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“ | Perfection is important to The Doctor and he will not allow anything to interfere with his life's work. With his adoring patients clattering the halls, you may not hear The Doctor coming, not until it's too late. Only then will you learn to look up to him. | „ |
~ Description of the Doctor on the Little Nightmares 2 website. |
The Doctor is a major antagonist in the 2021 indie horror game Little Nightmares II.
He is a massive humanoid monster who runs the abandoned Hospital in the Pale City, devoting all of his time to his Patients, who he has turned into re-animated mannequins as an alternative to "the boredom infecting their lives". He has the unusual ability to crawl along the Hospital's ceilings.
Characteristics[]
The Doctor only vocalizes through labored breathing, groans, panting and screaming, but his actions display that he is entirely devoted to looking after the Patients in the Hospital. While the Doctor seems adept at medical treatment, his efforts to cure people of their woes are extremely warped, continuously dismembering and decapitating patients so he can transform them into crooked, undead monstrosities doomed to walk the Hospital's halls forever, and it is implied that the Doctor employs electroshock therapy on them with an electric chair. The Doctor even seems to obsessively fascinated with his own craft, as he can be heard giggling to himself while working on patients and occasionally swaps prosthetics around for his newer patients to see which parts work in his eyes. In spite of his unethical methods, the Doctor at least seems to care for the patients that are still alive, attentively checking up on as many as he can and when Mono shuts off the life support of a bedridden patient as a distraction, the Doctor rushes back to recover the patient while audibly panicking. It is learned through Mono's distraction that the Doctor hates his work being tampered with, reacting very violently to the point that he chases Mono and Six down in an furious attempt to kill them both.

The Doctor can reach Mono from above with ease and uses his strength to lift up entire tables.
The most dangerous aspect of the Doctor is his uncanny ability to crawl along ceilings like an insect (though there is no explanation for how he can accomplish this feat). Not only does it make hiding from him out in the open quite difficult, but the Doctor happens to move surprisingly fast on the ceiling in spite of his bloated size, letting him catch up to Mono with ease most of the time. Although the Doctor does bring his entire body to the surface at one point, crawling along the ceiling seems to be his more preferred form of mobility. In addition, the Doctor is extremely strong, as he can lift entire tables or hospital beds up with just one hand so he can grab Mono from underneath them, can stampede through entire shelves with ease and can squash Mono by crushing entire hospital beds under his own weight while the boy scurries underneath them.
Appearance[]
The Doctor is a huge, hideous middle-aged humanoid with a bloated, gelatinous body. He is shown to have deathly pale skin, a hairline that has drastically receded, a wrinkly forehead, swollen lips that have completely peeled back so that he perpetually bares his teeth and gums, and baggy brown eyes that have receded into his eye-sockets. He wears a filthy tanned overcoat that is kept buttoned-up, a blue tie, black trousers and a pair of black shoes. Because he always crawls along ceilings, the Doctor always seems to look directly up no matter the situation, even during the rare times he descends to ground level. Although his obesity seems have formed a hump that protrudes from his back, the Doctor can easily bend all the way backwards. Notably, none of the Doctor's physical features explain how he can crawl along ceilings.
Biography[]
Background[]

The Doctor spends most of his time tending to his bedridden patients.
The Doctor's past seems to be a mystery, as it is unknown how much the Signal Tower's transmissions have affected him or how he acquired his ability to crawl along ceilings. When dozens of people began to hate their own lives for their own "flaws", they sought out the Doctor's help to remedy their woes. As a solution, the Doctor would completely reconstruct his new patients by dismembering them, fitting them with new mannequin prosthetics and seemingly bringing them back from the dead, especially if he had decapitated them. Thus, the Hospital is filled to the brim with patients who make use of the new lives they sought out, as several more patients wait to be "fixed" by the Doctor's "magic". Even with the Pale City facing collapse and desolation, the Doctor continues to work in the Hospital and tend to his patients' needs.
Little Nightmares: Secrets of the Maw[]
The Doctor makes a cameo appearance in Little Nightmares' DLC campaign Secrets of the Maw, specifically in the third and final chapter "The Residence" where a portrait of him can be found in the Lady's living quarters. It is unknown how the Doctor is connected with the Lady and the Maw.
Little Nightmares II (Comics)[]
The Doctor makes an appearance in the third chapter of the promotional digital comic book app for Little Nightmares II. The chapter focuses on a little girl who has spent months trapped inside one of the Doctor's cells in the Hospital. When an unknown figure slips several spoons into the cell through the gap at the bottom of the locked door, the girl uses them to dig a tunnel through the floor to escape from the Hospital. The silhouette of the Doctor can be seen looming over the hole while she girl digs through her tunnel. Once the girl finds a way out through the tunnel, she unfortunately discovers that she dug herself back into the cell she was trying to escape from. The door to the cell then mysteriously opens, allowing the girl to escape into the Hospital's hallway. However, as she leaves her cell, the Doctor silently looms behind her on the ceiling, leaving the girl to face a grim fate.
Little Nightmares II[]

The Doctor pursuing Mono and Six as they climb up drawers to evade him.
As the two children descend deeper into the Hospital, Mono and Six can briefly hear the Doctor giggling in the distance just before the last battle with the Living Hands in the chapter. They eventually first encounter the Doctor in one of his workshops, where he can be seen rummaging through shelves filled with bandages and mannequin parts. After hearing Mono and Six enter his workshop, the Doctor leans down from the ceiling to investigate, but quickly returns to work when the children hide from him behind a wooden crate. While the Doctor proceeds to build a patient in his workshop by fitting various heads on it's neck to see which head works best, Mono and Six sneak past him by hiding behind two wooden crates and head into the next room through a small vent. Entering a room full of bedridden patients, Mono and Six are then forced to hide under the various beds when the Doctor enters the room to examine his patients. The children find that they cannot proceed until they find a way to open a locked gate in the room that can only be opened by pressing an out-of-reach button. Sneaking under several beds to avoid the Doctor, Mono grabs a toy, sneaks back to the button and throws it at the button, opening the gate, but catching the Doctor's attention. Mono and Six hide as the Doctor investigates the cause behind the gate opening, but eventually gives up and crawls through a shelf to another room. Mono and Six climb up several drawers to enter a vent, where they narrowly avoid getting spotted by the Doctor, who crawls along the ceiling just underneath them.

Mono and Six sneaking past the Doctor in a morgue.
Mono and Six eventually find themselves in one of the Hospital's morgues, where the Doctor is seen pulling dead patients out from storage and using a saw to cut them apart in preparation for fitting mannequin parts. Mono and Six see a fuse inside on of the higher storage units, which they can use to open a locked gate to escape from the Hospital. Sneaking past the Doctor while he continues his work, Mono enters the backroom to find a patient seemingly being brought back to life on by a life support system. Mono switches off the patient's life support to distract the Doctor, who quickly enters the room and frantically tries to save the patient. Mono sneaks past the Doctor and with Six's help uses the distraction as an opportunity to acquire the fuse and unlock the gate exiting the morgue, which alerts the Doctor.

Mono luring the Doctor into a crematory furnace, who tries to grab him.
Enraged, the Doctor chases Mono and Six through a hallway leading to a crematorium in a desperate attempt to kill them both for tampering with his patient, throwing down entire shelves with dead patients on them and crushing several hospital beds Mono and Six happen to crawl under. Once the children enter the crematorium, Mono sprints into a crematory furnace and lures the Doctor inside. While the Doctor tries to grab him, Mono pushes his way through the ashes and escapes through the grate at the bottom of the furnace, while Six slams the furnace door shut, trapping the Doctor inside. Depending on the player's choice, Mono and Six can either abandon the Doctor inside the furnace or can kill the Doctor by activating the machine whilst he is still inside, leaving the Doctor to be painfully burned to death while Six warms her hands up at the furnace. Regardless of the decision made, the Doctor is not seen again after this point once Mono and Six enter a nearby elevator to escape from the Hospital and enter the heart of the Pale City.
Gallery[]
Trivia[]
- The Doctor's theme is called "Waiting Room".
- The soundtrack that plays during the final chase sequence with the Doctor is called "Bottom Feeders".

Skin masks found at one of the Doctor's workbenches.
- The Doctor seems to be responsible for crafting skin masks for other monsters to wear. One of these masks bears a striking resemblance to the Janitor's face. Two of his other masks look somewhat like The Guests.
- The little girl's cell seen in the Doctor's chapter for the Digital Comic can be found as a secret in the game, where the hole she dug out of seems to be infested with unseen, carnivorous rodents.
- In Secrets of the Maw, the Doctor's portrait is slightly different to how he looks in Little Nightmares 2. While he is shown to be smiling with his mouth closed in his portrait, the Doctor always bares his teeth and gums.
- As of writing, the Doctor is the only antagonist in the Little Nightmares series whose fate can be determined by player choice.
- Concept art of the Doctor reveals that he was planned to have a much more elongated face with loose, sagging skin, with his eye-sockets pulled far down to the point that his entire eyes are exposed. He also would have worn a stethoscope that would dangle from his neck.
- There is a glitch that occurs if Mono is spotted by the Doctor during the latter's first scene, but retreats before he can be caught where the Doctor will get stuck behind the storage rack and endlessly crawl toward Mono because the AI and map were not designed for the Doctor to travel in that direction.
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Protagonists
Little Nightmares Very Little Nightmares Little Nightmares II Little Nightmares (comic series) Little Nightmares Comics The Sounds of Nightmares |