Cheat sheet
Animal Hospital anomaly cheat sheet
Keep this page open while playing. It uses the same anomaly data as the checker and database, without invented entries.
Last updated 2026-07-03
Appearance
Appearance tells
Three slightly mismatched glowing red eyes rather than two. The extra eye sits on the forehead and the original pair is sometimes still visible underneath it. Some write-ups also report a low-pitched, distorted voice.
Hollow FaceEmpty, hollow eye sockets and a lifeless, blank, open-mouthed expression. Write-ups describe a visible hunch and slight twitching as part of the same tell.
Human TeethBehaves normally but has small, wide circular eyes and unsettlingly realistic human teeth instead of animal ones.
Creepy SmileA wide, unnatural, drawn-on grin with big bulging eyes, black pupils and prominent eye-bags.
Googly Eyes & Sharp TeethA crooked, distorted smile with rows of sharp teeth and mismatched glowing eyes, usually paired with a warped, distorted voice. BloxGuidesGG adds that its head follows you around the room.
TwitchingShort, repeated jerking of the head, neck and both arms while the patient stands still. BloxGuidesGG also reports an elongated neck on some variants.
Photo
Photo tells
The developed photo does not match the patient at the glass: eye shape, pupils or eyelids, ear shape or colour, markings, mouth shape, or in the worst case an entirely different animal. The difference can be as small as one missing pupil.
Different EyesThe eyes in the developed photo do not match the patient at the glass - a changed eye shape, an added eyelid, or a missing pupil. Everything else about the patient can look right.
Unnatural PhotoThe patient looks like a normal cartoon animal at the window, but the developed photo shows an eerie, unnaturally realistic face - distorted features that are not visible in person.
Photo StaticA grainy, staticky film across the developed photo.
Cursed PhotoA disturbing print: bloodshot eyes, a grotesque smile, blurred features. Picking it up before it finishes developing costs 10 sanity instantly.
CCTV
CCTV tells
On camera the entire body turns solid black, hiding every feature. fdaytalk reports a rarer disfigured version of the same tell.
Deformed BodyThe body looks heavily stretched or distorted on the feed and nowhere else. The distortion changes shape each time you switch camera angle or reopen the feed, and that change is the confirmation.
SkinwalkerLooks completely normal at the window and in the photo, then shows a wide-open mouth full of sharp teeth, and a long tongue, on the camera feed once it reaches the check-in position.
Different EarsEars or horns look wrong or mismatched. Write-ups place mismatched ears in BOTH the photo and the camera feed, so compare ears at both steps - do not treat this as camera-only.
The StarerAlways faces the camera. Switch to another feed and it turns to look at that one too, while a normal patient faces the reception desk.
Black EyesOn the feed a black bar covers the face, with a pair of realistic eyes drawn on top of it or showing through it.
Twitching (CCTV)The same jerky twitching motion, but it only shows on the security footage - the patient looks still at the window.
Next checks
Keep checking before you admit
Every card below has a specific job so you can move from a fast call to the deeper page that explains it.
Pick the signs you see and get an admit or reject call instantly.
Anomaly QuizGet a random case, guess admit or reject, and try to beat your streak.
All anomaliesSearch every known Appearance, Photo, and CCTV anomaly.
Animal Hospital eye types identifierNarrow the eye signs by eye count, colour, pupils, and whether the photo matches.
Anomaly tier listSee which anomalies are hardest to spot, ranked S to C tier.
Class guideCompare every class cost and perk, then filter by your Animal Coin budget.
Guide hubOur notes on shifts, sanity, roles, and basic play.
Codes statusCheck whether Animal Hospital has added a real code system yet.
Cheat sheetKeep a compact anomaly tell list next to the game window.
BlogLonger write-ups: the checking order, which class to buy first, and late-shift roles.
How to playLearn the reception loop before the next patient reaches the glass.
Shift guidePlan who watches the desk once the night starts speeding up.
Sanity guideTrack the actions that drain sanity and the items that recover it.
Team rolesSplit Front Desk, Treatment, and Floater jobs before Shift 7.