Doctor Harlow is a light orange deer-like creature who wears blue medical scrubs under a white consultation coat. Wrapped around his neck is a black stethoscope. On his head rests a head mirror with a brown band. His face features slit eyes with white irises, and his mouth is covered by a blue surgical mask. On his head are two big deer horns, slightly more muted than his skin color. He is an Anomaly, and might give patients wrong treatments on purpose to make them die.

Stalker appears as a tall, black bunny with large eyes and a big grin. The Stalker will appear randomly around corners, presumably stalking the workers. If looked at, it will quickly hide and disappear around the corner. It is presumed to be shy.

Skinwalkers vary in appearance. They disguise themselves as patients in order to get into the hospital. They show their real forms when attacking. Skin Walkers have sharp teeth. Skinwalkers will often not show any signs when getting admitted into the hospital, instead turning hostile either right after being admitted or while recovering. When they turn, they will look for either the nearest worker or patient to attack.

Bed Monster is a black, shadowy figure that appears under a patient’s bed. They have two large hands that can stretch out and two red, glowing eyes that stare at the player. They emit black particles on the side of the bed and do not have a visible body. Bed Monsters might under a patient's bed. They will breathe heavily while they stare at the worker as they move. If the worker or patient steps into the red box, the Bed Monster will stretch its arms out to grab them and slowly pull them under the bed.

Patients who come in may be an anomaly, which can be easily spotted or can be very discreet and take more time identifying. In some cases, a patient can turn into a skinwalker as they are recovering or successfully checked in, which they will go on to attack other patients or any nearby worker. If a patient comes into the hospital, they will be laying in the hospital bed (or standing in the x-ray screening room) as they get treated. If they are given the wrong treatment or not treated quickly, they will die if they are normal animals. When they are done recovering, they will get out of bed covered in bandages. They will then leave. The personalities of the patients can vary, but the patients come off as scared and even hesitant when speaking due to the atmosphere and backstory of the hospital. Treatments include: Eyedrops-dry eyes IV drops-dehydration Medkit-bruises Thermo-fever Ointment-rashes Bandages-bleeding Meds-headache Herbs-stomach ache Maple syrup-low sugar Cough Syrup-flu