Spooky's Jump Scare Mansion Wiki

This page contains information on all of the rooms found in the Karamari Hospital DLC on how to traverse them and points of interest found within them.

The Lobby

The Lobby

This is the main area the player will appear in upon entering the hospital. The door behind the main desk leads to the offices. To the left, a hallway with doors leading to bedrooms, a stairway and another hallway. To the right, the bathrooms, and only the men's bathroom can be accessed.

The only save point in the entire DLC is also located here, in the form of a drinking fountain.


The first hallway has multiple doors leading to hospital bedrooms, one of them containing a note. Walking straight down the hallway leads the player to the staircase going into the basement. Taking a right shows some more doors and an electrically sealed door that leads to the second hallway. This door can be opened after turning off the generator in the basement.

The second hallway has a more otherwordly look. Monster 1 will be blocking the stairway leading down into the other part of the basement the first time the player goes into the second hallway. Here, there are two unique hospital bedrooms.

Blood Bed

Blood bed.png

There's a side room in the hallway where Monster 1 is found. In this room, there is a bed in the middle of the room with blood flowing from the bed to the ceiling. The pleading screams of a man can be heard while the player is in this room.

The Scare Chair


Main Article: Minor Enemies

Along with the Blood Bed Room in the second hallway, the player can find a room devoided of all furniture except for a single red armchair that when sat on will start the Scare Chair's sequence.


Maintenance and Break Room doors

Accessed through the stairs, this floor contains four distinct rooms: The Break Room, where a note and the office key can be found; The Maintenance Room, which contains the generator that must be powered down in order to progress through the rest of the DLC. The Virus will be blocking the other side of the basement, which contains the Morgue and Isolation Room.

After the generator is powered down, the dim white fog will turn slightly red for the rest of the playthrough, and the player will be able to access the second hallway, where the stairs leading to the other section of the basement is located, which will be blocked by Monster 1. He will move out of the way once the player goes into a different room and comes back.


Morgue 1.png

The Morgue rooms each hold several body bags, with one of them containing the badge needed for one of the offices and the other containing the acid bottle, used to kill The Virus. Once the player retrieves the badge and then exits, they will enter a room with body bags scattered around. Monster 2 will then start chasing the player.

Secret Stairway

Going down the stairway

The stairs are accessed by using the badge obtained from the Morgue in one of the office rooms. When the badge is placed on its frame, a wall will start to raise, revealing the staircase. While going down the stairs, the player can hear creepy groans following them, with viscera laying on the steps. Before reaching the end, the player can see blood on the walls.

Secret Laboratory

A screenshot from the entrance

After going down the staircase found in the Office area, the player will arrive to a laboratory. The key to the Isolation Room can be found there, in the top-rightmost room, and the Sunshine Academy minigame, in the bottom-leftmost room. In the top center of the area, an endless hallway can be found.

After the key to the Isolation Room is retrieved, Monster 4 will start to chase the player and will cease once the player leaves the laboratory. Monster 3 occasionally appears in the T-shaped hallways when Monster 4 isn't chasing the player.

Monster 6's Corridor

At the top center most part of the laboratory, there's an endless corridor. Nothing will happen if the player goes down the hallway on their first playthrough. However, in New Game +, if the player walks down the hallway for a long period of time, Monster 6 will appear in the distance. If they keep walking, Monster 6 will charge at the player, instantly killing them.

Isolation Room

The entrance door, covered in blood

The Isolation Room (located in the basement) consists of three areas: a small corridor with wards containing two notes about the hospital, Monster 5's maze and the exit key/Demon Child room.

The exit key room is found at the end of Monster 5's maze. The room is small and contains one note about Spooky's past and the exit key in the first playthrough of the game. Additionally, through one of the darkened glass window found here, the Demon Child can be seen.

In New Game +, it is possible to encounter a different instance of the room if the player gets the Sword and kills all enemies (apart from Monster 6, who cannot be killed). In this instance, the Demon Child has a different reaction to the player and a new note talking about Spooky's origin can be found instead of the original note.

Deformity Wing

The entrance door at the start of the DLC

An area that was added in the July 4th, 2016 update. During the first portion of the DLC, this area is inaccessible. When the door is interacted with, it will display a message claiming that the door looks fake. This area can only be accessed after the player obtains the exit key from the Isolation Room. At this point, the door will look real and the player will be able to open it.

An endless set of hallways filled with randomly locked and open doors to the sides. If the player enters one of the side rooms, they will enter into a room sometimes with furniture, sometimes empty and at other times large.

In the HD Renovation, the door never looks fake like it does in the original game. However, the game states that it looks fake.


Spook phones 2.png
Sound Files
File Description
The Lobby's theme
Alternate toilet flush‎
Blood Bed Room screams (Warning: LOUD!)
The secret staircase's crying


First Hallway

Dr. Hamada

The patient has displayed increased
depression after being informed of their
terminal disease.

I prescribed an antidepressant to regulate
this but was later told that I had
cancelled the prescription.

I have no memory of cancelling the meds nor
can I find any evidence that my orders were
tampered with.

Second Hallway

Dr. Kanagawa

The patient did not recover from the
blood loss.

I feel like there is a monster inside my
head and it's pushing me away while it
works on something.

I woke up in the patient's room standing
over him, while an arterial catheter
was in the patient, letting him just
bleed out onto the floor.

Nurse Tanaka
Report \#404

It seems we are losing patients due to
'surgical complications' much more often
than normal.

What have the doctors been doing?

Half of these procedures seem completely
unnecessary. I know the doctors and
surgeons are above me and probably know
many things I don't, but this is
getting strange.

Dr. Tochigi

I was just informed that the procedure to
extract the patients liver became fatal.

I don't know why...
Why did we take his liver?

There are no donation requests and he was
showing signs of improvement.

The surgical staff told me I personally
demanded the liver be removed for an
emergency transplant, and the worst thing
is I found it...

I found his liver, his entire liver.

Just sitting on my desk...

Dr. Hamada

It seems the 'other' me has been giving him
large doses of hallucinogenics.

They have worsened the depression and he
is now constantly screaming and expressing
terror at seemingly random intervals.

I've tried using a dialysis machine to
remove some of the drugs,
but it seems futile.

Nurse Tanaka
Report \#405

I blacked out today while driving to work.

One minute I was driving down the road
and then in an instant I was standing
outside my car staring down at a dead cat.
I must have hit it with my car and felt

The image of the dead cat has constantly
unnerved me today.

How did I manage to hit it in such a way
to make the body completely twisted
around like that?

Nurse Tanaka
Report \#406

Something sinister is beating on the wall
of my subconscious,

beating like a war drum motioning me to
march down into Hell.

Nurse Tanaka
Report \#407

It wasn't me..
I swear it wasn't.

It may have been my body and my hands,
but I know it wasn't me.

Nurse Tanaka
Report \#408

I found out how to stop them.

You see they are in my head and can
control me for a time.

But if I kee p using the radiology
ma chine to dose my head with radiation
then they go aw ay for a while.

First Ending

I'm so sorry my little angel.

I've tried hating the man that took you
from us, but in the end the only person
I can hate is myself.

You always liked to scare people,
especially when they didn't understand
something. I was confounded no one
understood your costume but I guess
people don't read Poe anymore, even
with the new Price film. That man
clearly overreacted to your fireworks,
but we can only blame a PTSD
sufferer so much.

Second Ending

I hate myself for what I am doing,
but I can't wait any longer.

Your mother puts on a brave face
but I know she wants this too.

I'm making fair progress in bringing
you back, but it seems to only work
for a moment even with larger thresholds.

Today I think I found the answer.
A second device is needed to bind the
spirit to the earth after it has been
brought back. I know this sounds
macabre but I will turn it off and
let you return to heaven after your
mother and I get to see you again.


  • There's a radio sitting on a table right in front of the drinking fountain in the lobby. The player can interact with it to turn the lobby's music on and off. This is not present in the HD Renovation.
  • The toilets in the men's bathroom can be flushed. Sometimes, when flushed, the normal flushing sound will be replaced with the sound of a phone ringing, followed by a dog barking and the flushing sound playing in reverse. This is not present in the HD Renovation.
    • Additionally, in New Game +, the out of order will be unlocked, which will let the player meet quite a strange character.
  • The screams heard in the blood bedroom were done by Matt McMuscles from the YouTube channel Two Best Friends.
  • Monster 2's chase sequence, Ghost Cow's maze and the Demon Child's room are the only rooms that cannot be accessed after completing them.
  • The acid bottle will not appear if The Virus is killed with the Sword.
    • This is not true for the HD Renovation, however.
  • The Deformity Wing was intended to have a purpose: After travelling a certain amount of rooms in it in New Game +, a room with a portal would appear. Sacrificing the sword to this portal would bring the sword to Endless Mode. Due to the limitations of the original game's engine, this feature couldn't be added. However, it is a planned feature for the HD Renovation. [1]