Best check order
Desk first, photo second, CCTV third. That order catches the most bad admits without slowing every patient down.
Anomaly Guide
The fastest safe anomaly route is simple: desk first, photo second, CCTV third. That one loop catches most bad patients without slowing every shift down, and it stops a lot of avoidable admits before they ever reach a room.
Most misses happen because players rush from the front window straight into a room or keep checking long after one clear fail was already enough to reject. Use the quick rule cards first, then move into the full anomaly list for the signs that keep slipping through.
If you only need the short answer, start with this rule: reject obvious desk fails immediately, trust the printed photo on the close ones, and open CCTV only when the patient still looks almost normal after both.
One-Line Rule
The biggest detection mistake is treating every patient like they need all three layers to fail. They do not. If the desk, photo, or CCTV gives you one confirmed anomaly sign, close the window and move on.
Desk first, photo second, CCTV third. That order catches the most bad admits without slowing every patient down.
Clear face, teeth, eye, or posture fails at the desk should be rejected right away. Do not waste time proving an obvious bad admit twice.
Use it on the close ones that still look almost normal after the desk read and printed photo.
Most misses happen because players keep searching for one more confirmation after a clear fail was already enough to reject.
Start Here
Open this if your hardest part is the first visual pass at the front window, not the later checks.
Start Here
Use this when the patient looked almost normal until the printed image started disagreeing.
Start Here
Open this when your misses happen because you are checking the wrong camera or rushing the right one.
Start Here
Use this when the patient still looks too close to call and you need the safer tie-breaker logic.
Most Asked Next
Open this if your anomaly search is really about the wipe threat that appears after the admits already went wrong.
Most Asked Next
Use this when the admit mistake is already happening, but the threat you still need to survive is Stalker.
Most Asked Next
Open this if your anomaly pressure turns into ritual pressure and you need the fastest clean-stop answer.
Most Asked Next
Use this if your anomaly route is fine until the surgery side of the hospital starts turning admits into chaos.
Quick Answer
If the desk read is not clean, do not improvise. Compare the photo, open CCTV for the close call, and reject the patient as soon as one confirmed anomaly sign appears.
Do not wait for desk, photo, and CCTV to all fail together. One confirmed anomaly sign is already enough to close the window.
The camera is most valuable on patients that still look almost normal after the desk and photo checks.
That habit alone prevents a lot of cursed-photo sanity mistakes and keeps your check order stable under pressure.
That usually means the desk read is still too loose. Fix silhouette, smile, and eye discipline before you blame the camera.
That usually means the photo comparison is still too soft. Ear shape, eye details, and cursed print behavior need a cleaner second pass.
That usually means CCTV is still being used like a glance instead of a real close-case check.
A patient can look almost fine at the desk and still fail badly on the print or waiting-room camera.
Some camera-only reads need a few seconds of stillness. One quick flick is exactly how Twitching and other close fails get through.
Once one layer gives a clear fail, extra hesitation usually costs more than it saves.
Learn the obvious visual fails first so you stop spending extra time on patients who were already wrong at the window.
Save your extra focus for the nearly normal patients that only break once photo or CCTV enters the decision.
Use a stable order every shift so you do not burn sanity and confidence by improvising a new read every time.
Anomaly List
Use this table when you already know the admit is suspicious and need the fastest reminder on where that anomaly usually breaks: desk appearance, printed photo, or CCTV confirmation.
| Anomaly | Where to spot it | Main tell |
|---|---|---|
| Twitching | Appearance | Look for fast, erratic twitching in the arms or neck instead of a normal idle pose. The movement can be brief, so watch the patient for four to five seconds before you decide they're clean. |
| Three Eyes | Appearance | Some patients show three glowing red eyes instead of the normal two, and it is one of the cleanest desk-check calls in the game. |
| Hollow Face | Appearance | Watch for two empty eye holes and a wide-open frowning mouth instead of a normal face. |
| Wide Eyes and Creepy Smile | Appearance | Some patients have unnaturally wide eyes and a creepy grin that makes them look wrong immediately at the desk. |
| Human Teeth | Appearance | This variant shows a more realistic set of human-looking teeth instead of the game’s normal cartoony mouth. |
| Mismatched Eyes and Sharp Teeth | Appearance | Look for eyes sitting at uneven heights together with sharp teeth showing in an aggressive grin. |
| Different Eyes | Photo | If the eyes in the printed photo do not match the patient standing in front of you, it's an anomaly. |
| Different Ears | Photo | This works like Different Eyes, except the print reveals ears that do not match the animal at the desk. |
| Incorrect Photo | Photo | If the photo shows a different model, different colors, different markings, or effectively a different animal, it is an anomaly. |
| Unnatural Photo | Photo | Some photos show grotesque expressions the patient does not have in person, including human teeth, uneven eyes, a toothy grin, or a blurred face. That's an anomaly. |
| Static Photo | Photo | A staticky film on top of the printed photo that obscures the image is treated by IGN’s current anomaly checklist as a real fail sign. |
| Cursed Photo | Photo | A photo with bloodshot eyes, a grotesque smile, or blurred features is both an anomaly and a sanity trap if you pick it up carelessly. |
| Censored Eyes | Security Camera | On CCTV, some anomalies have a big black censor bar over their eyes with another pair of eyes drawn on top. |
| Unnatural Body | Security Camera | The CCTV shows an elongated, stretched, or otherwise impossible body shape with limbs jutting out at wrong angles. |
| Hollow Face (CCTV) | Security Camera | The same hollow-eye expression can also show up only on camera, especially if you use the waiting-room view and watch the face carefully. |
| Staring at the Camera | Security Camera | Some anomalies stare directly into the CCTV instead of facing the office like a normal patient would. |
| Void Bodies | Security Camera | If the patient's or visitor's body is completely black on CCTV and all normal features disappear, it is an anomaly. |
| Skinwalker | Security Camera | The CCTV can reveal a skinwalker face with a huge mouth, sharp teeth, and a long tongue even when the patient looked normal in person and in photos. |
| Mismatched Ears or Eyes | Security Camera | If the eyes or ears on the waiting-room camera do not match the patient standing at the desk, it's an anomaly. This is one of the hardest CCTV reads in the game. |
| Twitching (CCTV) | Security Camera | Some patients only twitch on CCTV, not in person, so you need to watch the feed for four to five seconds rather than taking a one-second glance. |
You probably need a tighter first-pass rule for face shape, smile, eyes, posture, and instantly bad silhouettes.
Your weak point is likely comparison discipline: ears, eye details, static, and cursed-photo behavior.
You are probably skipping CCTV too often on close cases and letting camera-only failures through the front window.
Open this if your scariest misses are the admits that only break when you finally look at the camera.
Useful if your photo check keeps draining sanity because you touch the print before reading it safely on the desk.
Good follow-up if the misses are subtle and usually happen because you are comparing too loosely instead of checking one feature at a time.
Most Missed
Best follow-up when your worst misses are the patients who only become obviously wrong once you slow down on CCTV.
Most Missed
Open this when the printed image keeps causing panic because you still touch it before reading it safely on the desk.
Most Missed
Use this if motion-based anomalies are slipping through because your camera checks are still too rushed.
Most Missed
Good next page when subtle feature comparisons, not obvious monster signs, are what keep breaking your admit calls.
Best follow-up when old photo instincts are still making you touch the print too early.
Open this when your camera use exists, but the wrong feed keeps stealing your attention.
Use this when your issue is not spotting the sign, but knowing whether one failed layer is already enough to close the window.
Open This Next
Open this when you know the layers, but the route between desk, print, and camera still feels slow or inconsistent.
Open This Next
Use this when your misses are really late shutter calls, not weak anomaly memory.
Open This Next
Open this if the hardest patients are the close ones that never look wrong enough at first glance.
Open This Next
Best next stop when detection is only part of the problem and the intake loop itself still feels unstable.
Use this when the first visual pass is the only part still slowing your shutter call.
Open this when the patient looked nearly safe until the printed image started disagreeing.
Use this when the real camera question is which feed solves the most uncertain admits.
Open this when the harder part is the green light, not the reject side of the rule.
Players often admit the patient they wanted to be normal, not the patient the checks actually supported.
The whole point of the later layers is to catch admits that only become wrong after the first quick read.
You do not need perfect recall for every anomaly if your desk, photo, and CCTV order stays consistent every run.