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In person anomaly

๐Ÿ‘๏ธ Hollow Face

Deep, pitch-black hollow eyes with no visible pupils, constant twitching, and a hunched, slouched posture.

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Written by Riley Nook ยท Last updated July 11, 2026
This update: in-game mechanics cross-checked against community wikis and player reports

How to spot it

The hunched posture alone is worth memorizing as a standalone signal โ€” per community field testing, a patient idling with a hunched, slouched stance is a Shapeshifter or anomaly essentially every time, independent of any other tell.

If you get it wrong

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.

Other ๐Ÿ‘€ in-person anomalies

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All 18 anomalies grouped by channel, plus the interactive identifier tool.

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FAQ

How do I identify the Hollow Face anomaly?

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.

What happens if I let a Hollow Face patient 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.

Verified against community data. Last checked: July 11, 2026.