Do this immediately
Treat this as a real hostile threat. Clear it before returning to normal room work.
Enemy Guide
Treat this as a real hostile threat. Clear it before returning to normal room work.
Do not keep healing or routing around it as if the hospital can ignore the threat for another few seconds.
If this enemy appears, the run has already shifted from routine control into emergency threat management.
Skinwalker is often the punishment for intake failure, so the real fix is not only the shot itself but the desk decision that came before it.
If you try to keep routing rooms around an active Skinwalker, the run usually snowballs faster than the original admit mistake.
This is not a side nuisance. Once it appears, it becomes the top threat until the team has room control again.

Threat reference art
Current wiki reference image for this specific threat, used to avoid mismatching one enemy with another.
A lethal impostor anomaly that turns a bad intake call into an active hospital-wide combat emergency.
Use the gun or taser once it reveals itself and clear it before resuming treatment. This is one of the clearest shoot-on-sight threats.
The fandom material treats Shapeshifter and Skinwalker as the same threat family: a fake patient slips inside, then reveals into a hostile monster that must be neutralized.
Shoot threat
Skinwalker is dangerous because it turns a bad admit into an active emergency. Once it reveals, treat it like a hospital-wide threat, not a side problem.
Encounter context
Enemies become much deadlier when you are already juggling sanity, room routing, and event timers. Good play is usually about composure, not just reaction speed.
Do not keep treating nearby patients while a Skinwalker is active. Clear the threat first.
If this threat keeps wiping you
Go to the admit guide if Skinwalker keeps appearing because the desk green-light is too loose.
Use the main anomaly route when the reveal only happens because earlier checks keep missing.
Open desk tips if the problem starts before the patient even reaches a room.
Best next step
Open this if your real Skinwalker problem starts one step earlier with bad green lights at the desk.
Use this when the bigger fix is cleaning up the full intake chain before the reveal ever happens.
Open this if you want the short rule for what to shoot, avoid, or solve with items across the whole roster.
Open the full enemy hub when you want the whole threat list instead of one encounter alone.
Useful when this threat becomes dangerous mainly because it overlaps with room pressure or timed emergencies.
Best follow-up when this enemy causes wipes because panic, hesitation, or bad recovery snowballs too fast.