Animal HospitalEnemies & Hostile Entities
Beyond the patients at the window, the hospital itself is hunting you. Click an enemy for behavior and counters. Updated 2026-08-15.
Enemy behavior compiled from gameplay-explain video transcripts (FrankANchaos, 1.1M views) and professional guides. Sanity numbers are community-compiled; the game is patched almost daily.
The Stalker is an extremely tall black bunny with an unsettling toothy smile that can appear anywhere around the hospital, often peeking around corners.
−10 Sanity for looking directly at it
A black figure with round red eyes and shadowy hands that hides underneath patient beds inside a transparent red box.
Continuous Sanity drain while grabbed
Skinwalkers are created when you accidentally let an infected patient check in. They actively attack both players and patients.
Rapid Sanity loss if ignored
Appears when you inspect a broken camera through CCTV: the camera slowly zooms in on a dark figure with crooked teeth and glowing red eyes.
−20 Sanity if caught
Wall anomalies appear throughout the hospital, usually in groups of two to five. They chase players who walk toward them, deal Sanity damage and can steal items.
Sanity damage on contact
Headbanger appears at the check-in window — a patient with hollow eyes repeatedly smashing its head against the glass.
Massive Sanity loss if stopped without coffee (~−20 manually)
A horrifying mass of eyeballs and flesh attached to the ceiling of patient rooms or the CCTV room.
Rapid Sanity drain while looking at it
A huge mass of purple tentacles erupts around the patient in Room 8 — you have only 45 seconds to perform surgery before the patient dies.
None directly — failure kills the patient