Animal Hospital anomaly lookup
Animal Hospital All Anomalies List
Use this page as a mid-shift lookup: check desk signs first, confirm CCTV/photo/paperwork when needed, then reject clear anomalies with Shutters before treatment.
Open a full anomaly check
Three Eyes
three eyes / extra eyes
Warning Signs
- 3 red, glowing eyes on forehead or eye area
- The third eye is often not the same height as the original two eyes
- Sometimes the real eyes are still vaguely visible
- Always follows the player's gaze with his head
Counter Measure
- Reject the patient immediately.
- Hit Shutter as soon as you see it.
- Use only a very short second look before the Shutter call
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Mismatched Eyes & Sharp Teeth
High and low eyes + fangs
Warning Signs
- The height of the two glowing eyes is obviously inconsistent.
- The mouth is a crooked fang smile
- The smile is very aggressive
Counter Measure
- Reject the patient immediately.
- Do not waste time taking another photo.
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Hollow Face
hollow face
Warning Signs
- The eye sockets are two black holes
- The mouth is very wide
- The whole thing looks like a hollowed-out face
- Twitching and hunchback often occur at the same time
Counter Measure
- Reject the patient immediately.
- Don't put it in just because it's not aggressive at the moment.
Sanity Drain
Special high risk: When misplaced and entering the recovery stage, community information unanimously points out that the Death Ritual is guaranteed to be triggered; other consequences will still be dealt with as normal misplaced penalties.
Wide Eyes & Drawn-on Smile
big eyed fake smile / painted smile
Warning Signs
- Eyes are big and round
- The black eyes are very heavy
- With obvious eye bags
- The mouth looks like a big arc-shaped smile painted on it
Counter Measure
- Reject the patient immediately.
- Skip extra photo work when the desk tell is obvious.
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Human Teeth
human teeth
Warning Signs
- Animals have very realistic looking human teeth growing on their faces
- Eyes are usually small but wide
- Mouth shape is unnatural human mouth shape
Counter Measure
- Reject the patient immediately.
- No photo is needed.
- No CCTV check is needed.
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Twitching
twitch
Warning Signs
- The animal body stands most of the time
- Sudden, short jerking of the head, neck, arms, or upper body within the 4–5 second observation window
- It’s easy to miss a judgment when you’re in a hurry
Counter Measure
- Observe for 4–5 seconds first
- Use Shutter once the twitching loop is clear
- When the window is not obvious, immediately switch to CCTV for review
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Hunched Posture
Hunchback / Crane your neck
Warning Signs
- Standing with obvious forward bend
- Shoulders slumped
- The neck is sometimes abnormally elongated
Counter Measure
- Considered as a sign of refusal of diagnosis
- Don’t delay when it comes to Twitching
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Distorted Voice
Distorted low sound
Warning Signs
- The patient's voice is low when speaking.
- Sound squashing and distortion
- Often appears together with three eyes, high and low eyes, and abnormal face
Counter Measure
- If the sound is obviously wrong, refuse diagnosis directly
- Can be marked as audio strong positive
Sanity Drain
Uses the standard wrong-admission penalty; no fixed public value is available.
Incorrect Photo
Wrong photo
Warning Signs
- The developed photo is not the same animal as the one in front of the window
- May vary in color, markings, horns, and breeds
- Even the whole animal is different
Counter Measure
- Reject the patient immediately.
- Don't believe that the real thing looks fine
Sanity Drain
-15 Sanity. The same penalty as normal misplacement; if a real patient is electrocuted after misjudgment, the normal patient will suffer -15 Sanity after being electrocuted.
Different Eyes (Photo)
Inconsistent eyes in photos
Warning Signs
- The photo is inconsistent with the eye details of the person
- Maybe an extra layer of eyelids
- Maybe one has pupils and the other doesn't.
- Slight changes in eye shape
Counter Measure
- Reject the patient immediately.
- Must be compared side by side
- Don't just rely on impressions
Sanity Drain
Uses the standard wrong-admission penalty.
Different Ears (Photo)
Photo ears are inconsistent
Warning Signs
- The ears in the photo are different from the main body in shape, size, orientation, and color.
- Sometimes even the sense of species is different
Counter Measure
- Reject the patient immediately.
- Quick features for ear contours
Sanity Drain
Uses the standard wrong-admission penalty.
Unnatural Photo
Abnormal photos / Weird face photos
Warning Signs
- The body in front of the window looks normal
- Photos suddenly appear with weird smiles, crooked eyes, human teeth, or blurry and distorted faces
Counter Measure
- Reject as soon as the image develops
- Don’t hesitate after picking up
Sanity Drain
It is the same as the general penalty for misplacement; in the photo category, there are also differences in the sources that may make you lose your mind when looking at the pictures.
Static Photo
electrostatic photo
Warning Signs
- The entire photo is covered in particles or snowflakes with static electricity
- Can't see facial features clearly
Counter Measure
- Do not reject on static alone.
- Review CCTV, paperwork, or window first.
- If another cue appears, use Shutter instead of starting treatment.
Sanity Drain
-15 Sanity. Static alone is not enough for a hard reject. Check another layer first; tasing a normal patient costs -15 Sanity, while a cautious false reject is usually the smaller mistake.
Cursed Photo
cursed photo
Warning Signs
- Congested or blood-red eyes in photos
- A grotesque grin appears
- Have a strong feeling of being cursed
Counter Measure
- Don't touch the photos being processed
- Let the photo develop on the table
- Lay it flat and visually detect abnormalities. Use Shutter directly.
Sanity Drain
-10 Sanity. Picking up a photo during processing will result in -10 Sanity; the consequences of misplacement will still be treated as normal misplacement.
Unprocessed Photo
Undeveloped photo
Warning Signs
- The current patient's photo has not been developed.
- The next patient's photo can be developed normally again
Counter Measure
- Treat the dead photo itself as an anomaly
- The conservative approach is to refuse diagnosis directly
Sanity Drain
Uses the standard wrong-admission penalty.
Censored / Black-box Eyes
black striped eyes / Coding eye / Black Eyes / Black/Censored Eyes
Warning Signs
- Face covered by black rectangular bar in CCTV
- It looks like there are fake eyes stuck on the black strips
- Windows and photos are usually normal
Counter Measure
- Cut CCTV and reject it at first sight
- Handled as anomaly exposed only in monitors
Sanity Drain
Uses the standard wrong-admission penalty.
Unnatural / Stretched Body
Stretch the body
Warning Signs
- The body was stretched and twisted in CCTV
- Like no bones
- The deformation will still change when CCTV is turned off and on again.
Counter Measure
- Watch it again with the lens of the lobby or waiting area
- Reject as soon as the photo mismatch is clear
Sanity Drain
Uses the standard wrong-admission penalty.
Hollow Face (CCTV)
CCTV empty face
Warning Signs
- The main body window looks normal
- Eye sockets suddenly become empty and black in CCTV
Counter Measure
- Watch the waiting area footage first
- Make sure your face is in the mirror
- Reject immediately after seeing the hollow eyes
Sanity Drain
Uses the standard wrong-admission penalty.
Staring at the Camera
Stare at the camera
Warning Signs
- The patient stares directly at the camera whether standing or walking.
- Normal patients usually face the front desk or office
Counter Measure
- Reject the patient immediately.
- Handled as behavioral hard tell
Sanity Drain
Uses the standard wrong-admission penalty.
Void / Black Body
all black body / void body
Warning Signs
- The entire body becomes a pure black silhouette
- Facial features and contour details disappear
Counter Measure
- Reject the patient immediately.
Sanity Drain
Uses the standard wrong-admission penalty.
Skinwalker on CCTV / Disguised Shapeshifter
Monitor skinwalkers / cctv_skinwalker_form
Warning Signs
- Looks normal in front of the window
- After arriving at the front desk or waiting area, the CCTV camera shows a large mouth, fangs, long tongue and a biting feeling.
Counter Measure
- Use the side-view CCTV from the lobby or waiting area first
- Reject immediately after seeing the skinwalker form
Sanity Drain
-6 Sanity. The same penalty as normal misplacement; if it is actually placed and evolves into a Skinwalker, the bite will take approximately -6 Sanity / 0.5–1 second.
Mismatched Ears/Eyes (CCTV)
CCTV ears and eyes are inconsistent
Warning Signs
- The shape, height or details of the monitored ears or eyes and the body in front of the window change slightly.
Counter Measure
- Remember ear and eye contours when faces are visible
- Comparison of waiting area shots
- Reject once the mismatch is clear
Sanity Drain
Uses the standard wrong-admission penalty.
Twitching (CCTV)
Monitor convulsions
Warning Signs
- Still in front of the window
- The photo is normal
- There will be sudden short bursts in CCTV within 4–5 seconds.
Counter Measure
- Watch for at least 4–5 seconds
- Reject once the mismatch is clear
Sanity Drain
Uses the standard wrong-admission penalty.
Missing Appointment
Missing appointment
Warning Signs
- May be completely normal visually
- The animal is not on the booking board or splint at all
Counter Measure
- Reject the patient immediately.
- Treated as a required inspection item
Sanity Drain
Uses the standard wrong-admission penalty.
Wrong Paperwork Details
Paper information errors
Warning Signs
- The species, name or registration information on the reservation form does not match the animal in front of you
Counter Measure
- Reject the patient immediately.
- Don't let it go just because your face looks normal.
Sanity Drain
Uses the standard wrong-admission penalty.
Slime / Green Sludge
green sludge / green slime
Warning Signs
- Non-contact environment hazard
- The floor and bed surface of any Shift, any wing or ward can be randomly generated
- green, shiny clumps of slime or sludge
- Generally there is no mandatory prompt text
Counter Measure
- Keep pressing E to clean
- It can also be understood according to the cleaning caliber of the mop.
- Clear the main aisle first, then the bedside
Sanity Drain
The fixed value is not disclosed; it can be confirmed that it will cause slowdown or path obstruction, and it will also impose a Sanity tax, and the treatment of large sludge will be more expensive.
Skinwalker / Shapeshifter
Skinwalker / Shapeshifter
Warning Signs
- Transformed from abnormal patients who were mistakenly released
- Can turn hostile after just being admitted, when prescribing medicine, during the recovery period, or after wrong treatment kills hidden abnormalities.
- The abnormality that automatically broke in during the ambulance incident may also be awakened later.
- Normal patients suddenly change into sharp teeth, exaggerated clefts, mucus in the mouth, or abnormal limbs
Counter Measure
- Use CCTV/photo before attacking a patient.
- If it transforms, use Gun or Taser.
- Attack from behind or hold E when the prompt appears.
- If it jumps on you, tap E repeatedly to escape.
Sanity Drain
Approximately -6 Sanity / 0.5 seconds for the player; first aid will be triggered for the patient, and failure will be directly recorded as the death of the animal.
Bed Monster
Monster under the bed
Warning Signs
- Randomly under the bed in Rooms 1–5 and 7
- Some community information supplements can appear after the treatment room is activated.
- Room 8 reports are more like version extensions or community testing
- A red box or area appears under the bed
Counter Measure
- Get the Maple Syrup and go into the red zone and feed it.
- Fandom records Organ / Transplant can also be fed back
- When there is no syrup, press E to escape.
- Before entering the room, sweep the red area at the foot of the bed
Sanity Drain
-10 Sanity immediately upon capture, -5 every 2 seconds thereafter; the patient is dragged to death within 30 seconds.
Head Banger / Window Banger
Window Crasher / Head Banger
Warning Signs
- Shift 2-5 window-blocking encounter
- Treat it as a random side-window pressure event.
- music stops
- The entity walked to the window and banged his head against the glass.
Counter Measure
- Interact with Coffee or food
- You can drink a few sips before handing over Coffee to reduce waste.
- If you ask it to leave empty-handed, you can clear it, but the price will be high.
Sanity Drain
Empty-handed driving away -20 Sanity; giving Coffee does not deduct the additional 20.
Stalker
corner peeper
Warning Signs
- Randomly hiding in the corner
- Commonly found in corridor corners
- Usually once per round
- More likely to punish rushed corner checks after mid-game pressure ramps up
Counter Measure
- don't look directly
- Lower your head and cross the corner
- keep going
- Don't back up for too long in the corner
Sanity Drain
-10 Sanity per direct gaze.
Hiders / Wall Anomaly
wall camouflage / Hiders
Warning Signs
- Wards and corridors on both wings can be painted
- Often in groups of 1–6
- Camouflage painted on the wall
- as thin as paper
Counter Measure
- The most reliable is the Fire Extinguisher
- Next Taser or Gun
- You can also run farther away for 5-6 seconds and wait for it to evaporate.
- Can introduce Bed Monster Red Zone Double Play
Sanity Drain
-10 Sanity if you are attacked with your bare hands; if you have something in your hand, the common result is that the currently held object will be snatched away and you will be stunned.
Mass of Eyes / Don’t Look Up
ceiling eyeball / Don’t Look Up
Warning Signs
- Shift 2 and up
- Any room with a patient and Reception have a probability of appearing
- Don’t look up flashes at the bottom of the screen
- Abnormal lighting in the room
Counter Measure
- Lower your viewing angle throughout the process and continue treatment as usual without raising your head.
- Eyedrops can calm it down, but in practice it can still eat away at your Sanity
Sanity Drain
-2 to -5 Sanity every 0.5 seconds.
Camera Figure
Monitor face-hopping entities
Warning Signs
- Only appears on broken security cameras
- Approximately 50% chance of spawning when aiming at broken cam
- Gradually zoom in as the gaze lasts
- Only visible to CCTV
Counter Measure
- Exit this camera immediately
- look away quickly
- fix broken cam
- Don't be obsessed with watching
Sanity Drain
-20 Sanity on successful face jump.
Ghost
ghost
Warning Signs
- 2026-06-26 new entity
- Wandering around the whole map
- Track doors, mist, and movement cues instead of waiting for a fixed spawn.
- translucent floating shadow
Counter Measure
- Taser or Gun from behind
- Fire Extinguisher can only reveal itself but cannot kill.
- If you see the door opening on its own, avoid the area.
Sanity Drain
-2 Sanity per second when the ghostly mist is present.
Surgery Monster / Tendril
Surgery monster / tentacle
Warning Signs
- Room 8 Surgery recovery period
- Patients may say they feel strange
- Then trigger Monster emerged in Room 8 timing
- Room 8 exclusive emergency enemy
Counter Measure
- Continue to complete the exclusive surgical sequence
- Scissors → Transplant → Scissors → Transplant → 3 random treatments
- Gun/Taser/Coffee will directly kill the patient
Sanity Drain
Usually the player's Sanity or life is not directly deducted; overtime or mistakes will lead to the patient's immediate death.
Black Bunny
black rabbit
Warning Signs
- Recently active wiki written as a passive watcher on the edge of a hallway or room
- Check corridor corners and door frames during each Shift.
- Old Fandom does not have a separate page
- Possibly a solid black bunny silhouette with no obvious facial details
Counter Measure
- Don't stare after you find it
- stay away
- keep doing things
- Leave the area as soon as possible
Sanity Drain
Values are not unified; the newer active wiki gives 3–5 Sanity/a few seconds of direct gaze, and the other set just says low.
Wall Monster
wall monster
Warning Signs
- It was only split into independent enemy species in the recently active wiki.
- Described as a camouflaged ambush on the treatment room wall
- Fandom is more like merged into Hiders / Wall Anomaly
- Camouflage into the wall
Counter Measure
- When you find it, sprint away.
- Chase for a while and end on its own
- Gun / Taser not reliable
Sanity Drain
The fixed value is not disclosed; the recently active wiki only confirms that collision will deduct Sanity or may steal items.
Ceiling Monster
ceiling monster
Warning Signs
- Only recently active. The wiki has been split into separate pages.
- Explain that the raising behavior itself triggers
- Highly overlaps with the ceiling mechanic from Mass of Eyes
- There may be no clear prompt text, it will be triggered as long as you look up.
Counter Measure
- Keep the lens level or slightly downward
- Never take the initiative to confirm the ceiling
Sanity Drain
If you click on the Ceiling Monster page, it's about 4% Sanity/second; if you click on Mass of Eyes, it's -2 to -5/0.5 seconds.
Eyeless
Eyeless monster
Warning Signs
- Can appear as a window blocker or as a no-eyes desk patient.
- Treat the encounter by what it is doing at the window.
- Empty eye sockets during a desk read
- Head-bang behavior if it blocks the window
Counter Measure
- Use Coffee if it is blocking the window like Head Banger.
- Use Shutter if the desk read shows a no-eyes patient.
- Do not admit a no-eyes face for treatment.
Sanity Drain
Window handling can cost Sanity if forced empty-handed; desk rejection avoids the treatment risk.
Tentacle
single tentacle
Warning Signs
- Recently active wiki defined as precursor state of Room 8 Surgery Monster / Tendril
- The appearance of a single tentacle indicates increased pressure in the 45-second window
- Room 8 A single tentacle appears on the operating table
- After completely losing control, it escalated to Tendril full overwrite failure state.
Counter Measure
- Not an independent combatable entity
- Immediately close the operation
- Only surgical sequence
Sanity Drain
There is usually no direct numerical damage to the player; it represents the pressure of the patient's death countdown.