Where and when it shows up
A random "Monster emerging" event that can trigger after surgery in Room 8.
Tendril is the one encounter in the game where your usual toolkit actively works against you โ the taser/gun/coffee instincts that save you everywhere else are the exact wrong move here. This is also the event referenced in the beginner mistake below: forgetting that Room 8's first surgery step is always IV drops, and that Tendril specifically bans the taser, gun and coffee, is one of the more common ways players lose a patient they were otherwise handling correctly.