The 3-Step Anomaly Check

Every patient that enters your hospital could be an anomaly. Always follow this process:

Step 1: In-Person Visual Check

Look directly at the patient in the waiting room. Reject immediately if you see any of these:

Sign	Description
Three Eyes	An extra eye visible on the patient
Hollow Eyes	Black, empty eye sockets
Sharp Teeth	Realistic or pointed teeth (normal animals have cartoon teeth)
Wide Grin	Unnaturally stretched, creepy smile
Twitching	Jerking or spasming limbs or neck
Mismatched Eyes	Eyes of different sizes or colors

Step 2: CCTV Camera Check

Switch to the CCTV monitor and check the waiting room camera. Reject if you see:

Sign	Description
Black Bars	Censor-like black bars covering the eyes
Distorted Body	Stretched, twisted, or deformed limbs
Void Body	Completely black or empty body
Staring at Camera	Patient looking directly into the camera (normal patients never do this)
Camera Zoom	Camera zooming toward a dark figure — look away immediately

Step 3: Photo Check

Take a photo of the patient. Check for:

Sign	Description
Mismatched Photo	Different animal or features from the actual patient
Static Photo	Grainy, noisy, or glitchy image
Cursed Photo	Bloodshot eyes + grotesque grin — do NOT pick up (drains 10 sanity)

How to Reject

Press the Shutters button on the left side of your reception desk to reject the patient. The shutters will close, and the anomaly will be turned away.

What Happens If You Miss One

If you check in an anomaly patient:

1. The anomaly will eventually reveal itself
2. A Skinwalker spawns and roams the hospital attacking players
3. You lose sanity rapidly when attacked
4. In severe cases, the Skinwalker can kill players

Always double-check uncertain patients. It's better to reject a real patient (minor penalty) than admit an anomaly (major threat).