Animal Hospital Monsters — Damage & Counters

Disguised as a patient; reveals itself at check-in, mid-treatment or during recovery (often after muttering "I'm hungry..."). Rooms 1–8 and the front desk.

−6 sanity per 0.5s while attacking; a patient it kills counts as an animal death.

2 gun rounds or a taser. Bare-handed E-spam works but is slow (faster in groups). It's slower than you — kite it to the front desk taser.

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

Shooing it without coffee = −20 sanity jumpscare.

Hand it a coffee (drink 2 sips first to net +10), or just let it smash the glass — takes about a minute and the damage is purely cosmetic.

Spawns randomly under patient beds (Rooms 1–5, 7); the red floor area is its grab range.

−10 on grab, then −5 every 2s; drags the patient to death in 30s if ignored.

Feed it Maple Syrup, an Organ or a Transplant; stay off the red floor. You can even lure a Hider into the red zone to feed it.

Hallway corners, lobby, surgery room — usually once per run. Flickering lights and a sound cue announce it.

−10 sanity on eye contact.

No kill method. Walk corners slowly, look at its legs instead of its face. Watching it through the office window costs nothing.

Wallpaper-like camouflage, spawns in groups of 1–6 in rooms and hallways.

Grabs you, steals the item in your hand and stuns you; −10 if caught empty-handed.

Fire extinguisher spray, taser, gun, lure it to a Bed Monster, or just keep distance until it despawns. Carrying a cheap 'sacrifice' item works too.

Spawns after a patient dies; floats through the whole hospital, goes invisible up close.

−2 sanity per second nearby (Ghostly Presence).

Spray it with the fire extinguisher to reveal it, then taser or shoot. Watch for doors opening on their own and white particles.

Shift 2+; ceilings of patient rooms and the front desk. Cue: "Don't look up" message and the room lighting changes.

−2 to −5 per 0.5s while you look up at it.

Simply don't look up — or hop onto the window ledge and hand it Eyedrops to pacify it.

50% chance to appear on a broken CCTV feed.

−20 jumpscare if you zoom in on it.

Switch or close the feed quickly; repairing broken cameras at the monitor station prevents it.

Random "Monster emerging" event after surgery in Room 8.

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

Fixed sequence: Scissors → Transplant → Scissors → Transplant → 3 random steps. Never use the taser, gun or coffee on it — instant patient death.