Stand still for 1 shift Only check in anomalies for 1 shift Lose 20 sanity No increasing sanity for 1 shift Shoot/taze a random patient Close the shutters for one random patient Don't use any money for 1 shift Lose 10 sanity Don't take coffee for 2 shifts Only check in anomalies for 3 shifts Get attacked by a hider RESPIN Don't treat one patient on fire Close the shutters for 3 patients Lose 30 sanity No treating patients for three shifts Do 3 surgeries Shoot / Taze 3 patients Use the scanner on a random patient Only use the cameras to check patients for 2 shifts Find 3 photo anomalies Have one skinwalker attack a patient / You Stop 3 death rituals Check in 3 hollow eyes Don't speak for 3 shifts Use 3 tazers / 3 bullets Only check in anomalies for 5 shifts Kill 3 anomalies Check in one photo anomaly Check in 1 weird face anomaly Lose 5 sanity Stare at the mass of eyes for 2 seconds Let the bed monster attack you Find 3 hiders and let them get you