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.
This one is subtler than Three Eyes or Crooked Face — there's no dramatic single feature, just two details (eye shape and tooth realism) that don't match the baseline look of a normal patient. It rewards actually knowing what normal patients look like, since the tell is a deviation rather than an obvious anomaly.
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 →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. 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.