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Monster 4 (A.K.A. The Hanged Man) is the fourth monster encountered in the Karamari Hospital DLC.

Appearance

Monster 4 resembles a human with dark-colored bandages wrapped around its head. The eyes are not visible through the wrappings but the creature's gaping mouth can be seen filled with long sharp teeth. Aside from the bandages, it only wears a tattered hospital robe. The monster also has skeletal hands with sharp claws and is barefoot.

Gameplay

Introduction

It is encountered in the Secret Laboratory after the player obtains the key to the Isolation Zone. It is first seen hanging from a noose in a corner of the room, flickering in and out of visibility like an apparition. After the player takes the key, it disappears from the noose and the ambient music playing in the room suddenly stops. Leaving the room, it lets out a roar and the true chase begins.

Attack

It deals 20 damage to the player with a one second cooldown.

Chase

This particular monster acts much like Specimen 6, only moving when the player is not making direct eye contact. Additionally, it also randomly teleports away and continues its attack if the player stares directly at it for too long. It can also move while being looked at, but only at a very minuscule speed.

It always spawns from the door directly behind the player while entering a new room during its chase.

Death

When Monster 4 kills the player, its death screen is shown along with some text that reads as follows:

"Dark worms scream inside my brain.

Begging me to eat again.

Hearts, and blood, and bile, and soil.

I must consume to end turmoil."

Endless Mode

Monster 4 appears in the main game's Endless Mode, being one of many creatures who can randomly engage the player in a chase.

Before chasing the player, a foggy overlay will cloud the player's vision and the apparition of Monster 4 hanging from the ceiling can be seen at the exit door. When approached, the apparition will disappear and Monster 4 will begin the chase.

It now deals 10 damage but has an attack cooldown of half a second.

Audio

Spook phones 2
Sound Files
File Description
"T-Rex Can't Wear Mittens" (chase theme)
Death screen


Trivia

  • Notably, while it is chasing the player, Monster 6's hallway can still be accessed.
  • While Monster 4 is chasing the player, Monster 3 will not appear in the hallways.
  • The monster's death screen shows many screens, such as one of a human family, and another of a suicide note.
    • This gives evidence that the monster hanged itself.
    • Another interesting thing found in Monster 4's death screen is a QR code. Scanning the code reveals a link to a lifehack quote site.
    • The phrases "I Must Consume" and "What Do You Think You're Looking For?" can also been seen behind Monster 4 in its death screen.
  • It is possible that Monster 4 represents Autophagia.
  • The roaring heard at the beginning of the chase theme is in fact part of the chase theme, similar to Specimen 4's chase themes.

Gameplay

Attack

It now makes a clanking sound instead of the regular damage sound and deals the same amount of damage (20) on both Karamari Hospital and Endless Mode.

Chase

It now spawns in front of the player when they leave its room.

The overall mechanics of the Specimen has been overhauled, causing it to sporadically teleport less and to stop teleporting in walls. It no longer slowly floats towards the player, instead, it will rotate to face the player and teleport short distances when observed.

Endless Mode

It can now be damaged by the Sword. Hitting it will make it disappear for the entire room and will deduct one room from the chase duration. The fog overlay has been removed and the apparition isn't present before the chase. It also has its own starting room, which mimics the one found in Karamari Hospital.

Trivia

  • In Endless Mode, due to the fact that there's a 50/50 chance for music not to play at the start of a chase, that Monster 4 does not emit any sounds and that it's now missing its fog overlay, it can be quite hard to notice Monster 4 chasing the player without looking back every so often or getting a surprise hit from it while walking through rooms.
  • Its fog has been given to Monster 6 to replace her black overlay from the original, because it could make it extremely difficult to see.
  • As of The Halloween Update, it cannot fly over gaps and acid pits. This makes Monster 4 slower in those rooms.


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