🐾 Animal Hospital Anomaly
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Creature Strategies

What happens when Ratthew dies in Animal Hospital Anomaly?

Question 19 of 22

A

Game Over Mechanics

If three animals die (from Shift 6 onward), the run ends - and if Ratthew dies during one of his visits, he is gone for that run. He does not come back in the same campaign.

Restart Required

To get his reward you must start a fresh run and make sure he survives every scheduled visit. Treat him as a normal patient: never reject him with the shutter and never let an anomaly hurt him.

The Visits

You encounter Ratthew across roughly five visits, starting around Shift 2-3. Each time:

  • Treat his ailment successfully
  • Never reject or harm him
  • Protect him from in-hospital threats

The Reward

On his final visit he sits at the counter and tells the story of his missing twin sister Rattina. He leaves behind Ratthew's Key, which opens the hidden safe behind the cat painting in the first unlocked corridor and reveals lore about the Animal Corporation.

See the secrets guide for the full story.