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Condition

Low Sugar (Canadian Patients)

Updated:

Pale shaky patient with dizziness — Maple Syrup raises blood sugar. ⚠️ Known bug: Canadian patients may request duplicate items; system marks both complete on receiving one but needs two.

Overview

Low Sugar is the patient-side use for the Maple Syrup item. Per Fandom's Treatment Item Table, Low Sugar is categorised under Syrups alongside Flu — both share the syrup-treatment theme. Per Fandom specifically: Low Sugar is associated with Canadian patients (in-fiction species/origin flavour).

Maple Syrup is the sole treatment that cures two distinct ailments per Fandom's notable item properties — Low Sugar for patients AND repelling Bed Monster. This dual-use makes Maple Syrup one of the most utility-rich items in the inventory; see /wiki/items/maple-syrup for the Bed Monster bribe workflow.

⚠️ KNOWN BUG per Fandom: Canadian patients with Low Blood Sugar may request duplicate items. The system marks BOTH as complete upon receiving one, but the patient actually requires two items before recovery. This means a patient who appears to have been treated may not actually be cured — they continue to deteriorate while the diagnostic display shows them as 'done.' Stock at least 2 Maple Syrups when Low Sugar appears in queue.

Video Guide

Diagnosis demo video coming soon.

Visual Symptoms & Cues

  • Patient looks pale and shaky (pale colour shift + tremor animation)
  • Dialogue references dizziness, weakness, or feeling faint
  • Sometimes a sweating animation overlay
  • Distinct from Dehydration (which has sunken-eye + dry-skin cues rather than dizziness)

Easy vs Tricky Diagnoses

Pros

  • Pale + shaky combination is distinctive
  • Dizziness dialogue is unambiguous
  • Sweating animation reinforces the diagnosis when present

Cons

  • Easy to confuse with Dehydration (both have pale presentation)
  • ⚠️ Canadian bug: duplicate-item request displays as 'complete' but patient still deteriorates
  • Untreated/improperly-treated Low Sugar cascades into Patient Fainted event

At a Glance

At a Glance

Cure
Maple Syrup
Difficulty
easy
First appears
Shift 1

How to Diagnose and Treat

Diagnose first via the pale + shaky visual cue, dizziness dialogue, sweating animation. Compare against Dehydration (which has sunken-eye specific cue + dry-skin texture + thirst dialogue rather than dizziness).

Once confirmed, pull Maple Syrup from Supply Room shelf A (cost 5 per AH documentation). Apply to the patient. The condition should resolve on application — except for Canadian patients with the documented duplicate-item bug.

⚠️ CANADIAN BUG WORKAROUND per Fandom: when a Canadian patient with Low Sugar requests duplicate items, the system marks both items as complete upon receiving ONE, but the patient actually needs TWO items before full recovery. The bug means a 'treated' patient continues to deteriorate while the diagnostic display lies about completion status. Workaround: pre-stock at least 2 Maple Syrups whenever Low Sugar is in queue, and apply both even if the display says the patient is done. Better to waste one syrup than to leave a Canadian patient un-cured because of the display bug.

Cascade risk: untreated or improperly-treated Low Sugar progresses toward fainting per AH content. A fainted Low Sugar patient becomes a Patient Fainted event (see /wiki/events/patient-fainted) which requires bed-carry within 60 seconds. Avoid the cascade by treating Low Sugar promptly with full item count (accounting for the Canadian bug).

Cross-reference: Maple Syrup's dual-use (patient treatment + Bed Monster bribe) means inventory planning matters. If a Bed Monster encounter is likely on the current shift AND Low Sugar patients are in queue, stock 3+ Maple Syrups: 2 for the Canadian bug, 1+ for Bed Monster.

Patch History

No documented balance changes to the Low Sugar condition. The Canadian duplicate-item bug has been consistent in Fandom documentation through 2026-06-28 — flagged as a known bug but not yet patched. The Maple Syrup dual-use (patient + Bed Monster) has been stable since launch.

Frequently Asked Questions

What treats Low Sugar?
Maple Syrup — Syrups category per Fandom. See /wiki/items/maple-syrup for the item-side details including the Bed Monster bribe use.
What's the Canadian patient bug?
Per Fandom: Canadian patients with Low Blood Sugar may request duplicate items. The system marks both as complete upon receiving one, but the patient actually requires two items before recovery. Workaround: stock 2 Maple Syrups and apply both regardless of display status.
Why are Canadian patients singled out for this bug?
In-fiction species/origin flavour per Fandom — Low Sugar is associated with Canadian patients specifically. The duplicate-item bug appears to be specific to that subset.
How do I tell Low Sugar from Dehydration?
Both have pale presentation, but Low Sugar shows shakiness + dizziness dialogue + sweating animation. Dehydration shows sunken eyes + dry skin texture + thirst dialogue.
What happens if I miss the Canadian bug?
The 'treated' patient continues to deteriorate even though the display shows them as done. Cascades into the Patient Fainted event (60s bed-carry timer) per /wiki/events/patient-fainted, then risks patient death.
Can I use Maple Syrup on Bed Monster?
Yes — per /wiki/items/maple-syrup, Maple Syrup is the Bed Monster bribe. Dual-use item: cures Low Sugar patients AND repels Bed Monster. Plan inventory accordingly when both threats are likely.
When do Low Sugar patients first appear?
Shift 1 onwards. Low Sugar is in the default condition pool from the opening shift.
Is the Canadian bug patched?
Not as of the 2026-06-28 Fandom snapshot. Use the 2-syrup workaround until a patch is documented.

Treatment shares an item with the most-feared enemy

Low Sugar is treated by Maple Syrup — the same item that bribes the Bed Monster. One item, two completely different game contexts.

This means players who carry Maple Syrup for Bed Monster defence are also automatically equipped to treat Low Sugar without a cabinet trip. The reverse is also true: stocking up for Low Sugar gives you Bed Monster insurance.

Symptoms

Patient looks pale and shaky, complains about feeling weak or dizzy, may have a sweating animation overlay. Apply Maple Syrup. If the patient is already in a fainted state from progression, you're past Low Sugar territory and into Patient Fainted event handling.

What untreated Low Sugar leads to

Untreated low sugar progresses toward fainting per existing documentation. Once the patient faints, the event timer (60s) starts and the response shifts from "apply syrup" to "carry to designated bed". Catch Low Sugar early to skip the cascade.

Sources: Sportskeeda items guide, in-game documentation.