Psyco Cellblock

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There are now dummies standing on the sides of the track.

"Now, now, now, friend. You know and I know that all this consternation is just because of the gas... Strong stuff! Makes funny pictures in the head! But what we need to do is get you to a specialist, and I know just the spot! It's a cozy little clinic just down the line with all the best people. Every specialist you could hope for! They even specialize in special cases, just like yours... So what do you say? Treat yourself to a treatment? Wouldn't want a relapse now, would we?"

The cart activates and the player goes inside the mouth of the Psycho, where his deep evil laugh can be heard.

The level initially begins outside in the forest. After a few turns and an alternate path, the player finds themselves at the grounds of the Sanatorium featuring a graveyard, before entering only for the lights to turn off.

After a jumpscare by the Psycho, waves of masked enemies appearing as Mike in different outfits with weapons attempt to attack the player, some overhead throwing Molotovs at the player.

Continuing on, the track is a bridge in a large room, but there is a sudden flash of dead bodies and Hannah and Beth looking at the player. There is a second flash where the sisters are absent. Then the paths split into two, each circling half of the circular room before entering a room with a mix of Mike enemies along with enemies that look like Matt throwing Molotov cocktails from above and ones that look like Chris with two Molotov cocktails each. The square room flashes into a four screen video of the Psycho appearing to slice his neck, before the room goes back to normal and the cart proceeds.

The room enters a large hallway with several Chris molotov enemies. After succeeding, the cart rapidly descends and to a larger room where a display of the Psycho face is seen on the right lit by a purple color. The player eventually heads into a room where the Psycho suddenly appears along with many Mike enemies attempting to melee attack and also throw molotovs overhead. Clearing the room leads to along paths where flock of birds fly into a window, and passes a Nurse lying on a chair.

The Nurse suddenly jumpscares the player, before rapidly leaving. The paths split up. The nurse appears again to officially attack the player, unpredictably rushing to different places. Once shot at enough, the Nurse leaves again. In the following room, the nurse returns and attack the player the same way. When the player has shot at her enough, she dies and the cart proceeds to a fast downhill spiral, only to be intercepted by the Psycho.

The Psycho kicks the cart back and approaches the player. The player has to keep him at bay by shooting at him repeatedly and shooting at the barrels when he is adjacent to them at any opportunity, all while avoiding and shooting the enemies on higher floors. After several shots of the barrel, the player arrives in a room filled with many explosive barrels, in which he has to shoot it. When a barrel is shot, the place goes on fire and pushes the player back outside of the Sanatorium. The Psycho screams as he is trapped inside of the burning Sanatorium watched by the player, as the level ends.

The player wakes up in a room and hears a voice: I see you had some ups and downs this time. No pain, no gain, I suppose.

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