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Animal Hospital Anomaly is a first-person horror game where players work the night shift at an animal hospital. Their responsibility is to examine incoming patients, provide medical treatment, and identify dangerous creatures disguised as ordinary animals. Some patients behave strangely or display physical abnormalities that reveal their true nature. Admitting these creatures can put other patients and hospital workers in danger. The game also contains story events involving the hospital’s staff, mysterious experiments, and the origins of the anomalies.
Every shift begins with animals arriving at the reception desk. Players must examine their appearance, check security cameras, and take photographs before deciding whether to admit them. Anomalies may have additional eyes, distorted faces, sharp teeth, or unusual movements. Sometimes their true appearance is visible only through a camera or photograph. Suspicious patients must be rejected using the reception shutters, while ordinary animals are admitted for treatment.
The hospital contains eight treatment rooms with different medical activities. Players must complete the appropriate procedures without harming their patients.
Available treatments include:
During shifts, emergencies can interrupt regular work. Patients may faint, arrive on fire, or require immediate medical attention. Other incidents include fires inside treatment rooms and mysterious rituals. Players must also monitor their Sanity, which decreases when dangerous creatures attack or certain anomalies are observed.
The hospital contains several hostile entities, including Skinwalkers, the Bed Monster, and the Stalker. Each requires a different response. Players can use coffee to restore Sanity and obtain equipment for dealing with specific threats. Successfully completing shifts provides money for additional items and upgrades.
Progression continues through increasingly difficult shifts rather than traditional numbered levels. Players also encounter characters such as Ratthew, Barney, and Dr. Harlow, whose interactions reveal information about the hospital. Some encounters involve collecting items, investigating hidden areas, or making decisions. The central challenge remains treating genuine patients while preventing dangerous anomalies from entering the hospital.