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.
The unsettling part isn't any single feature, it's that everything reads as slightly too deliberate — the smile doesn't move naturally when it talks, the eyes don't track quite right. One confirmed tell: tase it and the grin disappears immediately, which is as close to a guaranteed check as this anomaly gets.
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 →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. 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.