Animal Hospital Anomalies

👁️ At the reception window (7)

No equipment needed — you can reject these on sight. All of them also speak with a low-pitched, distorted voice.

• Smiling with Creepy Eyes — Large eyes with black pupils, heavy under-eye bags and a big drawn-on smile. Reject it — tasering makes the smile vanish.
• Three Eyes — Three mismatched glowing red eyes replace the patient's own; the real eyes are sometimes still visible behind them. Reject.
• Crooked Face — A crooked, distorted smile with sharp teeth and mismatched high-set eyes — the 3D eyeballs stay visible in every expression. Reject.
• X-rayed Face — Small, wide circular eyes with black pupils, paired with realistic human teeth. Reject.
• Staring — The head tracks your camera or another player, rotating up to about 60° each way. Guaranteed to turn Mimic if admitted — reject.
• Hollow Face — Dark hollow eyes, constant twitching and a hunched posture. Admitting it guarantees a Death Ritual — reject.
• Twitching — Twitching arms and head, an elongated neck and a hunched back. Guaranteed Mimic if admitted — reject.

📷 In the photo (3)

Take the photo at the window, then compare it against the patient standing in front of you.

• Incorrect Photo — The developed photo differs from the real patient — eye appearance, ear shape, ear colour, mouth shape or the whole face. Reject.
• Static Photo — The photo comes out covered in static or grain. Reject with the shutters — shooting or tasering only makes it faint, and admitting it starts a Death Ritual.
• Cursed Photos — Picking a photo up before it finishes processing costs you 10 sanity — always wait for it to develop. Six disturbing varieties are documented.

📹 On the CCTV cameras (8)

These look completely normal at the window and in photos — the camera feed is the only thing that gives them away.

• Black Eyes — The face is covered by a black bar with realistic eyes staring back out of it. Reject.
• Unnatural Body — The body is stretched and distorted, reshaping every time you reopen the camera — the community calls it 'boneless'. Reject.
• Staring at Cameras — Looks directly into the CCTV at all times, even while walking. Reject.
• Void / Black — The entire body renders as solid black, but only on the CCTV feed. Reject.
• Camera Twitching — Twitches only in the camera footage, never at the window. Reject.
• Skinwalker / Mimic — Shows up as a Mimic on camera only, after it reaches the check-in spot — use the lobby camera for a side view. Reject.
• Mismatching Ears — Has different ears or horns on camera than it does at the window. Reject.
• Mismatching Face — A different face on camera than at the window — place a Deployable Camera in the office to catch it. Reject.

👹 Enemies inside the building (9)

Technically a separate category from anomalies — these get in and hunt you rather than queueing at the window.

• Bed Monster — Hides under beds in Rooms 1-5 and 7 and drags in anyone entering its red zone (−10 sanity, then −5 every 2s; kills patients in 30s). Feed it Maple Syrup, an Organ or a Transplant.
• Head Banger — Bangs its head on the reception side window on Shifts 2-5 and blocks the shutters. Hand it a coffee or let it break the glass — sending it away without coffee costs 20 sanity.
• Mimic (formerly Skinwalker) — An admitted patient that says "I'm hungry…" then turns hostile (−15 per hit, −6 every ~0.5s). Taser, X-taser, shoot or fight it manually.
• Stalker — A tall black creature at hallway corners — the lights flicker, then you lose 10 sanity if you look. Look away; since 10 July it can also check in, and a photo dispels it.
• Hiders — Paper-thin wall-camouflaged creatures spawning in groups of 1-6 that steal your held item or deal −10 sanity. Use the extinguisher, taser or gun, or simply outrun them.
• Mass of Eyes — A red fleshy ceiling mass — don't look up, or lose 2-5 sanity every half-second of eye contact. Neutralise it with Eyedrops.
• Ghost — Spawns only after a patient has died. Invisible and drains 2 sanity per second (4 as Psychologist) — reveal it with the fire extinguisher, then taser, shoot or scan it.
• Camera Figure — A 50% chance on any broken camera; it zooms in until it jumpscares you for −20 sanity. Switch or close the camera, and repair cameras from underneath.
• Tendril — A purple tentacled mass on the Room 8 surgery patient with a 45s timer. Surgery order: Scissors, Transplant, Scissors, Transplant, then 3 random treatments. Never shoot, taser or coffee it — that kills the patient.

🔍 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.