Table of Contents

Emergencies in Animal Hospital interrupt normal treatment and can kill a patient if the team misses the response window. The fastest rule is to identify the event before using an item: a fire extinguisher, Taser or surgery action can be correct in one emergency and fatal in another.
Emergency response summary
| Emergency | Time limit | Correct response |
|---|---|---|
| Room fire | No patient timer by itself | Use a fire extinguisher; manual extinguishing is slower and drains sanity |
| Burning patient | 60 seconds | Extinguish the patient; if done by hand, apply burn treatment afterward |
| Fainted patient | Usually 60 seconds; fire-related collapse can be shorter | Carry the patient to the assigned bed |
| Death ritual | 40 seconds | Extinguish all seven candles or Tase the floating patient |
| Bed Monster | 30 seconds | Interact to pull the patient free, or offer maple syrup |
| Purple surgery monster | 45 seconds | Complete the surgery sequence; never shoot or Tase it |
| Critical ambulance patient | 120 seconds | Check in, diagnose and complete all required treatment, including surgery if shown |
Timers and item behavior can change with game updates. Follow the in-game countdown and task board if they differ from this guide.
Put out a hospital-room fire
A room fire does not have the same immediate patient countdown as a burning-patient event, but it blocks safe treatment and drains sanity while you remain near the flames.
- Best method: take the fire extinguisher and use it on the flames. Return it to its location to recharge when depleted.
- Fallback: interact with the fire by hand. This is slower and costs sanity while you stand close.
Clear the fire before directing another patient into the room. In a team, one player should handle the flames while another watches reception and patient timers.
Save a burning patient

A patient on fire has a 60-second rescue window:
- Fire extinguisher: extinguishes the flames quickly and avoids the additional burn-treatment step.
- By hand: removes the flames more slowly and leaves the patient needing burn ointment or the treatment shown by the game.
Do not walk away after manually extinguishing the patient. Finish the follow-up treatment before the emergency timer expires.
Carry a fainted patient to the correct bed
Pick up the collapsed patient, read the assigned room or bed, and carry the patient there. A normal fainting event gives about 60 seconds, while a collapse caused by entering a burning room can have a shorter window.
Clear doorways before lifting the patient. In multiplayer, call out the room number so another player can prepare treatment rather than crowding the carrier.
Stop a death ritual
The patient floats above the bed while seven candles burn around the room. You have about 40 seconds.
- Candle method: interact with every candle. Each one costs sanity, so start immediately and move around the room in one direction to avoid missing a candle.
- Taser method: use a charged Taser on the patient to interrupt the ritual instantly.
After the ritual ends, return to the patient's normal diagnosis and treatment. The Taser is valuable for saving time, but keep enough charge for later anomaly threats.
Rescue a patient from the Bed Monster

When hands beneath the bed begin dragging a patient away, approach the patient and repeatedly use the rescue interaction. Complete it within roughly 30 seconds.
Maple syrup offers a safer alternate response: equip it before approaching and give it to the Bed Monster so the creature leaves. Avoid entering the monster's danger area without a plan because it can also grab players and nearby creatures.
Handle the purple monster in surgery
The purple monster appears in Room 8 and is connected directly to the patient. The only safe response is the surgery minigame:
- Read the procedure order on the blackboard behind the bed.
- Use the required surgery tools in that sequence.
- Finish within about 45 seconds.
Never shoot or Tase the purple monster. Damage to the creature also harms the attached patient. Assign one player to perform surgery while teammates keep the room clear.
Treat a critical ambulance patient
Ambulance events can bring several patients at once, with one marked critical. Prioritize that patient and complete the full chain—check-in, room assignment, diagnosis, treatment and surgery if required—within about 120 seconds.
A large speed or movement item can help the runner, but role division matters more:
- one player checks in the ambulance patients
- one prepares supplies and rooms
- one follows the critical patient through treatment
- a defensive player handles unrelated anomalies
Prepare before emergencies begin
- Know the locations of the extinguisher, Taser, surgery room and supply shop.
- Return reusable tools for recharge instead of carrying an empty item.
- Keep several inventory slots free for emergency treatment.
- Protect sanity so manual fire and candle interactions remain possible.
- Call out the event and room number in multiplayer.
- Do not have every player abandon reception for the same emergency.
When two timers overlap, prioritize the patient with the shortest remaining countdown while assigning another player to the second event. Solo players should carry a general emergency item and avoid spending all supplies before later shifts.
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