A dynamically adjustable multiphasic pulse system and method are provided. The dynamically adjustable multiphasic pulse system may be used as pulse system for a defibrillator or cardioverter. The dynamically adjustable multiphasic pulse system may include a subsystem that generates a first phase of a pulse, a separate subsystem that generates a second phase of the pulse and a switch element that switches between the subsystem and the separate subsystem to generate a therapeutic pulse having at least one positive phase and at least one negative phase.