Spooky's Jump Scare Mansion Wiki

This page contains all of the rooms found in the Karamari Hospital DLC.

The Lobby

Main hallway.png

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.


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.

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 with a red armchair that when sat on will start the Scare Chair's sequence.


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 still says 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


  • 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]