Appearance Anomalies
Visible tells on the patient model, such as unusual eyes, faces, teeth, twitching, or body shape changes.
Anomaly database
Animal Hospital Anomaly Wiki
Structured entries for visual tells, CCTV checks, photo differences, room events, counter items, and quest notes. Unverified entries are marked until gameplay or reliable sources confirm the details.
Photo Anomalies
Differences that appear after taking a desk photo, including mismatched features, static, or cursed images.
CCTV Anomalies
Camera-only tells found through waiting-room or hallway footage, including stare direction, void bodies, and subtle mismatches.
Monsters
Active hospital threats such as the Ghost, Skinwalker, Bed Monster, Stalker, Tendril, Hiders, and camera events.
Popular guide routes
Quick answer
How to Get Rid of the Ghost
The Ghost can move around the hospital, open doors, shift objects, and drain sanity when it reveals itself. Use CCTV to locate it, then approach from behind and hit it with a taser or gun. The taser becomes available from later shifts and is also the Security class starter item.
Quick answer
What Does Ratthew's Key Do?
Ratthew is a recurring patient route rather than a normal anomaly check. After several safe visits, he can leave a key and note. Use the key in Room 5 after interacting with the cat poster to reveal a safe tied to the hospital's hidden experiment story.
Screenshot pending
Secret Quest
Secret Quest
SpecialUnverified
Barney Bunny Quest
A community investigation page for the unverified Barney Bunny quest clues: coffee, scalpel, police event, and the possible Double Coffee Machine reward.
DetectQuest StepsCounterCoffee / Scalpel
Patient Anomaly
Patient Anomaly
C-TierUnverified
Basic Three-Eyed Cat
An obvious visual anomaly that trains new players to inspect faces before accepting patients.
DetectPhysical Visual CheckCounterRejection Button
CCTV Anomaly
CCTV Anomaly
S-TierUnverified
Broken Camera Entity
When inspecting a broken camera through the CCTV system, the feed slowly zooms in on a dark, shadowy humanoid figure standing in the camera's view.
DetectCCTV Feed (Broken Camera)CounterCamera Repair / Avoid
CCTV Anomaly
CCTV Anomaly
A-TierUnverified
CCTV Body Distortion
A patient or visitor whose body appears heavily stretched, elongated, or distorted through the CCTV feed, even though they look normal in person.
DetectCCTV FeedCounterRejection Button
CCTV Anomaly
CCTV Anomaly
B-TierUnverified
CCTV Staring Patient
A patient who stares directly into the security camera instead of behaving normally. One of the most unsettling anomalies to witness on the feed.
DetectCCTV FeedCounterRejection Button
Photo Anomaly
Photo Anomaly
S-TierUnverified
Cursed Photo
A patient or visitor photo that shows wide bloodshot eyes and an unnatural grin. Picking up and looking at this photo instantly costs 10 sanity points.
DetectPhoto InspectionCounterAvoid Looking
Screenshot pending
Room Anomaly
Room Anomaly
S-TierUnverified
Demon Altar
A high-pressure room anomaly concept that should be handled immediately when confirmed.
DetectRoom SweepCounterFire Extinguisher
Patient Anomaly
Patient Anomaly
B-TierUnverified
Hollow Black Eyes
A patient whose eyes are hollow black voids with a frowning mouth. Sometimes only visible through the security camera feed.
DetectPhysical Visual Check / CCTVCounterRejection Button
Patient Anomaly
Patient Anomaly
A-TierUnverified
Human Teeth Animal
A subtle facial anomaly that is easy to miss during rushed shifts.
DetectPhysical Visual Check / Camera PhotoCounterRejection Button
Photo Anomaly
Photo Anomaly
B-TierUnverified
Photo Mismatch
A medium-difficulty anomaly where the printed photo reveals details that the live patient view hides.
DetectCamera PhotoCounterRejection Button
CCTV Anomaly
CCTV Anomaly
A-TierUnverified
Shadow Figure
A patient or visitor whose entire body appears completely black, almost like a living shadow, visible only through the CCTV feed.
DetectCCTV FeedCounterRejection Button
Patient Anomaly
Patient Anomaly
A-TierUnverified
Twitching Patient
A patient whose arms, head, and neck twitch uncontrollably. The neck may unnaturally stretch and elongate, visible both in person and on camera.
DetectPhysical Visual Check / CCTVCounterRejection Button
Photo Anomaly
Photo Anomaly
A-TierUnverified
Void Photo
A patient or visitor photo that is partially or fully covered by a black image featuring a pair of eyes staring directly at you.
DetectPhoto InspectionCounterRejection Button