Nightmare-Bound Walkthrough: All 4 Endings & Rewards

Talk to the patient facing the wall near the stairs. In the dialogue options, select "(Close Eyes)" and then "Enter" to enter the Nameless Hospital.

From 1F Start to Anomaly Disorder Clue I

From the 1F starting point, head to the counter on the front-right side. Investigate the yellow computer to obtain "Anomaly Disorder Clue I".

From obtaining Anomaly Disorder Clue I to Keychain: 1F

After obtaining Anomaly Disorder Clue I, take the left corridor, turn right at the end, then continue straight and turn right at the fork. Head straight to the large reception hall and approach the counter on the right. Investigate the counter to obtain "Keychain: 1F".

From obtaining Keychain: 1F to Anomaly Disorder Clue II.

After obtaining Keychain: 1F from the reception table, head to the far-left side of the waiting hall and enter the room at the leftmost end. Investigate the yellow computer to obtain "Anomaly Disorder Clue II".

From obtaining Anomaly Disorder Clue II to Anomaly Disorder Clue III.

Leave the room where you obtained Anomaly Disorder Clue II, return to the reception hall, and head straight into the corridor. Continue straight at the fork, then enter the room on the right. Investigate the yellow computer to obtain "Anomaly Disorder Clue III".

From obtaining Anomaly Disorder Clue III to Spare Key: 1F.

Go through the door in the room where you obtained Anomaly Disorder Clue III and move to the room two doors ahead. Exit into the left corridor, continue straight, and enter the room directly ahead. Open the door on the left with green light and proceed through the next three rooms. Investigate the Storage Cabinet to obtain "Spare Key: 1F".

From obtaining Spare Key: 1F to Floor 2.

Destroy the trash beside the Storage Cabinet where you obtained Spare Key: 1F using an attack, then open the door and exit into the corridor. Open the door to the front-left and enter the stairwell. Take the stairs to Floor 2.

From arriving at Floor 2 via stairs to Projectors.

After reaching Floor 2 and entering the corridor, head into the reception hall on the right and enter the room behind the counter on the left. Insert Anomaly Disorder Clue I, II, and III into the projectors to play the footage and clear Ending 1.

Speak to the patient facing the wall near the stairs. From the dialogue options, choose "(Close eyes)" and then "Enter" to enter the Nameless Hospital.

From the 1F starting point to Surveillance Record Clue I.

From the 1F starting point, head down the left corridor and turn right at the end. Continue straight and enter the room on the right just before the fork. Weave past or jump over the obstacles inside and proceed to the back of the room, where investigating the documents obtains "Surveillance Record Clue I".

From obtaining Surveillance Record Clue I to Elevator.

Return to the corridor through the same door you used to enter the room where you obtained Surveillance Record Clue I, then take the elevator on the front-left side to Floor 2. The elevator becomes available after clearing Ending 1.

Tip!	If you have not cleared Ending 1 yet, you can still access 2F by following Steps 6-7 of the Ending 1 walkthrough and using the stairs.

▲See the Ending 1 Walkthrough Here

From the 2F elevator to Surveillance Record Clue II.

Exit the elevator and head right to reach a large reception area. With the counter behind you, take the far-left corridor, turn left at the end, and enter the room on the right past the bathroom. Investigating the documents on the desk obtains "Surveillance Record Clue II".

Tip!	Since the route ends back at the reception area, it is recommended to defeat the enemies there beforehand.

From obtaining Surveillance Record Clue II to Surveillance Record Clue III.

Leave the room where you obtained Surveillance Record Clue II, return to the corridor, head slightly right, and enter the room on the right. Investigate the corkboard to obtain "Surveillance Record Clue III".

From obtaining Surveillance Record Clue III to Projectors.

Leave the room where you obtained Surveillance Record Clue III, return to the corridor, head left, turn right at the end, and continue straight back to the reception area. Cross to the right side and enter the room behind the counter. Insert Surveillance Record Clues I, II, and III into the projectors to play the footage and clear Ending 2.

Speak to the patient facing the wall near the stairs. From the dialogue options, choose "(Close eyes)" and then "Enter" to enter the Nameless Hospital.

From the 1F starting point to Elevator.

First, take the elevator on Floor 1 to Floor 3. Elevator access is required for Ending 3, so clear Ending 1 or 2 beforehand to obtain the "Staff Elevator Card".

From the 3F elevator to Key - North District.

Exit the elevator, proceed a short distance down the corridor, and approach the container on the floor to your left. Investigate the container for a dialogue to obtain Key - North District.

From obtaining Key - North District to Anomaly Experiment Clue II.

At the end of the corridor in front of the elevator, open the door on the left to enter a room. Proceed straight through the room, exit through the door on the right into the corridor, and enter the room on the right. Investigate the documents on the counter to obtain "Anomaly Experiment Clue II".

From obtaining Anomaly Experiment Clue II to Key - South District.

Leave the room where you obtained Anomaly Experiment Clue II, return to the corridor, and head back into the room on the left. Move to the left side of the room to return to the corridor in front of the elevator, then continue straight and approach the clock on the left wall. Investigate the clock to obtain "Key - South District".

From obtaining Key - South District to Keychain - Office.

Facing the clock where you obtained Key - South District, open the door on the right and proceed forward. Take the right path at the fork ahead, then enter the room at the dead end. Open the left side of the shelf in front of you to obtain "Keychain - Office".

Tip!	If you remain too long in the room containing Keychain - Office, you will be forcibly sent back to the room entrance.

From obtaining Keychain - Office to Anomaly Experiment Clue IV.

Leave the room where you obtained Keychain - Office, return to the corridor, and open the door directly ahead. Proceed a short distance down the next corridor to the right, then enter the room on the right. Move to the left side of the room and investigate the documents on the desk to obtain "Anomaly Experiment Clue IV".

Tip!	If you stay too long in the room containing Anomaly Experiment Clue IV, you will be forcibly sent back outside the room.

From obtaining Anomaly Experiment Clue IV to Anomaly Experiment Clue V.

Facing the desk where you obtained Anomaly Experiment Clue IV, head left and open the door into the next room. Open the door at the back-left side of the room to enter the corridor, then open the door directly ahead to enter a large room. Investigate the documents on the bed to obtain "Anomaly Experiment Clue V".

Tip!	Enemies will appear upon entering the room, so defeat them all. Additionally, remaining in the room for too long will forcibly eject you from the room.

From obtaining Anomaly Experiment Clue V to Elevator.

After obtaining Anomaly Experiment Clue V, return to the corridor through the same door you entered. Head right, turn right at the dead end, then go through the second door on the left to return to the fork. Take the right path at the fork, turn left just before the door at the dead end, and take the elevator down to Floor 2.

From arriving on Floor 2 via elevator to Projectors.

On the 2nd floor, get off the elevator and head right, then enter the room behind the counter in the reception area. Insert Anomaly Experiment Clues II, IV, and V into the projectors, and a video will play to clear Ending 3.

Speak with the patient facing the wall near the stairs. From the dialogue options, choose "(Close eyes)" and then "Enter" to enter Nameless Hospital.

From the 1F starting point to Elevator.

First, take the 1F elevator up to 2F. Elevator travel is required to clear Ending 4, so clear Ending 1 or 2 beforehand to obtain the Staff Elevator Card.

From the 2F elevator to Keychain: 2F.

With your back to the counter in the 2F waiting area, take the back-left corridor, turn left at the dead end, and enter the room on the right past the bathroom. Investigate the corkboard on the wall to obtain "Keychain: 2F".

If the area is flooded, you can obtain the item directly from the corkboard. However, if it is not flooded, the corkboard will be invisible, so turn off the room lights to make it appear.

From obtaining Keychain: 2F to room with wall hole.

Exit the room where you got Keychain: 2F, head left down the corridor, turn right at the dead end, take the right path at the next fork, and open the second door on the right to enter the room. There is a hole in the wall, and you can pass through it to reach the next room.

From room with a wall hole to "Jigsaw" - Type IV.

Move to the next room through the wall hole, and climb up to 3F via the ceiling hole. Investigate the container on the shelf to obtain "Jigsaw" - Type IV.

If you are using the Main Character, you can climb onto the locker in the room, activate the Skill, then switch characters mid-air and jump. Using Nanally to ignore gravity and climb is easier, but if you do not have her, you can still attempt it with the Main Character.

From obtaining "Jigsaw" - Type IV to going up to 3F.

Return to the same elevator you used to get to 2F, and take it up to 3F. When leaving the room with the ceiling hole, you can attack and destroy the trash blocking the door to make it passable.

From the 3F elevator to Key - North District.

Exit the elevator, proceed a short distance down the corridor, and approach the container on the floor to your left. Investigate the container for a dialogue to obtain Key - North District.

From obtaining Key - North District to Hidden Room.

At the dead end of the corridor in front of the elevator, open the door on the left and enter the room. You can assemble jigsaws on the table in the center of the room. First, assemble "Jigsaw" - Type IV to reveal a hidden room.

From revealing the Hidden Room to V???'s Notes.

Enter the hidden room revealed by "Jigsaw" - Type IV, and approach the wall on the right. As you get close, the wall vanishes and a hidden space appears. Next, investigate the documents on the desk four times to obtain V???'s Notes.

From obtaining V???'s Notes to "Jigsaw" - Type I.

Return from the hidden room to the room where you assembled the jigsaw, open the door directly in front of you to step out into the corridor, and open the door on the right to enter the room. Investigate the container on top of the counter to obtain "Jigsaw" - Type I.

From "Jigsaw" - Type I to opening a new corridor.

Exit the room where you got "Jigsaw" - Type I, return to the corridor, head left, and go back to the room where you assemble jigsaws. Approach the central table and assemble "Jigsaw" - Type I to open a new corridor.

When you assemble "Jigsaw" - Type I, four enemies will appear in the room. Since you will need to assemble more Jigsaws later in the route, defeat them all now.

From 4 enemies to Anomaly Experiment Clue III.

Head straight down the newly opened corridor, turn right at the dead end, and enter the room through the door on the right. Investigate the documents on the desk to obtain Anomaly Experiment Clue III.

An invincible enemy patrols the newly opened corridor and may occasionally block the direct route. If this happens, take the right path at the fork, then turn left at each dead end to move counterclockwise through the corridor and reach the target room.

From obtaining Anomaly Experiment Clue III to Mysty.

Return from the room where you got Anomaly Experiment Clue III to the corridor, and open the door directly in front of you to enter the room. Mysty is in the rightmost container among those lined up on the counter, so approach and select "Come with me".

Tip!	Mysty will disappear after a certain amount of time, but they can be taken out from the original container again.

From retrieving Mysty to "Jigsaw" - Type II.

Return from Mysty’s room to the corridor, head right, then turn left at the dead end. At the next fork, take the left path and open the door on the right to enter the room. Place Mysty in the leftmost container lined up on the counter to transform it into a Jigsaw, then investigate the container to obtain "Jigsaw" - Type II.

Tip!	An invincible enemy patrols the area, but the target room can also be reached by taking the corridor from the opposite direction above.

From "Jigsaw" - Type II to 2nd Hidden Room Reveal.

Exit the room where you got "Jigsaw" - Type II, return to the corridor, head left, turn left at the dead end, then go straight back to the room where you assemble jigsaws. Approach the central table and assemble "Jigsaw" - Type II to reveal a second hidden room.

From revealing the 2nd Hidden Room to reaching it.

From the room where you assembled the Jigsaw, return to the corridor patrolled by the invincible enemy. Take the right path at the fork, turn left at the dead end, and open the door at the end to enter the second hidden room. Use the spot directly across from the vending-machine-shaped enemy as a landmark.

Tip!	An invincible enemy patrols the area, but the target room can also be reached by taking the corridor from the opposite direction above.

From entering the 2nd Hidden Room to Switch Puzzle.

Solve the switch puzzle between the bookshelves in the second hidden room. Toggle the switch in this order: Short → Short → Long → Long → Long → Long → Short → Short, and the adjacent bookshelf will rotate, opening the path to the 3rd Hidden Room.

From Puzzle Clear to Anomaly Experiment Clue VI.

Pass alongside the rotated bookshelf into the third hidden room, and approach the yellow PC on top of the shelf at the back, facing the entrance. Investigate the yellow PC to obtain Anomaly Experiment Clue VI.

From obtaining Anomaly Experiment Clue VI to Elevator.

Leave the 3rd hidden room and return to the 2nd hidden room. From there, go through the corridor back to the room where you assembled the Jigsaws. Return to the corridor in front of the elevator, then take the elevator down to 2F.

From arriving on 2F by elevator to Projectors.

Step off the elevator on 2F, head right, and enter the room behind the counter in the reception area. Insert V???'s Notes, Anomaly Experiment Clue III, and Anomaly Experiment Clue VI into the projectors, the footage plays, and Ending 4 is complete.