Enemies
Updated:
Every hostile entity that can spawn during a shift — what it looks like, how it attacks, and the counter that ends the encounter.
- ✅ verified
Bed Monster
A crimson box appears under a patient bed — once it's there, black hands and red eyes will start pulling at whatever gets close.
- ⚠️ Community-reported
Black Bunny
A hostile rabbit-shaped entity that keeps its distance — spotting it early is the whole counter.
- ✅ verified
Camera Figure
A black silhouette that pushes closer to the screen the longer you stay on the CCTV feed.
- ⚠️ Community-reported
Ceiling Monster
A threat that lives above the camera line — looking up is the trigger, not the discovery.
- ⚠️ Community-reported
Don't Look Up
Not a creature — a warning prompt tied to the Mass of Eyes encounter.
- ⚠️ Community-reported
Eyeless
A patient-shaped entity whose missing eyes are the entire diagnostic cue.
- ✅ verified
Ghost
Translucent floating entity added in the 6/26 patch — drains sanity continuously while present, even when invisible.
- ✅ verified
Head Banger
Hollow-eyed entity that smashes its head into the check-in window during Shifts 2–5 — Coffee ends the encounter cheapest.
- ✅ verified
Hiders
Flat humanoid shapes that peel off the walls, dash at the player, and steal inventory items.
- ✅ verified
Mass of Eyes
A writhing cluster of eyes on the ceiling — drains sanity continuously while you're looking at it.
- ⚠️ Community-reported
Shadow Figure
A dark, vague humanoid that appears on CCTV or briefly inside a room — recognition is the whole counter.
- ✅ verified
Skinwalker
Patient-disguised enemy that turns hostile post-admission — bite damage, sanity drain, weapons-only resolution.
- ✅ verified
Slime
An environmental hazard — a viscous puddle on the floor that needs to be cleaned up rather than fought.
- ✅ verified
Stalker
Once-per-run rat figure that lurks at corners — looking directly at it costs 10 sanity, then it vanishes.
- ✅ verified
Surgery Monster
Room 8 emergency event — a purple tentacled blob on the surgery table that kills the patient if the 45-second timer expires.
- ✅ verified
Tendril
Room 8's purple tendril — covers the patient on the surgery table if the 45-second timer expires.
- ⚠️ Community-reported
Tentacle
A surgery-room hazard indicator — its presence signals pressure on the Room 8 timer.
Not Every Enemy Fights Back
The enemies catalogue covers everything that can spawn on the hospital floor during a shift, but they don't all behave the same way. Roughly three quarters of the entries are passive threats — they damage you only if you engage with them incorrectly (looking at Stalker, staring at Mass of Eyes, walking into Slime). Treat them as environmental hazards. The rest — Skinwalker most importantly — are active hostiles that pursue patients or staff. Counter selection depends entirely on which category you're dealing with.
What to Carry vs Which Enemy
| Enemy | Counter | Sourced From | |---|---|---| | Skinwalker | Gun, Taser, or Fire Extinguisher | Destructoid | | Bed Monster | Maple Syrup (approach with) | Destructoid | | Head Banger / Wall Bangers | Coffee OR food | Destructoid | | Slime | Mop (hold E) | Destructoid | | Surgery Tendril | Finish the surgery minigame — don't shoot it | Destructoid | | Mass of Eyes / Ceiling Monster | Keep camera angled down | Destructoid | | Stalker | Avoid direct eye contact | Destructoid | | Hiders | Fire Extinguisher or Taser, then break line-of-sight | community |
If you're loading inventory before a shift, treat Maple Syrup + Coffee + Fire Extinguisher as the universal three-slot starter — they cover the most common encounters without overlap.
The Sanity-Drain vs Physical-Damage Split
Sanity-drain enemies (Mass of Eyes, Stalker, Camera Figure, Shadow Figure) hurt you indirectly — through prolonged observation. They're almost always survivable if you can break visual contact. Physical-damage enemies (Skinwalker, Hiders) require an actual item or escape route. Decide which category you're in before reaching for the inventory bar; a Gun does nothing against Mass of Eyes.
Skinwalker Is Where Most Runs End
If your run collapses, it's almost always because of a Skinwalker — either one that converted from a missed anomaly at intake, or one that caught you mid-treatment. Three counters work (Gun, Taser, Fire Extinguisher) but they're not interchangeable: Gun has range, Taser has reuse, Fire Extinguisher has the most uses per refill. If a Skinwalker grabs you, mash E to break the pin — don't try to wait it out.
FAQ
What's the difference between an enemy and an event? Enemies persist until countered or avoided. Events have timers and resolve one way or the other when the clock hits zero. Monster Emerging is both — it's an event that spawns an enemy.
Why are Tendril and Tentacle separate entries? Tendril is the Room 8 surgery failure state (purple vines smother the patient when the timer ends). Tentacle is the earlier pressure indicator inside the same room. Same family of mechanic, different game states.
Do enemies follow me between rooms? Most don't. Hiders briefly chase. Skinwalker actively pursues. Stationary spawns (Bed Monster, Tendril) anchor to their room.
Which enemies should I memorise first? Skinwalker counters, Bed Monster's Maple Syrup bribe, and the "don't look up" rule for ceiling threats. Those three patterns cover most early-shift deaths.