Mark what you have actually checked across the game's four evidence layers. The desk applies the documented decision rules and returns a conservative ADMIT, REJECT, or WAIT call with the reasoning attached.
SHIFT TERMINAL 04
The tool's four questions mirror the game's evidence design. Each layer has its own documented sign list — and its own failure modes.
The patient stands at reception before any test. Compare eyes, ears, mouth, teeth, body shape, and movement directly.
The fan wiki's appearance list covers smiling with creepy eyes, three eyes, crooked faces, X-rayed faces, staring, hollow faces, twitching, and a tiny-anomaly state.
Source: Fan wiki · Checked 2026-10-03
Start the photo and leave it on the desk while it develops. The finished image can disagree with the live patient.
Documented photo signs are redrawn or black eyes, a deformed head, different limbs, full static, and close-up cursed frames. Picking a photo up early costs Sanity.
Source: Fan wiki · Checked 2026-10-03
While the photo develops, open the cameras and find the same patient in the waiting area.
Documented CCTV signs are black eyes, unnaturally bent bodies, patients that stare into the camera, void-black bodies, twitching feeds, mismatched ears or species, and mismatched faces.
Source: Fan wiki · Checked 2026-10-03
Read the patient file at the desk and compare name, reason, and details against the patient in front of you.
A file that conflicts with the patient or the room is treated as an anomaly clue; guides advise treating it as one layer, never as the whole verdict.
Source: Fan wiki · Checked 2026-10-03
The desk is deliberately conservative: it escalates to the safe action whenever evidence is decisive or missing.
Any single decisive anomaly sign (a finished-photo mismatch, a void CCTV body, impossible teeth at the window) is enough to refuse entry. Community documentation says anomalies are refused by closing the reception shutters before the patient enters.
When all four layers come back clean, admit the patient, run diagnostics on the bed, and give the prescribed item shown on the screen above the bed.
An unfinished photo is not a result. Current guides warn that grabbing it early costs Sanity and returns no verdict, so wait while running the other checks.
Static-only photos are the site's documented split: one publisher guide treats static as decisive, while a community test recorded static frames on patients that later passed. Complete the other layers instead of forcing a call.
Source: Community wiki + publisher guides, disputes shown both ways · Checked 2026-10-03
Leave the photo untouched until it visibly finishes. Compare the CCTV feed against a memorized window view. Read paperwork as one layer, never the verdict. And never treat a patient while holding any item except the prescription — the wiki documents that mistake as instantly fatal to the patient.
The tool models the documented evidence rules as of its checked date (2026-10-05). It cannot see your screen, cannot weigh a sign the latest update added yesterday, and cannot replace the shutters decision — it tells you which way the evidence points; you still make the call in-game.
No. It organizes the observations you enter and applies the documented decision rules: any suspicious layer returns REJECT, any unfinished layer returns WAIT, and only four clean layers return ADMIT. The live game display always wins over the tool.
Because an unfinished photo is not evidence. Current guides warn that grabbing a photo before it finishes costs Sanity and returns no verdict, so the desk treats that layer as pending, never as a pass.
Mark the photo layer pending rather than suspicious. Static alone is the documented dispute — one publisher guide treats it as decisive while a community test recorded static on patients that later passed — so the other layers should decide.
Open the treatment finder, admit through the shutters-open flow, run diagnostics, and give exactly the prescribed item — holding any other item while treating kills the patient.
The four layers still apply, but event pressure changes pacing: during an ambulance surge, receive and triage first, then run delayed checks when the desk is clear. The tool models decisions, not triage order.
Because community guidance treats the file as one layer among four — a conflict is a real clue, but the window's live signs and the CCTV feed are the layers entities are documented to fail. Paperwork alone should rarely carry a reject.
