Spawns after a patient dies. Floats freely through the whole hospital and goes invisible when you get close.
| Where you meet it | Spawns after a patient dies. Floats freely through the whole hospital and goes invisible when you get close. |
|---|---|
| Damage | −2 sanity per second while it's nearby (labeled in-game as "Ghostly Presence"). |
| How to counter it | 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. |
Because a Ghost only spawns after a patient death, the real prevention here isn't a Ghost-specific tactic — it's minimizing patient deaths in the first place (correct anomaly identification, not misfiring the taser or gun on normal animals). Once one's active, the −2/second drain adds up fast if you don't hunt it down, since it follows you through multiple rooms rather than staying put.
The raw figure is −2 per second while it is near you. What matters is what that is a fraction of: with no class bought you start a shift on 61 sanity, and reaching zero puts you down — a teammate can revive you with a $1,000 Teddy Bear, but you cannot use one on yourself.
Worth knowing before you spend a shift carrying the wrong thing: a weapon is the answer to only 3 of the 10 threats in this game. The Ghost is answered by more than one:
One round puts a Mimic down. On a Ghost it only works once the fire extinguisher has forced it visible.
Carrying it is not a single-purpose decision — the same item also handles the Mimic and the Hiders.
The front-desk taser is the fallback when you get caught without a gun — the Mimic is slower than you, so you can reach it.
Carrying it is not a single-purpose decision — the same item also handles the Mimic and the Hiders.
The only way to make a Ghost visible. Also clears Hiders outright.
Carrying it is not a single-purpose decision — the same item also handles the Hiders.
The nine threats split into three planning problems. The Ghost is in the group you set off yourself — it does not roll at random — a specific event brings it out, which means the counter-play starts before it exists.
The others in that bracket are the Tentacle and the Camera Monster. Grouping them this way is more useful than a flat list, because a threat you can wait out, a threat you set off yourself and a threat that can arrive unannounced each call for a different habit — and only the last one justifies carrying gear all shift.
Every threat in the game, so you can see which ones share a counter with this one and which demand something completely different.
| Threat | Where | What it costs | Counter |
|---|---|---|---|
| 🎭 Mimic | Disguised as a patient — check-in, treatment or recovery | −15 initial, then −6 per 0.5s | 1 gun round or a taser |
| 🚪 Head Banger | Shifts 2–5, at the side check-in window | −20 sanity jumpscare if shooed without coffee | Hand it a coffee (sip twice first for +10 net) |
| 🛏️ Bed Monster | Under patient beds in Rooms 1–5 and Room 7 | −10 on the grab, then −5 every 2s | Feed it Maple Syrup, an Organ or a Transplant; stay off the red floor |
| 👤 Stalker | Hallway corners, the lobby and the surgery room | −10 sanity on eye contact | Cannot be killed — look at its legs, not its face |
| 🫥 Hiders | Camouflaged as wallpaper, in groups of 1–6 | Steals your held item and stuns you | Fire extinguisher, taser or gun |
| 👻 Ghost ← this page | Spawns after a patient dies, roams the whole hospital | −2 sanity per second nearby | Fire extinguisher to force it visible, then taser or gun |
| 👀 Mass of Eyes | Ceilings of patient rooms and the front desk, Shift 2+ | −2 to −5 sanity per 0.5s while you look up | Don't look up — or hand it Eyedrops from the window ledge |
| 📹 Camera Monster | 50% chance on a broken CCTV feed | −20 sanity jumpscare if you zoom in | Switch feeds or close the camera; repair cameras in advance |
| 🧬 Tentacle | Random 'Monster emerging' event after surgery in Room 8 | Kills the patient outright on a mistake or timeout | Scissors → Transplant → Scissors → Transplant, then 3 random steps |
| 🟢 Slimebert | Slime Shift — from around Shift 10 onward | −20 sanity on catch, then −3/s while digested | Fire extinguisher stuns; Cough Syrup blocks; no taser/gun |
3 classes start you holding something this threat responds to, which removes the scramble to find one mid-shift:
starts every run with an X-Taser — 5 charges at level 1, 6 at level 2, and a charge refunded each round at level 3.
starts with a gun — 20 rounds at level 1, 30 at level 2, plus a round back each round at level 3.
at level 3 begins each round with the backpack already full of supplies, which is how you have the consumable before you need it.
One to avoid for this specific fight: the Psychologist doubles every sanity effect in both directions. It starts you at 100% rather than 61%, but it also makes this threat cost twice what the numbers above say — a trade that only pays if you are confident you will not be touched.
−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.
Spawns after a patient dies. Floats freely through the whole hospital and goes invisible when you get close.
Gun or Taser or Fire extinguisher. One round puts a Mimic down. On a Ghost it only works once the fire extinguisher has forced it visible. The same item also answers the Mimic and the Hiders.
Verified against community data. Last checked: July 26, 2026.