Treatment Items Guide

Treatment items are the tools you use to actually cure patients across the treatment rooms, plus a few special items that counter specific threats. Using the right item at the right moment is the difference between a cured patient and a dead one, so it pays to know what each is for.

Items that cure patients

Most treatments — Basic Medical, X-Ray and Heart Monitor — end with an administer items step. You give the patient items from the hallway supplies based on their diagnosis, and Surgery adds in-room tools like scissors and scalpels matched to on-screen pictures.

The universal rule across all of them: giving the wrong item kills the patient and costs points. When you must give multiple items, the order does not matter — only correctness does. So slow down on the item step and make sure each one matches the treatment.

Special-purpose items

A few items exist specifically to counter threats and events:

• Maple Syrup — dismisses the Bed Monster. Approach the Bed Monster under a treatment-room bed while holding Maple Syrup and it disappears. Approaching without it gets you grabbed for Sanity damage, so keep Maple Syrup ready when entering rooms.
• Ointment — treats burns on a patient who was on fire. The sequence is: put out the fire, apply Ointment, then verify the patient with a photo after helping (photographing them before the Ointment ruins the photo).
• Fire extinguisher — the fast, effective way to put out both patients on fire and room fires. Far better than holding E, especially for room fires that drain 1 Sanity per second while you stand in them.

The wrong-item trick

The “wrong item kills the patient” rule has a useful flip side. If a missed Anomaly ended up admitted and is in a treatment room, you can deliberately give it the wrong item to kill it. Because Anomaly deaths do not cost points, this is a clean, penalty-free way to remove a disguised monster — often better than letting it awaken into a roaming Skinwalker. See the Treatment hub for full details.

Keep counter-items on hand

Because Maple Syrup, Ointment and the fire extinguisher each counter a specific situation, the smooth play is to have them available before you need them. Walking into a treatment room without Maple Syrup and finding a Bed Monster, or facing a patient on fire without knowing where the extinguisher is, costs you Sanity and time. Treat these items as part of your standing kit alongside coffee and a weapon.

Accuracy over speed

The throughline of every treatment item is the same: accuracy beats speed. A patient cured correctly adds to your score; a patient killed by a wrong item erases your work. Take the extra second to match items, keep your counter-items ready for Bed Monsters and burns, and use the wrong-item trick only deliberately on confirmed Anomalies. For the rooms where you put these items to work, start with the Treatment hub.