Hidden Symptoms Guide

Learn to detect symptoms that aren't visible during normal inspection - lab unlocks and UV detection.

What Are Hidden Symptoms?

Hidden symptoms fall into two categories: symptoms you haven't unlocked yet (must be discovered in the laboratory), and symptoms that are physically invisible without UV light.

Laboratory Symptom Unlocking

When you encounter a symptom you don't recognize, send the survivor to the laboratory to unlock it for future inspections.

UV Light Detection

The UV Tower reveals symptoms that are completely invisible during normal inspection. These are some of the most dangerous symptoms!

How The Lab Minigame Works

1

Send to Lab

If you see an unrecognized symptom, send the survivor to the laboratory instead of quarantine or living block.

2

Access the Computer

Follow them to the lab and wait for them to strap into the machine. Access the nearby computer to start the extraction minigame.

3

Control the Laser

Use W/S to raise/lower your aiming circle. A/D rotates around the survivor. Mouse controls a pointer bound to the aiming circle.

4

Color Codes

Orange = can destroy with left-click. Red = do NOT destroy (fails minigame). Green = extract target (hold E).

5

Extract the Sample

Destroy obstacles (orange) to get line-of-sight to the green target. Hold E to extract. Survivor dies but if not infected, no penalty.

6

Analyze the Sample

Pick up the extracted item from the box. Put it in the machine nearby and press E to create a vial. Put vial in analyzer to unlock the symptom.

Lab Controls

WRaise laser aim
SLower laser aim
ARotate left
DRotate right
MouseMove aim pointer
LMBDestroy obstacle (orange)
EExtract target (green)

Orange

Destroy with Left-Click

Red

DO NOT Destroy!

Green

Extract Target (Hold E)

Laboratory Tips

  • You can only extract one item per survivor - choose wisely!
  • Extract a brain and carry it to the basketball hoop in the living block for an achievement.
  • Hitting too many red (forbidden) items will fail the entire minigame.
  • The survivor will die from extraction, but non-infected survivors don't count against your metrics.

Symptoms Requiring Lab Unlock

Green (Safe) - Lab Unlock

CategorySymptomDescription
Skin MarkingsHerpesSmall misshapen splotches, typically brown/red, without zits.
X-RayFatty HepatosisOrgan covered in yellow splotches. Note: Pancreas is always yellow - ignore it.

Orange (Quarantine) - Lab Unlock

CategorySymptomDescription
Skin MarkingsSkin RashRash full of zits and whiteheads with small splotches around.
FaceMouth BleedingBlood coating lower lip running down toward chin. Be wary of beards hiding this.
StethoscopeNonspecific RespirationHeavy wheeze and some gurgling mixed in. Listen carefully at black spots on lungs.
X-RayColor DifferencesOrgan colored normal purple or slightly pinkish purple instead of healthy red.

Red (Liquidate) - Lab Unlock

CategorySymptomDescription
FaceEye PusSmall drop of green pus on corner of one eye. Can be very small and hard to see.
FaceNose PusDrop of green pus from one nostril, usually prominent. Watch for mustaches.
StethoscopeZombie GrowlSounds like a zombie growling instead of any kind of breathing. Unmistakable sound.
X-RayMoldy OrganOrgan colored teal blue. Check liver (base layer) and brain (third layer).
X-RayOrgan NecrosisOrgan almost fully covered in dark black splotches. May require unlocking twice due to bug.

UV Light Detection

How to Use UV Tower

Press the button on your inspection table to bathe the area in UV light. It lasts a few seconds and needs time to recharge, but can be used multiple times.

Critical Warning

UV symptoms can completely fool you during normal inspection. A survivor may appear perfectly healthy but have hidden bite marks or necrosis only visible under UV. Always use UV Tower!

UV-Only Visible Symptoms

SymptomDangerDescription
UV VaporSafeGreen mist surrounding some part of survivor. Fly buzzing sound may indicate this symptom.
UV ContrabandLiquidateGreen glowing spot on backpack items. Check BEFORE confiscating! Survivor with contaminated items = infected.
Hidden Bite MarkLiquidateZombie bite invisible normally, glows green under UV. Anywhere on body including under clothes.
Hidden NecrosisLiquidateBlack splotches invisible normally, glow green under UV. Don't confuse with visible tattoos!
Hidden Eye/Mouth PusLiquidateGreen pus invisible normally, glows brightly under UV. Check corners of eyes and nostrils.

Using the Symptom Scanner

At later base upgrades, the entrance metal detector can be upgraded to detect symptom categories. Each lit symbol indicates the survivor MIGHT have symptoms from that category (false positives possible). If a symbol doesn't light up, you can skip checking that category entirely.

Scanner Limitation

The scanner can occasionally miss UV symptoms - trust but verify with UV Tower!

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