Each task below uses the same response order shown by the solver.
HighHalloween event window (Oct 17 - Nov 1, 2026)
How to Handle Halloween Candy Counter
Signal: Costumed patients arrive at the reception counter asking for candy during the Halloween event.
What happens: A seasonal trick-or-treat layer on top of the normal admission loop. Handing over the right candy earns temporary Halloween coins, but some candy-seekers are anomalies: a costumed patient whose tell does not check out should be photographed and rejected instead of fed. Halloween coins expire when the event ends, while the limited skins they buy are permanent. Content details are creator-reported from October 17-18 walkthroughs of the live build; the developer has not published patch notes.
- Run the normal window, photo, and CCTV checks on every costumed patient before handing over candy.
- Give the requested candy to patients that pass every check to earn Halloween coins.
- Close the shutters on any costumed patient whose tell fails instead of feeding it.
- Spend Halloween coins before the window closes - the currency expires, the skins do not.
Do not: Do not feed candy to a costumed patient before completing the anomaly checks, and do not assume the event pauses the normal admission rules.
Failure risk: Feeding an anomaly costs sanity or a patient, and unspent Halloween coins disappear when the event ends.
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.
