A warped, tilted grin with sharp teeth, paired with mismatched eyes that sit visibly too high on the face — the proportions are just wrong in a way a normal patient's face never is.
The giveaway is the vertical misalignment: normal patients have eyes at a consistent height. Crooked Face's eyes look like they were placed by someone guessing at human anatomy from a description. Combine that with the crooked grin and sharp teeth, and it's a fast visual read once you know what to look for.
The specific recovery outcome for this anomaly hasn't been documented by the community yet — we only publish what's confirmed. What is confirmed: letting an anomaly in usually triggers a Death Ritual, spawns a monster, or turns the patient into a Shapeshifter. A wrong treatment kills an anomaly with no penalty to you (it just lowers your end-of-shift reward), and tasing or shooting a confirmed anomaly nets +2 sanity. Tasing or shooting a normal animal by mistake costs −15 sanity — when in doubt, shutting the window is always the safe move.
All 18 anomalies grouped by channel, plus the interactive identifier tool.
View All Anomalies →A warped, tilted grin with sharp teeth, paired with mismatched eyes that sit visibly too high on the face — the proportions are just wrong in a way a normal patient's face never is. The primary way to catch it is checking the patient in person.
The specific recovery outcome for this anomaly isn't documented by the community yet. Treat any confirmed anomaly the same way regardless: a wrong treatment kills them with no penalty to you but lowers your end-of-shift reward, and tasing or shooting a confirmed anomaly gives +2 sanity. When in doubt, shutting the window is always safe.
Verified against community data. Last checked: July 11, 2026.