The Reaper Nurses are slim, female humanoids with light skin dressed in 20th-century nurse clothing. Their faces are visibly obscured by what seems to be a white paper bag with a black first aid "plus" symbol marked on the front, though they can still see. Like the Matron, the Reaper Nurses wear red combs across the top of their bags. While it is unknown what their faces look like, some merchandise has shown that they wear pink lipstick and appear to have the mouth and chin of an average human. Their clothing comprises of a skintight red and white rubber/latex dress with red buttons on the top and apron. They wear white pantyhose tights with black first-aid symbols accessorized on the puffy shoulders and waist belt. They wear red short gloves and red Mary Jane styled heels with roller skates attached. Their most prominent feature is the oversized syringe they wield, which they use to stab their victims. The Reaper Nurses have two weapons: a giant syringe that serves as their primary weapon, and a pill. Nonetheless, their kill animation only uses a giant syringe. This makes them, Penny the Chicken and Trigger Teddies the only standard enemies in Dark Deception to have only a single kill animation. In contrast, the other enemies generally have around three or four kill animations in total. Once the Nurses enter Nightmare Mode, their clothing turns red and black. They become fast enough to catch up to speeding ambulances. When first encountering them, the Reaper Nurses display a friendly and welcoming façade, directing their 'patients' to their respective rooms. Most nurses also display a sense of humor and occasionally joke around. They also happily assist their 'patients' in navigating around the hospital to get their 'clinical treatment,' hoping their patients accept what the Nurses call their 'Healing and Mercy,' which are immediate executions disguised as hospital procedures. The Nurses could be sociopathic, as they take joy in torturing their victims when performing their 'hospital procedures' and will make the death of their victims slow and painful. The Nurses lure men into the hospital through seduction, as many of them can be seen dancing around to seduce their victims into a false sense of security, including two in front of the statue in the lobby and a plethora of the entities dancing in the hallway between the lobby and the main hospital area, as well as the Nurse at the reception counter complimenting Doug on his appearance. Underneath their friendly demeanor lies a deep and never-ending ire for men, except for their master, Malak, as it was explained by "E" that the Reaper Nurses were born from that specific kind of hatred, likely the fury of mistreatment at the hands of men. Because of this, all Reaper Nurses hold a substantial prejudice against men, calling them an "infectious virus", making the Nurses much less tolerant when handling male patients. In contrast to how the Reaper Nurses treat men, they treat women alike with a much more patient and welcoming demeanor, except for Bierce, treating their patients more delicately with much more care, a form of treatment that E received upon stumbling the hospital and encountering the Nurses. On certain occasions, the Nurses discuss whether a female visitor would be a good fit to become a new nurse recruit. If the Nurses conclude that the patient deserves to become one of them (they pointed that out with E), they will approach said patient and offer their promotion, only needing them to go through what they call a 'little initiation ritual.' Should the recipient decline this offer, the nurses remain docile and won't attack the female patient for this response. The Nurse's delicateness towards female patients was shown when E was permitted to explore the upper areas as much as she wanted, except for specific areas. However, the nurses won't hesitate to attack their female patients with hostility should the patient disobey one of the rules of The Hospital.