model is developed to predict damage repair rates following low or high linear energy transfer (LET) irradiations and to assess the amount of unrepairable damage produced by such radiations. The model is a further development of an earlier version designed to test if low-LET radiation repair processes could be quantified in terms of second-order kinetics. The newer version allows calculation of both the repair rate of the proportion of DNA damages that repair according to secondorder kinetics and the proportion of DNA damages that do not repair. Methods: The original and present models are intercompared in terms of their goodness-of-fit to a number of data sets obtained from different ion beams. The analysis demonstrates that the present model provides a better fit to the data in all cases studied. Results: The proportions of unrepairable damage created by radiations of different LET predicted by the new model correspond well with previous studies on the increased effectiveness of high-LET radiations in inducing reproductive cell death. The results show that the original model may underestimate the proportion of unrepaired damage at any given time after its creation as well as failing to predict very slow or unrepairable damage components, which may result from high-LET irradiation. Conclusion: It is suggested that the second-order model presented here offers a more realistic view of the patterns of repair in cell lines or tissues exposed to high-LET radiation. investigations provide evidence that radiations of different linear energy transfer (LET) produce different types of DNA damage and that a larger proportion of complex damage is being created by higher LET. There is also evidence that different types of DNA damage are associated with different repair rates, with more complex damage taking longer to repair (if at all) [3,4]. It has been reported [5,6] that highly complex DNA breaks imply in some cases such a massive loss of DNA coding that the chances of correct repair are very low.For a given particle type, the relative biological effectiveness (RBE) increases with LET until reaching a maximum and then decreases. Belli et al [7] have recently studied the repair characteristics of double-strand breaks (DSBs) produced by radiations of different LET, arriving at the conclusion that the increase in RBE for cell inactivation with LET might be related to the increasing proportion of unrepaired DSB rather than the proportion of induced DSB. A similar conclusion was reached by Barendsen [1,8,9], who studied the LET dependency of different types of DNA strand breaks and suggested different candidates of DNA damage to explain cell inactivation. Other authors also have found a correspondence between unrepaired DNA strand breaks and cell lethality (e.g. Ritter et al [10], Goodhead et al [11] and more recently Eguchi-Kasai et al [12]), but none of them provided information on the specific nature of the unrepairable DNA strand breaks.In practical terms, DNA DSBs with very slow...