Items tier list
Grouped by itemtype.
survival · 3 items
Eye Drops
Pacifies Mass of Eyes (Roof Monster) — application itself costs some sanity. Also a Death Ritual cancel option.
Fire Extinguisher
Free pressurized canister — eliminates Hiders, slime puddles, and active fires. 100% charge that depletes with use and recharges 1% per 2s at spawn.
Maple Syrup
Bed Monster bribe — step into the red hitbox holding syrup and the monster takes the bribe instead of you. Zero sanity loss.
treatment · 10 items
Bandages
Stops bleeding on patients — the dedicated treatment for the Bleeding condition. Single-condition item with a clear primary use. Bandage cross changed from red to green on 6/23 for Geneva Convention compliance.
Calming Meds
Strong medication that restores patient stability — primary counter for the Mad Patient anomaly. Critical: prevents the surgery-fail-state when applied before any surgical treatment.
Cooling Gel
Topical gel for High Fever condition — rapid surface body temperature reduction. Single-condition treatment item.
Cough Syrup
Treats the Flu condition — single-use respiratory medication. Standard cabinet stock.
Herbs
Herbal mixture for Stomach Ache — single-use digestive distress treatment. Standard cabinet stock.
IV Bag
Fluid replacement bag for Dehydration — requires IV stand setup and takes time to administer.
Medicine
Generic pain reliever — treats the Headache condition. Standard cabinet stock.
Medkit
Treats Bruises — blunt-trauma kit, distinct from Bandages (Bleeding) and Ointment (Burns/Rashes).
Ointment
Treats Rashes — also the manual fallback for Patient on Fire event when no Fire Extinguisher is in reach. Slower than Fire Extinguisher but viable as backup.
Smelling Salts
Fast-acting stimulant to wake fainting patients. Counter for both the Fainting Patient anomaly and the Patient Fainted event.
tool · 6 items
Flashlight
Handheld light source — investigates dark corners and reveals hidden anomalies under beds. Starter equipment.
Gun
Ranged firearm — most powerful hostile-removal weapon. 20 uses per unit. Secret Agent class starter. Friendly-fire risk is real — patients/players hit will faint or die.
Mop
Cleaning implement — removes Slime puddles (the only weapon class that works on Slime). Free from Utility Closet.
Photo Camera
Anomaly-detection tool — captures evidence invisible to the live monitor. Costs 10 sanity per photo view. Available from Shift 1.
Taser
Electroshock weapon — instantly incapacitates Skinwalker and other hostiles. Security class starts with a 5-use X-Taser variant. Shop variants at $150 (1-use) and $250 (5-use).
Thermo
Thermometer diagnostic — reads patient body temperature for High Fever confirmation. Diagnostic only, doesn't treat.
utility · 4 items
Anti-Psychotics
Medication that slows sanity decay rate. Gradual effect — not an instant restore. Maintenance item for high-anomaly shifts.
Chocolate
The most sanity-efficient restorative — 20% per bite, 3 bites per bar, 60% total recovery. 4× more potent per use than Coffee.
Coffee
Sanity restorative — 5% per sip, 3 sips per cup, 15% total recovery. Cheapest and most accessible sanity item in the game.
Large Speed Cola (Run Fast Cola)
Movement-speed consumable. Paramedic class starts with one each shift; also available from Vending Machine and Supplies Shop.