Each task below uses the same response order shown by the solver.
ImmediateFirst appears at Shift 4; later repeats every 5 shifts
How to Handle Ambulance Emergency
Signal: An ambulance arrives and several patients enter at once.
What happens: This is a triage event, not a normal one-patient check-in. The first completed event moves the shift counter from 4 to 6; later ambulance events repeat every five shifts and pay about $150 when completed.
- Find the critical patient first and start the required treatment before handling stable arrivals.
- Split critical care, ordinary treatment, and anomaly checks between teammates when possible.
- Recheck all six arrivals before assuming the ambulance group is safe.
Do not: Do not process the group in arrival order or assume an ambulance patient cannot be an anomaly.
Failure risk: A critical patient can die while the team is distracted by lower-priority treatment.
ImmediateCan occur while a patient is recovering
How to Handle Death Ritual
Signal: A patient levitates above the bed while ritual candles appear.
What happens: Death Ritual is a patient-room emergency, not a Barney dialogue branch. The visible candles are the task that must be cleared before the event finishes.
- Enter the affected room and locate every ritual candle.
- Interact with the candles one by one until the ritual stops.
- Confirm the patient has returned to the bed before leaving the room.
Do not: Do not use the Fire Extinguisher as a shortcut; it does not clear the ritual candles.
Failure risk: The ritual completes and the patient dies.
ImmediateCan occur in an occupied patient room
How to Handle Monster Eating a Patient
Signal: A Bed Monster has already grabbed a patient.
What happens: This is the active failure stage of a Bed Monster encounter. It is separate from spotting the monster under a bed before it attacks.
- Stop ordinary room tasks and warn teammates that the bed area is unsafe.
- Use distance and the confirmed Bed Monster response instead of rushing into its grab zone.
- Resume treatment only after the room is safe to approach.
Do not: Do not run directly into the bed hitbox or fire a gun at the Bed Monster.
Failure risk: The patient is lost and another player may be grabbed while attempting an unsafe rescue.
UrgentCan interrupt treatment or surgery
How to Handle Monster Emergence
Signal: A hostile form or tendril begins emerging in the treatment area.
What happens: The room is no longer a normal treatment space. Players should identify the emerging threat before choosing a countermeasure.
- Back out of the immediate grab range and identify the emerging threat.
- Close or avoid the affected route when the threat is environmental.
- Use the enemy-specific counter before resuming treatment.
Do not: Do not keep treating through the event or panic-fire before confirming the enemy type.
Failure risk: Players or patients can be caught while the room is treated as safe.
HighCan appear in patient rooms
How to Handle Monster Under the Bed
Signal: A bed shakes, makes suspicious noise, or shows movement underneath.
What happens: This is the warning stage of the Bed Monster encounter. Detecting it before entering the grab zone prevents the emergency from escalating.
- Stop outside the bed hitbox and check the bed from a distance.
- Warn the team and keep the room route clear.
- Delay close treatment until the bed area is safe.
Do not: Do not walk straight to a shaking bed or try to solve the encounter with a gun.
Failure risk: The monster can grab a player or progress into an attack on the patient.
ImmediateCan occur during treatment and ambulance events
How to Handle Critical Patient
Signal: A patient is marked critical and has very little time left.
What happens: Critical status is a treatment timer. It must be prioritized above routine patients and non-urgent hospital tasks.
- Go directly to the critical patient and identify the required treatment.
- Apply the correct treatment without adding unrelated items or interactions.
- Keep another player on surrounding threats when playing as a team.
Do not: Do not finish routine treatment first or guess the medicine under timer pressure.
Failure risk: The patient dies and the run gains another death.
UrgentCan occur when a patient collapses
How to Handle Fainted Patient
Signal: A patient is unconscious or collapsed on the floor.
What happens: A fainted patient needs revival before normal treatment can continue. The cause may still be active nearby.
- Check that the immediate area is safe before approaching the patient.
- Use the available revive interaction or appropriate support item.
- Move into the correct treatment flow once the patient is responsive.
Do not: Do not ignore the cause of the collapse or leave the patient in an active monster route.
Failure risk: The patient's condition can continue deteriorating while the team handles other tasks.
ImmediateCan occur around occupied rooms and patients
How to Handle Patient on Fire
Signal: The patient is visibly burning.
What happens: The burning patient is the immediate target. This is different from a room fire with no patient currently burning.
- Equip the Fire Extinguisher and put out the patient first.
- Check the surrounding room for additional fire.
- Return the patient to the correct treatment flow once the flames are out.
Do not: Do not leave to finish another patient or extinguish distant flames before the burning patient.
Failure risk: The patient can die while the fire remains active.
UrgentCan occur in hospital rooms
How to Handle Room Fire
Signal: Flames appear in a room or around hospital equipment.
What happens: Room fire is an environmental task. Clear it before sending more players or patients through the affected space.
- Equip the Fire Extinguisher and clear the flames closest to patients and exits.
- Keep teammates out of the affected route until the visible fire is gone.
- Recheck the room before resuming normal treatment.
Do not: Do not route patients through the room or assume one extinguished flame cleared the whole event.
Failure risk: The fire continues blocking the room and endangering nearby patients.
