This update: in-game mechanics cross-checked against community wikis and player reports
Void / Black anomaly โ quick reference
Channel
On CCTV
Where to check
Check the CCTV feed
What you'll see
Appears entirely pitch black on the camera feed
No visible features at all โ a silhouette of solid black
How to confirm
A black shape with no detail on a well-lit feed is the whole check.
If you let it in
Not documented by the community yet โ shutting the window is always safe and costs you nothing.
How to spot the Animal Hospital Void Black anomaly
This is the simplest camera tell to spot: there's no ambiguity between a shadow and a fully black silhouette on a well-lit feed. If a patient reads as a black shape with no detail on CCTV, that's the whole check.
Why this one needs the CCTV monitor station
Void / Black does not show up when you look at the patient. It is visible only through the CCTV monitor station โ and it is one of 8 of the 19 anomalies that behave that way. Skipping that check to save a walk to the monitors and time off the floor is not saving you time; it is agreeing to miss 8 of the things you are being paid to catch.
Check
Catches
What skipping it costs you
Naked eye
8 of 19
8 anomalies you will never see
CCTV โ this one
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.
What happens if you let Void / Black into the hospital
The specific recovery outcome for this anomaly hasn't been documented by the community yet โ 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 Mimic. 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 โ15 sanity โ when in doubt, shutting the window is always the safe move.
You have spotted it โ now what
You are at the monitor station, away from the door, which shapes the answer: this is the awkward case, because you still have to get back to the window before the patient is admitted โ identify it and move, rather than watching it longer than you need to.
1
Refuse it. Shutting the window costs nothing and ends the problem. It does not hurt your shift score, and it is always available.
2
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 โ it only lowers the end-of-shift reward.
3
What it costs to guess. Tasing or shooting a normal animal by mistake is โ15 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 โ patients drip it too.
The other 7 you are checking for at the same time
Once you are already looking through the CCTV monitor station, these cost you nothing extra to rule out. Knowing them as a set is what turns the check from a habit into a decision.
A severely stretched, warped body that only shows up on the camera feed. The shape actually changes each time you toggle the feed on and off, and even the printed photo distorts while the camera is open.
Appears entirely pitch black on the camera feed โ no visible features at all, just a silhouette of solid black. The primary way to catch it is checking the CCTV feed.
Can you see the Void / Black anomaly with the naked eye?
No. It only shows up through the CCTV monitor station. It is one of 8 anomalies out of 19 that are invisible without it, which is the whole argument for not skipping that check.
What happens if I let a Void / Black patient in?
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 26, 2026.