Visual signs
- Look for body shape, face, or detail changes before opening the shutters.
- Compare the patient against normal animal appearance.
- Reject only when the sign is clear enough to avoid a false positive.
Animal Hospital Anomalies
Use these source-backed triage groups before opening the shutters. This is a decision checklist, not a claim that every hidden anomaly is fully cataloged.
Camera signs
- Use cameras when direct view is unsafe or incomplete.
- Watch for behavior that does not match normal patient movement.
- Use camera evidence with one more check when the shift is calm.
Photo signs
- Use photo evidence to confirm suspicious patients.
- If the photo reveals abnormal details, reject before entry.
- Do not treat this as a full hidden-anomaly database yet.
Patient tells (July 2026 refresh)
- Appearance tells: twitching limbs, three eyes, hollow face, big or human teeth, and mismatched eyes or ears.
- Photo tells: different eyes or ears, wrong animal, unnatural or static photo, and cursed photos that cost sanity to view.
- Camera tells: censored eyes, void bodies, staring at the camera, stretched limbs, and a skinwalker grin visible only on CCTV.
Threat glossary
Known threat names to watch
These names come from source-backed guide coverage and should be expanded only after direct gameplay or stronger source checks. Newer short-video wording also includes 'The Mad Patient' and 'The Patient Who Fainted'; treat those as reported event names until guide coverage and gameplay confirm the exact mechanics.
Tiny Anomaly
Open the source-labeled guide for this hazard or suspicious shift signal.
Green sludge
Open the source-labeled guide for this hazard or suspicious shift signal.
Skinwalkers
Open the source-labeled guide for this hazard or suspicious shift signal.
Bed Monster
Open the source-labeled guide for this hazard or suspicious shift signal.
Wall Bangers
Open the source-labeled guide for this hazard or suspicious shift signal.
Don't Look Up
Open the source-labeled guide for this hazard or suspicious shift signal.
Wall Anomaly
Open the source-labeled guide for this hazard or suspicious shift signal.
Surgery Tentacles
Open the source-labeled guide for this hazard or suspicious shift signal.
Purple Monster
Open the source-labeled guide for this hazard or suspicious shift signal.
Fake Surgery Patient
Open the source-labeled guide for this hazard or suspicious shift signal.
Stalker
Open the source-labeled guide for this hazard or suspicious shift signal.
Ghost
Open the source-labeled guide for this hazard or suspicious shift signal.
Hiders
Open the source-labeled guide for this hazard or suspicious shift signal.
Camera Monster
Open the source-labeled guide for this hazard or suspicious shift signal.
Demon Cat
Open the source-labeled guide for this hazard or suspicious shift signal.
Mass of Eyes
Open the source-labeled guide for this hazard or suspicious shift signal.
Head Banger
Open the source-labeled guide for this hazard or suspicious shift signal.
Toxic Shift
Open the source-labeled guide for this hazard or suspicious shift signal.
Some players say a few anomalies have no signs
Treat that as a community complaint, not a verified mechanic. Re-check the visual, camera, and photo layers before assuming the game added signless patients.
Disconnect complaints are also circulating
Recent RobloxHelp posts say some runs end after a few shifts. No official fix note was verified on this run, so keep those reports labeled as pending.
Keep the checklist strict and the claims cautious
Use the anomaly checklist first, then the emergency solver. If one suspicious run contradicts the checklist, treat it as a reported edge case until stronger evidence appears.
Open Ghost anomaly guide
Use the new watch page for Ghost-specific searches and source boundaries.
Threat guideCheck Stalker wording
Separate Stalker threat signals from unverified class claims.
Next actionOpen the emergency solver
Use it if the suspicious patient turns into an active event.
Check treatment rooms
Use cautious treatment-room notes for normal patients.
SurvivalProtect sanity
Use safer shift priorities when the team is under pressure.