Threats
Not every danger waits at the window — each threat has its own fix, and most ignore gunfire.
By Bloxron Editorial Team · Last updated
14 Threats
5 Hazards
9 Enemies
Threats fall into map hazards and enemies that chase you or jam check-in. Tasers and guns only really work on Skin Walkers; everything else needs its own fix. This page holds the full counter tables — desk tells stay on Anomalies.
Fake patients at the reception window — appearance, snapshot, CCTV, paperwork, and audio tells — are covered on Anomalies. Timed ward emergencies such as Death Ritual are on Shift Events.
If an imposter slips through Shutters, you can still remove it mid-treatment: give the wrong hallway item during a normal room case and the hidden anomaly dies without counting as a patient death. Tasers and guns work too — especially on Skin Walkers and the Room 8 Fake Surgery Patient. Item rules and room flow are on Treatments.
Map hazards
| Name | Where | What happens | Your move | Guns? |
|---|---|---|---|---|
| Slime | Floors / beds | Green spread; slows movement; grows over time | Fire Extinguisher spray (Shift 3+, faster) or hold E to scrub (bigger patches cost more Sanity) | No |
| Ceiling Monster | Treatment room ceiling | HUD warns "Don't look up" | Keep view down until it leaves; or Eye Drops + door-frame Accept Treatment to clear early | No |
| Bed Monster | Red zone under beds | Ankle grab on patients, players, or nearby anomalies; ~30 s to free a dragged patient or the case fails; heavy Sanity loss while held | Equip Maple Syrup and enter the red zone, or interact E while a patient is dragged — mash E if it grabs you | No |
| Wall Monster | Medical room walls | Blends with wall; eyes/teeth give it away | Sprint until it gives up chase | No |
| Fire | Any room | Flame tiles drain Sanity while you stand in them | Fire Extinguisher (Shift 3+, recharges in case) or E on flame tiles | No |
Enemies
| Name | Where | What happens | Your move | Guns? |
|---|---|---|---|---|
| Head Banger | Check-in glass | Eyeless visitor hammers glass; Shutters stuck | Equip Coffee, interact with E; empty hands cost ~−20 Sanity | No |
| Ghost | Hospital halls / rooms | Roams invisible or translucent after a patient dies during the shift; doors open alone, ominous audio, ectoplasm on the floor; Ghostly Presence drains ~2 Sanity/s while close | Spray with Fire Extinguisher to force it visible, then sneak behind with Taser or Gun — front shots fail while invisible; ping location via CCTV if you lose sight | Yes |
| Black Bunny | Hallways / check-in approach | Peeks from corners with a wide grin; may appear near the desk until photographed; direct stare costs ~−10 Sanity | Break eye contact while passing; snap a check-in photo to clear a desk spawn | No |
| Skin Walker | Inside hospital | Bad intake awakens; attacks patients/players | Taser, Gun, or melee E; hold E from behind if it is attacking a patient; wrong hallway item during treatment also kills admitted imposters without a patient-death penalty | Yes |
| Fake Surgery Patient | Room 8 | Normal surgery case until the patient sits up with a Skin Walker maw mid-procedure | Taser as soon as it reveals — do not confuse with Tentacle Mass, where guns fail the real patient | Yes |
| Hider | Various halls | Small groups chase nearby players; may grab dropped items | Sprint until they leave; Fire Extinguisher or Taser if one blocks a key item; lure into a Bed Monster red zone (jump the bed so the Hider walks in) for a free clear | No |
| Tentacle Mass | Room 8 | HUD: a monster emerged in Room 8; Sanity ticks down during surgery | Finish the timed surgery puzzle — do not shoot or tase | No |
| Camera Anomaly | Broken CCTV | Glitched camera feed on broken CCTV; lingering costs ~−20 Sanity | Exit camera UI immediately, then repair that channel | No |
| Slimebert | Slime secret shifts | Barges in after slimy paperwork; roams slowly without a chase; Slimed ≈ −20 Sanity then digest ticks (~−3) | Keep distance until the shift ends; Fire Extinguisher short-stuns — Taser and Gun bounce off | No |
- Skin Walker transforms during bed recovery or right after intake completes.
- Missed a desk tell? Wrong treatment item on an admitted imposter kills it cleanly — no patient-death tally. Real patients still die from wrong items.
- Fake Surgery Patient is a Room 8 shapeshifter — tase on reveal; Tentacle Mass in the same room needs the surgery puzzle instead.
- Head Banger is the eyeless visitor that hammers check-in glass — also labeled Eyeless or Wall Banger in-game.
- Black Bunny is the tall hallway Stalker — may also appear at check-in until you photograph it.
- Ghost starts invisible and only spawns after a patient has already died that shift — Fire Extinguisher spray reveals it; Taser or Gun only works from behind once visible. Trash-discarding a fainted patient skips treatment without a death tally; that is separate from Ghost rules, which still need a real patient death.
- Slimebert only walks slime takeover nights — slow, immune to Taser and Gun; extinguisher buys a short stun. Survive the shift; do not burn the whole tank clearing floor slime if Slimebert is still in the wing. If it drifts toward the Medical or Emergency wing, wait in the office until that hall clears.
- Wall Monster chases from walls; Hider chases in small groups — lure Hiders into Bed Monster red zones or sprint until they leave.
- Tasing a normal patient costs ~−15 Sanity; friendly taser hits drain ~2 Sanity.
Camera Anomaly details live on Anomalies.