Deep, pitch-black hollow eyes with no visible pupils, constant twitching, and a hunched, slouched posture.
Animal Hospital Hollow Face is one of the 19 anomalies in the Roblox game, and it is caught with nothing but your own eyes at the check-in window.
| Channel | In person |
|---|---|
| Where to check | Look at the patient at the window |
| What you'll see |
|
| How to confirm | Per community field testing, a patient idling with a hunched stance is an anomaly essentially every time. |
| If you let it in | Hollow Face always triggers a Death Ritual during recovery. The correct play is simple: just shut the window on it. Rejecting it doesn't cost you anything on your end-of-shift results, so there's no reason to gamble on treating it. |
The hunched posture alone is worth memorizing as a standalone signal — per community field testing, a patient idling with a hunched, slouched stance is a Mimic or anomaly essentially every time, independent of any other tell.
Hollow Face is on the cheapest channel there is — you catch it by looking at the patient, with no tool and no walk to the monitors. That is true of only 8 of the 19 anomalies in the game, so treat the free ones as the exception rather than the rule.
| Check | Catches | What skipping it costs you |
|---|---|---|
| Naked eye ← this one | 8 of 19 | 8 anomalies you will never see |
| CCTV | 8 of 19 | 8 anomalies you will never see |
| Polaroid | 3 of 19 | 3 anomalies you will never see |
One patient can carry more than one of these at once, so a clean naked-eye read is not a clean bill of health.
Hollow Face always triggers a Death Ritual during recovery. The correct play is simple: just shut the window on it. Rejecting it doesn't cost you anything on your end-of-shift results, so there's no reason to gamble on treating it.
You are at the check-in window with the patient in front of you, which shapes the answer: the shutter is already within reach, so refusing is the cheapest move available — it costs no sanity and no ammunition.
Refuse it. Shutting the window costs nothing and ends the problem. It does not hurt your shift score, and it is always available.
Or put it down. A confirmed anomaly can be tased or shot, and doing so is worth +2 sanity. A wrong treatment also kills one with no sanity penalty — it only lowers the end-of-shift reward.
What it costs to guess. Tasing or shooting a normal animal by mistake is −15 sanity, nearly a quarter of the 61 you start with. That gap is the whole reason to confirm before acting rather than acting on a hunch.
An anomaly cannot be knocked out the way a normal patient can, so "it fainted, it must be fine" is not a test. Neither is slime on the floor — patients drip it too.
Once you are already looking through your own eyes, these cost you nothing extra to rule out. Knowing them as a set is what turns the check from a habit into a decision.
| Anomaly | What gives it away |
|---|---|
| 👁️ Realistic Face | Big eyes with dark pupils, heavy under-eye bags, and a grin that looks painted on rather than expressed. It speaks in a low, distorted voice — noticeably off from a normal patient's tone. |
| 👁️ Three Eyes | Three misplaced, glowing red eyes replace the normal pair. Look closely and you can sometimes still make out the original two eyes underneath the extra set. |
| 👁️ Crooked Face | 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. |
| 👁️ X-rayed Face | Small, wide, round eyes with black pupils, combined with teeth that look unsettlingly real — almost too anatomically correct compared to the game's normal patient models. |
| 👁️ Staring | Its head tracks you — or a random target in the room — constantly. In person the tracking is limited to roughly 60°, but on CCTV there's no limit at all, so the head can swivel further than a real neck should allow. |
| 👁️ Twitching | Spasming arms or head, a stretched neck, and a hunched back. Sometimes the twitching is only visible when you check the camera feed rather than looking at the patient directly. |
| 👁️ Tiny Anomaly | The patient is extremely small — far below any normal patient model — and speaks with a very high-pitched voice. Its only documented look so far is a pink bunny with a short tail and three glowing red eyes. |
All 19 anomalies grouped by channel, plus the interactive identifier tool.
View All Anomalies →Deep, pitch-black hollow eyes with no visible pupils, constant twitching, and a hunched, slouched posture. The primary way to catch it is checking the patient in person.
Yes — this is one of the 8 anomalies you can catch just by looking at the patient at the window, no equipment needed.
Hollow Face always triggers a Death Ritual during recovery. The correct play is simple: just shut the window on it. Rejecting it doesn't cost you anything on your end-of-shift results, so there's no reason to gamble on treating it.
Verified against community data. Last checked: July 26, 2026.