X-Ray Guide

The X-Ray tool allows you to inspect a survivor's internal organs for signs of infection. Learn to identify different organ conditions and know when to quarantine or liquidate survivors.

Tool Quick Info

Tool TypeInternal Scan
LocationMedical Station
DifficultyMedium-Hard
DetectsInternal Bleeding, Fatty Hepatosis, Color Differences, Moldy Organ, Organ Necrosis
X-Ray usage in Quarantine Zone: The Last Check

Visual Cues

Survivors with X-Ray symptoms often display visual cues: holding their stomach and bending over in discomfort. If you notice these behaviors, prioritize checking their internal organs with the X-Ray.

How to Use the X-Ray

1

Equip the X-Ray Device

Pick up the X-Ray device from the medical station. Hold click to activate and view the survivor's internal organs.

2

Scroll Through Layers

Use your scroll wheel to change between three layers. Layer 1 (top) shows the liver only. Layer 2 (middle) shows most organs. Layer 3 (bottom) shows the brain only.

3

Examine Each Organ Carefully

Look at the color and condition of each organ. Compare what you see to the symptom patterns: bleeding sores, yellow splotches, purple tint, teal blue color, or black patches.

4

Mark All Symptoms Found

Unlike the stethoscope, you should mark ALL symptoms found across ALL organs. A survivor can have multiple different symptoms in different organs.

X-Ray Layers Guide

Important

The liver can ONLY be seen on Layer 1, and the brain can ONLY be seen on Layer 3. Always check all three layers to avoid missing symptoms!
1

Layer 1 (Top)

Shows the liver only. This is the ONLY layer where you can see the liver.

Liver
2

Layer 2 (Middle)

Shows most internal organs including stomach, intestines, and kidneys.

StomachIntestinesKidneysOther organs
3

Layer 3 (Bottom)

Shows the brain only. This is the ONLY layer where you can see the brain.

Brain

Visual Pattern Recognition

Normal Organ (No Symptom)

Healthy reddish-brown color with no discoloration, spots, or patches. Do not mark anything.

Internal Bleeding

Green - Safe

Visual Cue

Organ still reddish color but covered in bleeding sores

Action

Allow into Living Block

The organ maintains its normal color but has visible bleeding sores on its surface. The survivor is not infected.

Fatty Hepatosis

Lab Required
Green - Safe

Visual Cue

Organ covered in yellow splotches

Action

Allow into Living Block

Yellow fatty deposits visible on the organ surface. Note: The pancreas naturally appears yellow - don't mark it as a symptom.

Color Differences

Lab Required
Orange - Quarantine

Visual Cue

Organ colored purple or slightly pinkish purple

Action

Send to Quarantine

The organ has an abnormal purple or pinkish tint instead of the healthy reddish color. Must be unlocked in the lab first.

Moldy Organ

Lab Required
Red - Infected

Visual Cue

Organ colored teal blue

Action

Liquidate Immediately

Unmistakable teal/blue coloration of the organ indicating severe infection. The survivor must be eliminated immediately.

Organ Necrosis

Lab Required
Red - Infected

Visual Cue

Organ almost fully covered in dark black splotches

Action

Liquidate Immediately

Dead tissue appearing as dark black patches covering most of the organ. The survivor is definitely infected.

Symptoms Detected by X-Ray

SymptomVisual CueDanger LevelAction
Internal Bleeding
Organ still reddish color but covered in bleeding soresGreen - SafeAllow into Living Block
Fatty HepatosisLAB
Organ covered in yellow splotchesGreen - SafeAllow into Living Block
Color DifferencesLAB
Organ colored purple or slightly pinkish purpleOrange - QuarantineSend to Quarantine
Moldy OrganLAB
Organ colored teal blueRed - InfectedLiquidate Immediately
Organ NecrosisLAB
Organ almost fully covered in dark black splotchesRed - InfectedLiquidate Immediately

Pro Tips

Survivors with X-Ray symptoms often hold their stomach and bend over - watch for this visual cue before examining
Unlike the stethoscope, mark ALL symptoms found across ALL organs - don't just mark the worst one
The pancreas always appears yellow naturally - this is NOT Fatty Hepatosis, don't mark it as a symptom
Remember: Liver is ONLY visible on Layer 1, Brain is ONLY visible on Layer 3. Don't miss them!
Use the entrance scanner - if the X-Ray symbol isn't lit, you can skip internal examination entirely
There's a known bug where Organ Necrosis may need to be unlocked twice in the lab

Common Mistakes to Avoid

Only checking one layer

Always scroll through ALL 3 layers - you can miss the liver (Layer 1) or brain (Layer 3)

Marking the pancreas as Fatty Hepatosis

The pancreas is naturally yellow - only mark yellow splotches on OTHER organs

Only marking the worst symptom

Unlike stethoscope, mark ALL symptoms found across all organs

Confusing purple (orange) with blue (red)

Purple/pink = Quarantine. Teal/blue = Liquidate. Look carefully at the hue

Skipping X-Ray when scanner doesn't indicate it

Trust the entrance scanner - if no X-Ray symbol, internal organs are fine

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