The Higgins 78ft PT-200 was one of the Higgins 78ft PT boats built for the US Navy. It was laid down in New Orleans on 29 June 1942, launched on 16 September, and commissioned on 23 January 1943. The PT-200 was assigned to the 4th Torpedo Boat Flotilla, a training squadron stationed in Melville, Rhode Island. It would serve in this capacity until 22 February 1944, when it was lost after colliding with an unknown object off the coast of Newport.

The PT-200 was introduced in Update 1.79 "Project X". As a late version of the Higgins 78ft PT boat, it features largely the same armaments as the Elco counterpart, the PT-565. Equipped with the 37 mm gun derived from the P-39 Airacobra at the bow and the powerful 40 mm Bofors autocannon at the stern, this arrangement encourages hit-and-run or ambush tactics, as the Bofors offers much more reliable firepower. It also has an option to equip rockets at the bow that can deal good damage against larger ships. However, much like any other PT boat, the PT-200 is still vulnerable from the sides and cannot afford taking hits.