Animal Hospital Anomalies
Every anomaly grouped by how you actually catch it — window, photo and CCTV — plus all ten enemies — updated September 2026.
🪟 At the reception window (8)
- Smiling with Creepy Eyes — Large black-pupil eyes, heavy under-eye bags and a big fixed drawn-on smile. Tasing makes the smile vanish — that is not proof it is normal.
- Three Eyes — Three off-centre glowing red eyes replace the real ones; the original eyes are sometimes still visible underneath.
- Crooked Face — A crooked sharp-toothed grin with large mismatched eyes set unusually high on the face. The eyes stay visible even if the expression changes.
- X-rayed Face — Small wide circular eyes and realistic teeth. The face can look completely normal again after one expression change, so never clear it on a single glance.
- Staring — The head tracks and rotates up to 60 degrees toward you at the window. Ratthew does this too and is NOT an anomaly.
- Hollow Face — Dark hollow eyes, hunched posture, constant twitching. Not hostile — it guarantees a Death Ritual on recovery, so stay and use IV Drops, Eye Drops or coffee to douse the candles safely.
- Twitching — Jerky twitching in the arms, head and neck with a hunched back. Sometimes only visible on camera, and it may simply leave instead of attacking.
- Tiny Anomaly — Added 25 July 2026. An extremely small body with a high-pitched voice — the documented form is a pink bunny with a short tail and three glowing red eyes. Turns hostile right after check-in.
📷 In the photo (2)
- Incorrect Photo — The developed photo does not match the real patient — wrong eyes or mouth, wrong ear or horn shape, or the wrong ear colour.
- Static Photo — The photo is static, grainy or blank. After Shift 10 this alone no longer guarantees an anomaly, so close the shutters rather than shooting or tasing on static alone.
📹 On the security camera (8)
- Black Eyes — The head is blocked by a black bar with realistic black eyes staring out of the feed.
- Unnatural Body — Also called the Contortionist. The body looks stretched and reshapes every time you reopen the camera.
- Staring at Cameras — Looks directly into the CCTV lens at all times, even while walking.
- Void — Renders as a solid black silhouette on camera only.
- Camera Twitching — Twitches only on the camera feed, never in person at the window.
- Security Camera Mimic — Shows a Mimic mouth or face only on camera — use the lobby camera rather than the check-in cam for a clean angle. An early tell that it will later turn into the Mimic enemy.
- Mismatching Ears — Ears or horns look different on camera than they did at the window.
- Mismatching Face — The face looks different on camera versus the window, usually only on the first look.
💡 Other tells (2)
- Flickering Lights — Lights flicker or cut out as an anomaly nears the reception window and return to normal once it leaves. Can appear with no other tell present.
- Barney — A recurring neutral anomaly rabbit identified by name and dialogue rather than a visual tell. He cannot be shot or tased — handle him through his coffee requests.
👹 Enemies inside the building (10)
- Stalker — Lurks in corners and rooms; eye contact drains sanity. Keep your view down and take corners slowly. A rare check-in version is cleared by photographing it.
- Hiders — Camouflaged flat figures on walls that ambush and steal your held item, or cost 10 sanity if your hands are empty. Clear with the Fire Extinguisher, Taser or Gun, or lure them into the Bed Monster.
- Head Banger — Bangs on the reception side window during shifts 2 to 5 and blocks the shutters. Give it Coffee to make it leave safely — asking it to leave without coffee costs 20 sanity.
- Ghost — Invisible, spawns after a patient death and drains 2 sanity per second if it sneaks up. Reveal it with the Fire Extinguisher, then kill with Taser, Gun or Scanner.
- Camera Monster — Only appears on a broken security camera, then zooms in for a 20-sanity jumpscare. Switch cameras in time or repair broken ones.
- Bed Monster — Spawns under an anomaly bed and grabs anyone stepping into its red hitbox. Give it Maple Syrup, an Organ or a Transplant to make it release and vanish.
- Mass of Eyes — The ceiling eye-mass in patient rooms and reception — it drains sanity if you look directly at it. Avoid eye contact or give it Eyedrops to calm it.
- Tentacle — The Surgery Monster can erupt from a Room 8 surgery patient during recovery. Finish the fixed sequence (Scissors, Transplant, Scissors, Transplant, then Scalpel, Organ and Bandages) inside 45 seconds. Never shoot, tase or offer coffee: that kills the patient instantly.
- Mimic — An anomaly patient that turns hostile after admission or treatment and attacks the nearest patient or player. Put it down with the Taser, X-Taser or Gun.
- Slimebert — Added 25 July 2026. A large slime that roams the halls during a one-off Slime Shift around shift 10 and eats anyone in its path. Walk around it — it moves straight and slowly — or hold Cough Syrup to make it choke.
🔍 Universal tells that work on any anomaly
- Anomalies cannot faint — by any means, including fire — anyone who walks into a burning room without collapsing is an anomaly.
- Tasering pays — tasering an anomaly grants +2 sanity; shooting one grants none.
- The shift won't end — if every patient is treated but the shift summary never appears, an anomaly is still inside the building.
❓ FAQ
How many anomalies are in Animal Hospital?
There are 18 documented anomalies in Animal Hospital as of July 2026 — 7 you can spot at the reception window, 3 in the photos and 8 only on the CCTV cameras. Nine further hostile creatures (Bed Monster, Mimic, Stalker and more) are tracked separately as enemies and are listed further down this page.
How do you identify anomalies in Animal Hospital?
There are three detection channels. At the reception window you look for wrong faces, staring, twitching and a low distorted voice. In photos you compare the developed picture against the real patient. On CCTV you watch for bodies, faces or ears that only look wrong on camera. Anything that fails a check gets rejected with the shutters.
How many shifts are in Animal Hospital?
There is no fixed total — shifts are an endless survival counter, and the first four act as tutorials. You lose when your sanity hits 0 or three animals die. Notable beats: Shift 2 unlocks the Emergency Wing and shop, Shift 3 unlocks the taser, Shift 4 triggers the Ambulance Event, Shift 6 is Dr. Harlow's last active shift, and Liz arrives around Shifts 11-12 with her UV camera.
Does Animal Hospital have an ending?
No. Animal Hospital is endless survival with no win state and no endings system — you play until your sanity runs out or three animals die. Sites claiming a "Shift 7 ending" are wrong: after Shift 7 Dr. Harlow simply appears in the lobby and answers questions if you bring him Mint Tea.
Does Animal Hospital have codes?
No. Animal Hospital has no code redemption system at all — there is no redeem box in the game and the developers have never issued a code. Any site listing working "Animal Hospital codes" is fabricating them. Cash and Animal Coins are earned by completing shifts instead.
What is Barney's secret in Animal Hospital?
Barney is a rabbit who visits across Shifts 2-7 asking for coffee, then to store a red briefcase, then a photo, then a scalpel, and finally to be hidden from the police. Shelter him in the Reception Office instead of turning him in and he rewards you with a second coffee machine (300s cooldown), then stops visiting. Turning him in to Officer Duckman gets the officer knocked out and earns you nothing.
What is in Ratthew's vault in Animal Hospital?
After Ratthew's final visit he leaves you a key and a note. Remove the cat poster in Room 5 to reveal a hidden vault — the key opens it, and inside are a photo of Rattina, a "TOP SECRET" suitcase and a note reading "The experiment was a success, the 'Shadow' now sees everything."