Chapter Summaries

Jiang Chen confronted No. 04 and Big Fool on the third floor, but halted their attack by proposing they might share an enemy. No. 04 became interested and began considering a conversation, leaving Jiang Chen poised to learn why she believed the doctors wanted her dead.

• No. 04 and Big Fool waited in ambush for someone coming up the stairs, while Jiang Chen repeatedly turned back to retrieve forgotten items and frustrated her.
• Jiang Chen burst through the stairwell door and attacked No. 04 with his hammer and Steel Nails, but the nails lodged harmlessly in her neck.
• No. 04 and Big Fool attacked Jiang Chen, and he suggested that they might not be enemies because he was also a patient opposing the hospital's doctors.
• No. 04 stopped Big Fool and questioned Jiang Chen about challenging the doctors' authority and the treatment he would face.
• Jiang Chen explained that he wanted to reclaim his role as a doctor and asked why No. 04 thought the doctors wanted her dead.

Jiang Chen persuaded No. 04 to consider joining his plan to overthrow the doctors and make the patients rule the asylum. No. 04 agreed to lead him to other patients so he could recruit them.

• No. 04 told Jiang Chen that the doctors worsened her condition and treated her like a test subject.
• Jiang Chen proposed overthrowing the doctors and putting the patients in charge of the asylum.
• No. 04 revealed that patients led by No. 01 had already tried to attack the doctors and failed.
• No. 04 agreed to give Jiang Chen a chance to persuade the other patients and led him down the corridor.

Jiang Chen reached the third floor and realized that the Hospital Ward’s seemingly ordinary appearance might be another form of psychological manipulation. He then learned that Patient No. 02 had seven personalities, including the original personality of an online writer, and was still arguing with himself in a ward ahead.

• Jiang Chen reasoned that the third floor’s familiar hospital appearance could make patients lower their guard, then concluded that he might already be ill and joked that this excused his brutality.
• No. 04 accused Jiang Chen of having nasty ideas, threatened to chop him into pieces, and called him Second Fool.
• Jiang Chen warned No. 04 not to call him Second Fool again, making her sense danger and watch him with new wariness.
• No. 04 told Big Fool to watch the stairs for doctors while Jiang Chen followed the arguing voices to Patient No. 02’s ward.
• Jiang Chen learned that No. 02’s six personalities came from a story about a murder in an isolated building, though the records said only the writer who imagined the story had actually died.
• Jiang Chen learned that No. 02 had six apparent personalities and a seventh original personality who was an online writer.

Jiang Chen tried to turn Patient No. 02 and his personalities against the doctors by urging the patients to rebel against the hospital’s treatment and control. When No. 02’s lawyer personality doubted that rebellion could succeed, Jiang Chen claimed he had already won over a group of former doctor allies and prepared to prove it.

• Jiang Chen learned that No. 02’s personalities argued over who had to take their medicine, then met the patient when the door opened.
• No. 02’s personalities grew excited by Jiang Chen’s attention and agreed to kill him, while No. 04 watched eagerly for a fight.
• Jiang Chen stopped No. 02’s attack by arguing that doctors unfairly controlled and medicated the patients.
• No. 02’s personalities rallied to Jiang Chen’s call for patients to take charge, but the lawyer personality warned that the doctors were too dangerous to overthrow.
• Jiang Chen claimed he had already recruited former allies of the doctors and tightened his grip on the Yin God Hammer, preparing to demonstrate his sincerity.

Jiang Chen persuaded No. 02 and the other patients to join his plan to overthrow the hospital, then changed into patient clothes to strengthen his cover. The group went to meet No. 03, whom Jiang Chen found cutting death characters from his flesh to arrange them symmetrically.

• Jiang Chen claimed he had exposed the doctors’ crimes, killed them with his Sledgehammer, and captured their souls, convincing No. 02 that he sincerely wanted to overthrow the hospital.
• No. 02 and the other personalities agreed to help Jiang Chen and persuade No. 03, but warned that they could not help him confront No. 01.
• No. 04 discovered the names of the dead on Jiang Chen’s hammer and delighted in its power to imprison souls.
• Jiang Chen dismissed the summoned doctors, changed into patient clothes, and headed with No. 02 and No. 04 to No. 03’s room.
• Jiang Chen found No. 03 heating a scalpel and cutting death characters from his flesh so he could arrange them in symmetrical pairs, then entered the room to speak with him.

Jiang Chen convinced No. 03 that his obsessive-compulsive disorder was worse than No. 03’s by describing the hospital’s doctors as disruptive and his own killing spree as ruined by an odd-numbered death list. No. 03 was left astonished by Jiang Chen’s twisted reasoning.

• No. 03 confronted Jiang Chen over his bloody footprints, but Jiang Chen smeared them into a pattern that satisfied him.
• Jiang Chen introduced himself as No. 18 and claimed his obsessive-compulsive disorder had progressed beyond caring about neat clothes and symmetry.
• Jiang Chen described forcing people to do things as symptoms of his disorder, leaving No. 03 stunned and curious.
• Jiang Chen persuaded No. 03 that doctors disrupted the harmony among patients and caused the death characters on his skin.
• Jiang Chen said he had killed more than twenty doctors and complained that their names made an odd-numbered list, leaving No. 03 astonished.

Jiang Chen recruited No. 03 into the Patient Revenge Alliance after No. 02 revealed signs that the hospital was in turmoil, then encountered the terrifying No. 01 and invited him to help attack the doctors. No. 01 suspected Jiang Chen was faking his illness, and Jiang Chen countered that he might have other mental disorders.

• No. 02 described seeing a gigantic black face and hearing Director He roar, convincing No. 03 to join Jiang Chen's plan to attack the doctors.
• Jiang Chen slapped and grabbed No. 03, leaving a bloody handprint on his gown, then fled as No. 03 chased him.
• Jiang Chen encountered No. 01, a patient created through a sixteen-year experiment to conceal multiple mental illnesses, while No. 02, No. 03, and No. 04 cautiously backed away.
• Jiang Chen asked No. 01 to join the patients in killing the doctors, taking the nurses, and making a patient the new director.
• No. 01 revealed that he suspected Jiang Chen was not ill and questioned whether he had been sent by the doctors, citing Jiang Chen's deliberate mess on No. 03's clothes.
• Jiang Chen replied that he might have other conditions, including delusional disorder, a dangerous personality, and emotional deficiency.

Jiang Chen convinced No. 01 of his apparent madness with a fabricated story, and the four severe patients began their planned revolt against the doctors. As they crossed a warding line toward the stairwell, hurried footsteps approached from above.

• No. 01 questioned Jiang Chen about his mental state, and Jiang Chen described a gruesome fabricated massacre that earned him 8,000 Ghost Qi.
• No. 01 called No. 02, No. 03, and No. 04 over and declared that they would attack the doctors and settle old debts.
• Jiang Chen realized the four patients had already been plotting against the doctors and that he had merely become the fuse for their rebellion.
• No. 01, No. 02, No. 03, and No. 04 crossed the rice-and-incense-ash warding line while Jiang Chen scattered it and provoked No. 02 and No. 03.
• The patients heard hurried footsteps approaching from upstairs and turned their attention toward the stairwell.

Jiang Chen and the severely ill patients confronted the Hospital Ward's doctors on the Fourth Floor, where Director He had authorized the doctors to kill them. Jiang Chen transformed and teamed up with Carpenter Liu, but the remaining doctors grouped together to attack them and help Doctor Zhou.

• Doctor Sun told the doctors that Director He had ordered them to kill any patients who threatened the Hospital Ward, and the doctors prepared to fight.
• No. 01, No. 03, No. 04, and No. 06 arranged their opponents as the five patients faced seven doctors.
• Jiang Chen used Demon Transformation and Complete Demonization-torso, then summoned Carpenter Liu from the Sledgehammer.
• Jiang Chen and Carpenter Liu attacked a doctor and drove him toward defeat while Doctor Sun charged at No. 01 and No. 04 and No. 06 engaged other doctors.
• Jiang Chen challenged another doctor, but the doctor refused and called on two colleagues to attack Jiang Chen and Carpenter Liu before helping Doctor Zhou.

The patients fought the doctors across the fourth floor, with No. 01 and Jiang Chen pushing their opponents to reveal powerful abilities. After Jiang Chen killed his doctor, it regenerated and killed Carpenter Liu, but Carpenter Liu returned alongside a bloodied paper effigy, leaving the doctor stunned.

• No. 03 fought a smiling doctor that copied his fury, while two doctors badly wounded No. 02 and the other patients struggled against their attackers.
• No. 01 overwhelmed Doctor Sun until Doctor Sun mirrored his pain and created a flesh puppet that severed one of No. 01's arms.
• Jiang Chen and Carpenter Liu killed Jiang Chen's doctor, but the doctor burst from its own belly and regenerated in a stronger form.
• The reborn doctor unleashed black-and-red blood threads that shredded Carpenter Liu, while Jiang Chen escaped.
• Carpenter Liu reappeared beside a bloodied paper effigy, and the doctor realized that killing one opponent had brought two back.

Jiang Chen overwhelmed Doctor Zhou and turned to help No. 02, leaving No. 04 to fight for herself. After the patients shifted the battle in their favor, Jiang Chen used Origin-Spirit Pills to bring Doctor Zhou back from the Yin God Hammer, plunging the doctors into despair.

• Jiang Chen tortured and killed Doctor Zhou while No. 03, No. 02, and No. 04 were badly beaten by the doctors.
• Jiang Chen summoned two more blood-clad ghosts and rushed to rescue No. 02 instead of No. 04, taking on both doctors attacking him.
• No. 04, disappointed that Jiang Chen had not saved her, unleashed her resentment and attacked her doctor.
• Jiang Chen and No. 02 killed Doctor Zhou together, removed his bones, drained his blood, and tore up his scarlet coat.
• Jiang Chen swallowed several Origin-Spirit Pills, and Doctor Zhou crawled out of the Yin God Hammer, leaving the doctors in despair.

Jiang Chen and the severely ill patients overwhelmed the doctors, with Jiang Chen brutally killing one after Carpenter Liu used his curse to injure him. The patients recognized Jiang Chen as the most dangerous among them as he continued hunting the remaining doctors.

• Doctor Zhou emerged from the Yin God Hammer transformed into a monster and helped Jiang Chen's ghosts overwhelm the doctors.
• Carpenter Liu blocked a doctor's curse, drew the doctor's likeness on a wall, and struck it with his chisel, causing the doctor’s heart to burst.
• Jiang Chen tormented the wounded doctor until he died, despite the doctor repeatedly crawling back from a pool of blood.
• Jiang Chen returned to the battle demanding that the other patients leave the remaining doctors to him, and they restrained themselves out of fear of his retaliation.
• No. 01, No. 02, No. 03, and No. 04 concluded that Jiang Chen was dangerously mad and had become the craziest patient among them.

Director He fought off a giant face outside the Dean’s Office, using one of the Dean’s remaining fingers to drive it away. He then appeared on the Fourth Floor, where he killed No. 04 as the Hospital Ward’s surviving doctors faced the chaos.

• Director He shredded the eerie faces outside the Dean’s Office with blood-red threads, but a giant face nearly forced its way inside.
• Director He threw a Glass Vessel containing one of the Dean’s fingers at the giant face, and a strange flower made it retreat.
• Jiang Chen chased Doctor Sun and attacked him with a hammer while Doctor Zhou and other blood-red figures joined the assault.
• Director He arrived on the Fourth Floor and rebuked the surviving doctors for letting the Hospital Ward fall into chaos.
• Director He told No. 04 that his head should be in pieces, and No. 04’s head shattered as he tried to flee.

No. 01 gambled that Director He's distorted perception could be turned against him by dying, making his condition appear fixed and allowing No. 01's black blood to overwhelm the Blood Shadow. No. 01 revived as the corridor turned black, but Director He revealed that the president had given him a defensive psychological mechanism and began reclaiming the shadows with his heart's blood.

• Director He killed No. 04 and No. 03 by using his words to impose his distorted perception on them.
• No. 01 explained that Director He's cognitive disorder let him twist his mistaken perceptions into reality, then spread black blood through the Blood Shadow.
• Director He cursed No. 01 as a patient with no legs, so No. 01 stabbed himself in the brow and died, making his condition unchangeable.
• Director He's perception faltered, allowing No. 01's black blood to consume much of the Blood Shadow and restore his rotting corpse.
• No. 01 rose again and thanked Director He, but Director He revealed the president's defensive psychological protection and dropped heart's blood that began swallowing the black shadows.

Jiang Chen transformed into the three-star Bear-Stride Monster and confronted Director He, whose deadly curses distorted the corridor and struck him despite his newfound strength. The chapter ended with Jiang Chen wounded and summoning the Demon God Body to face Director He at full power.

• Director He had No. 01 dismembered after No. 01 revealed that Director He had planted the Dean's curse in his own heart.
• Jiang Chen challenged Director He to protect No. 02, and Carpenter Liu sacrificed himself to block Director He's attack.
• Director He's next curse overwhelmed Doctor Zhou's attempt to protect Jiang Chen and nearly shattered Jiang Chen's head.
• Jiang Chen used Demon Transformation to become the three-star Bear-Stride Monster and gained the Demon God Body, World-Extinguishing Black Wind, and Savage Beast Heavenly Aspect.
• Jiang Chen struck Director He with the Yin God Hammer, but Director He vanished and reappeared before cursing Jiang Chen and stabbing his shoulder.
• Jiang Chen summoned the Demon God Body after realizing his physical strength alone could not withstand Director He's full-force attack.

Jiang Chen unleashed the Demon God Body and its Sha Fire, overwhelming Director He’s Blood Shadow in the crimson corridor. Director He’s reality-warping ability failed against Jiang Chen, and after his final attack was crushed, he broke down in despair.

• Jiang Chen activated the Demon God Body, and his black Sha Fire burned away the Blood Hands and consumed the crimson corridor.
• Director He raged as Blood Shadow failed to extinguish the fire, while Jiang Chen advanced and taunted him.
• Unable to accept what he saw, Director He gouged out his right eye and declared that No. 18 had been killed in a medical accident.
• Director He summoned a powerful Blood Hands entity to recreate No. 18’s described death, but Jiang Chen caught it with one hand and smashed it against the Yin God Hammer.
• Director He collapsed into despair and clawed at himself, while Jiang Chen offered to help him stop torturing himself.

Jiang Chen battered Director He repeatedly as the surviving patients recognized him as their leader and called him Dean Jiang. Director He unleashed a final trump card on the Fourth Floor, and Jiang Chen answered with his complete demonization.

• Jiang Chen killed Director He with the Yin God Hammer, but Director He repeatedly revived, prompting Jiang Chen to keep beating him.
• No. 02 urged the surviving patients to honor Jiang Chen as Dean Jiang, while No. 03 and No. 04 recognized Director He beneath the hammer.
• No. 01 warned that Director He was using the beatings to heal, and Jiang Chen scolded him for calling him No. 18.
• Director He announced that he would destroy everything, then fled through the floors with a glass vessel containing a severed finger.
• Director He embedded the finger over his heart, bloomed a Black Strange Flower, and flooded the Fourth Floor with terrifying Yin Qi.
• Jiang Chen confronted Director He and activated Complete Demonization-Head, transforming into a bear-headed form and unleashing a blast of black Gang Wind.

Jiang Chen destroyed Director He after the Other Shore Flower briefly resisted his attack, then pretended to be too weak to defend himself. His hint to No. 04 instead led to the doctor being killed, leaving the other doctor stunned.

• Director He's Other Shore Flower blocked Jiang Chen's black wind, so Jiang Chen strengthened his demonic form and attacked with the Yin God Hammer.
• Jiang Chen smashed Director He and the flower into minced flesh, stopping only when Director He's name appeared on the hammer.
• After his strength faded, Jiang Chen feigned helplessness and claimed Director He had ruined his chance to reach the world's pinnacle.
• No. 01 warned that others might take advantage of Jiang Chen's apparent weakness, while No. 03 criticized his odd-numbered coughs.
• Jiang Chen prompted No. 04 to act manic, and No. 04 had Stitched Man No. 06 restrain a wounded doctor before stabbing him and removing his heart.

Jiang Chen survived the battle by replenishing his demonic power, then appointed the Critical Patients to leadership roles while planning to dismantle the Hospital Ward. On the first floor, the survivors mistook him for a prisoner of the blood-clad ghosts, and No. 02 defended him as their Dean.

• No. 02 and the doctor refused to take Jiang Chen’s bait, and the doctor asked to join him instead.
• Jiang Chen revealed that his weakness had lasted only an instant because the Origin-Spirit Pills restored his demonic power.
• Jiang Chen named No. 01 and No. 02 Vice Presidents, and appointed No. 03 and No. 04 Physician Director and deputy Physician Director.
• Jiang Chen explored the fifth floor, found nothing notable, and led the Critical Patients downstairs to gather the survivors.
• Wu Tong, No. 1, and No. 15 saw Jiang Chen among the blood-clad ghosts and assumed he had submitted to them.
• No. 02 stepped in front of Jiang Chen and accused Wu Tong of insulting their Dean.

Jiang Chen gathered the Critical Patients and led them toward the exit, but a surge of black Weird Objects forced everyone upstairs. He discovered that the ghost faces could strengthen the Yin God Hammer and eagerly began collecting them.

• Jiang Chen ordered No. 02 and the other Critical Patients to gather everyone, while Wu Tong and No. 1 marveled at his control over them.
• Jiang Chen told Wu Tong that he had won the Critical Patients over with compassion and led them to defeat the hospital’s greatest evil, including Xiao He.
• After the patients were assembled, violent crashes and rising darkness outside the windows prompted Jiang Chen to rush upstairs, with the others following.
• In the Dean’s Office, black ghost faces burst through the windows, and Jiang Chen destroyed them with slaps and black wind.
• Jiang Chen noticed that ash from the ghost faces was absorbed by the Yin God Hammer, filling in names and making the hammer heavier.
• Jiang Chen realized the ghost faces were useful and began smashing them against the Yin God Hammer.