Ears or horns visible on the camera feed don't match what you see on the patient at the window.
This is the CCTV counterpart to the photo-based Incorrect Photo tell — same principle (compare a second source against what's in front of you), different source. Between the two, checking both photo and camera against the in-person patient is how you catch mismatches regardless of which channel the game decided to put the discrepancy on.
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 →Ears or horns visible on the camera feed don't match what you see on the patient at the window. The primary way to catch it is checking the CCTV feed.
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.