Animal Hospital Monsters — Damage & Counters

Disguised as a patient. It can reveal itself at check-in, mid-treatment, or during recovery — often right after muttering "I'm hungry...". Can appear in Rooms 1–8 or at the front desk.

−15 sanity on the initial attack, then −6 sanity per 0.5 seconds while it's actively attacking you. If it kills a patient, that counts against you as an animal death.

A single gun round, or a taser, puts it down. Bare-handed fighting also works but drains sanity fast — faster in a group. A Bed Monster can also kill it. It's slower than you, so kite it toward the front desk taser if you're caught without a weapon.

Shifts 2–5. It slams the side check-in window and disables your shutter.

Shooing it away without giving it coffee first triggers a −20 sanity jumpscare.

Hand it a coffee — drink two sips yourself first and you net +10 sanity overall from the interaction. Alternatively, just let it smash the glass; the process takes about a minute and the damage is purely cosmetic, no sanity cost either way.

Spawns randomly underneath patient beds in Rooms 1–5 and Room 7. The red floor area around the bed marks its grab range.

−10 sanity on the initial grab, then −5 every 2 seconds after that. If you're ignored/stuck, it drags the patient to death within 30 seconds.

Feed it Maple Syrup, an Organ, or a Transplant, and stay off the red floor entirely. A community trick: you can even lure a Hider into the red zone to feed the Bed Monster instead of yourself.

Hallway corners, the lobby, and the surgery room — usually once per run. Flickering lights and a distinct sound cue announce its presence before you see it.

−10 sanity if you make eye contact with it.

There's no kill method for the Stalker. Walk around corners slowly and look at its legs instead of its face — you can watch it safely through the office window at no sanity cost at all.

Wallpaper-like camouflage. Spawns in groups of 1 to 6, in rooms and hallways.

Grabs you, steals whatever item is in your hand, and stuns you. If you're caught empty-handed, that's −10 sanity instead.

Fire extinguisher spray, taser, or gun all work. You can also lure one to a Bed Monster to have it dealt with indirectly, or just keep your distance until it despawns on its own. Carrying a cheap "sacrifice" item is a community trick — if it grabs the item instead of you, you lose nothing important.

Spawns after a patient dies. Floats freely through the whole hospital and goes invisible when you get close.

−2 sanity per second while it's nearby (labeled in-game as "Ghostly Presence").

Spray it with the fire extinguisher to force it visible, then taser or shoot it. Watch for doors opening on their own and stray white particles — both are early warning signs before you actually see it.

Shift 2 and later. Appears on the ceilings of patient rooms and the front desk. Announced by a "Don't look up" on-screen message and a shift in the room's lighting.

−2 to −5 sanity per 0.5 seconds for as long as you keep looking up at it.

The simplest counter in the game: don't look up. Alternatively, hop onto the window ledge and hand it Eyedrops to pacify it directly.

50% chance to appear on a broken CCTV feed.

−20 sanity jumpscare if you zoom in on it while it's present.

Switch to a different feed or close the camera view quickly. Repairing broken cameras at the monitor station ahead of time prevents this encounter from being possible at all.

A random "Monster emerging" event that can trigger after surgery in Room 8.

Kills the patient outright if you run out of time or make a sequence mistake.

Follow the fixed sequence: Scissors → Transplant → Scissors → Transplant → 3 random steps. Never use the taser, gun, or coffee during this sequence — any of the three results in instant patient death.

Appears during the "Slime Shift" — a chance to spawn from around Shift 10 onward. Walks past reception and wanders through the Medical and Emergency Wings, entering rooms to eat animals and players.

−20 sanity when slimed (caught/eaten), then −3 sanity per second while being digested. Patients it attacks are fainted.

Fire Extinguisher temporarily stuns it. Equipping Cough Syrup stops it from attacking you ("the slime monster chokes on your cough syrup!"). Taser and gun have NO effect. It moves in a straight line and is much slower than the player, so avoidance is the simplest strategy.