Grouped by shiftnumber.
Tutorial shift — 2 scripted patients (Herbs + Eye Drops), Dr. Harlow guidance, $63 fixed reward, shutters and cameras unlock at completion.
First real shift — Mass of Eyes ceiling threat debuts, anomalies + characters + enemies all active. Tutorial scripting ends.
First real difficulty spike — Supplies Shop opens, Tasers unlock, Emergency Wing (Rooms 6-8) accessible, timed emergency events begin firing randomly.
Ambulance Event debut shift. News Bunny TV broadcast pre-warns the 6-patient surge. Dr. Harlow announces the anomaly attack. Pressure escalates dramatically from Shift 3.
Final core shift — successful completion triggers Standard Discharge ending and Professional Caretaker achievement. Head Banger peak spawn density.