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“ | The Patients cannot live with their selves. They look in the mirror and hate what stares back. Seeing nothing but the flaws and ugliness of nature, they beg The Doctor to fix them, to work his magic, and make them whole again. | „ |
~ Description of the Patients on the Little Nightmares 2 website. |
The Patients are supporting antagonists in the 2021 indie horror video game Little Nightmares 2, serving as the secondary antagonists of the third chapter "The Hospital". They are undead humanoids who were created by the Doctor from wandering citizens who sought his help in curing their boredom. All of them are fitted with mannequin prosthetics and will only ever move around in the dark.
Characteristics[]

A Patient frozen in place by Mono's flashlight.
Live patients usually remain dormant when no one is in their presence, standing in the dark as statue-like figures, but always become hostile towards Mono on sight. If they are exposed to any form of light, no matter how bright or dim, they will freeze in place. They move in an abnormal manner, having to take wide steps in order to get from place to place. When they are not chasing after the protagonist, they are sitting/standing in random areas, staring into the nothingness. Patients lying in beds are typically operated by the Doctor, who frequently checks on their features and replaces their prosthetics. Although they have eyes and mouths, it appears that they are unable to be controlled; they are for the most part just for show. For unexplained reasons, patients who are missing their entire heads are still able to see and move around without trouble. In addition, severed hands belonging to patients seem to come to life by themselves.
Appearance[]
The Patients appear to be undead humans who have been dismembered or decapitated and had their body parts replaced with tanned, shiny mannequin parts and prosthetic limbs. Several patients are shown to be missing some of these parts altogether, leaving the stumps of their missing arms and legs exposed and, if missing their prosthetic legs, will resort to crawling. Some patients wear white bandages around their heads, hospital gowns, and green button-up shirts, while patients who are missing their heads are fitted with porcelain masks attached to their necks with steel wire or even chattering teeth toys.
History[]
After entering the hospital, the protagonists are immediately introduced to the bodies of the patients. Some are seen laying on operating beds, while others are positioned in areas such as the waiting room, placed in a manner that makes them appear that they are waiting for their appointment. The patients body parts can be seen hanging from the ceilings and in piles inside of layered bins.
Mono isn't introduced to the first living patient until they reach the second battery area. Here, they are introduced to a patient standing in a doorway. Turning off a nearby switch will prompt them to chase the child until another light is shinned onto them. They will then walk into a somewhat illuminated room with a group of patients standing around. Entering a hidden passage will lead them to a dark room filled with patients standing around in the dark. They will eventually begin coming to life and chasing the child after he gets too close. The room next to this will be similar to the first filled with patients standing around an illuminated room.
Mono will enter a vent and make his way to a hallway where patients will begin to punch through boarded up doors in an attempt to reach the child. Some doors at the end will bust open with patients that will crawl toward Mono until he climbed up some drawers and into a vent. The next room will involve a puzzle with a patient sitting in a wheelchair. Mono will have to get him off of it so that he can use said wheelchair to get to the next room. The next room is filled with the most hostile patients, having most of them pursue Mono. They will chase him until he reaches the next room and punch their arms through the doors in an attempt at grabbing him.
After this, no more living patients are seen, but we do see patients lying on beds being tended to by the Doctor. We first see the doctor replacing an old patients parts for new ones, and the next room will be filled with patients lying on beds that the Doctor will check on. We also eventually see an unconscious patient on life support visible behind a curtain. To retrieve a battery to escape the Hospital, Mono cuts off the patient's life support to distract the Doctor, who comes in and frantically tries to save the patient. After this, the Patients are not seen again for the rest of the game except as obstacles during the final chase with the Doctor and by the Hospital's exit.
Gallery[]
Trivia[]
- The Patients' theme is called "Still Life".
- According to the website, the reason for the patients having being turned into what they were is because they were bored.
- The website implies that the Doctor makes it so that they purposefully cannot speak, most likely because they might not agree to what he is doing to them after seeing the results.
- In the Wilderness, it is shown that the Hunter stores mannequin parts belonging to the Patients in his attic.
- There were originally planned to be younger-aged patients.
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Protagonists
Little Nightmares Very Little Nightmares Little Nightmares II Little Nightmares (comic series) Little Nightmares Comics The Sounds of Nightmares |