Photo Mismatch is a practical B-Tier entry because it slows the player down but can be solved with a reliable comparison routine.
How to Spot It
Compare the printed photo against the live patient. Check eyes, ears, color, teeth, body size, and any extra markings. If the photo shows a different entity, reject the patient.
Strategy
Do not stare at one feature for too long. Use a fast checklist and move left to right across the body. In multiplayer, let one person call photo differences while another keeps track of rooms and treatment items.
Verification Needed
The exact photo anomalies and sanity effects should be updated after direct gameplay checks.