The chapter opens with Mike returning to the Sanatorium. Locking the door behind him, he will walk down a messy hallway into an open area that leads upstairs. He will end up in the Chapel, with everything in a worse condition than before.
Up the stairs in this room, there will be a hole to drop down into one of the locked rooms. Mike will pick up a torch and a shotgun. On the opposite side of the main room, a door on the far right will lead outside, where Mike can find a makeshift graveyard and a Danger Totem.
After shooting the lock off the middle door, Mike will step through to reunite with the wolf from an earlier chapter. If Mike kicked him and did not give him the bone, Wolfie will only bark and run away. But if Mike befriended him, Wolfie will be here to protect Mike and guide him around the Sanatorium. With a new friend to lead the way, Mike will head outside and enter another building. Once you open the door and squeeze through, Mike will come across the remains of another wolf. The room on the left has writing scratched into the wall, and significant dents on the heavy steel door. Down the right corridor, follow the linear path through the broken wall at the end.
Towards the camera, there will be a B-Wings sign hanging above the archway. In the room to Mike's left, (right of the camera) at the end of the hall, there will be an old film reel to watch. Continuing down towards the camera, there will be a room with a Case Study Dossier, and a wooden door in this room will lead you to a corpse with a letter on his lap.
Retrace your steps to where Wolfie is waiting in the center room. As you enter, a box will fall. Don't shoot it, as it is only a rat, and a Wendigo is staring at you. As bullets don't typically hurt Wendigos, a chase will ensue. There's a choice to go Left or Straight Ahead, but Mike will end up going in to the left room no matter what. Push the cabinet in front of the door, and if Mike still has his machete, he can hit the wendigo with it. He will then run into the next room, locking the door behind him. He will have to keep still and catch the bottle from rolling off the desk.

Mike with Wolfie, deep in the Sanatorium.
Mike will then escape and continue on down a hallway, with cages full of Wendigos on either side. This scene is mostly comprised of QTE's, and options to shoot the Wendigos. Mike can kill two of them by rolling an oil barrel down the hall and shooting it.
Mike will keep going, walking down a mess of rooms, but the action isn't over yet. There will be more QTE prompts to respond to. Shoot open the door and either Barricade or Escape. Wolfie will look down at Mike, and if the door was barricaded, he will be safe, but will be killed if a Wendigo got in. But either way, Wolfie won't jump down to follow Mike.

Mike watches the Sanatorium burn.
Mike arrives at the door where two wendigos continue to pursue him. Mike can either keep shooting at them, or shoot the barrels instead and blow up the Sanatorium. The Sanatorium will be blown up either now or later. If Mike didn't shoot the barrels, a Wendigo will leap at him and the screen will go black.
At the end of this scene, if alive, a very injured Jessica will wake up at the bottom of the elevator shaft. She'll pick up a miners coat, and miner boots, if needed, and turn in fear at a screech nearby.
Transcript[]
View the chapter's transcript here.
Character Deaths[]
Wolfie[]
- If Mike fails to defend himself after being jumped or caught by a Wendigo, or after moving or allowing the bottle to drop, he will be attacked. Wolfie will jump out to rescue Mike and the Wendigo will snap his neck.
- If Mike doesn't push the barrel out or shoot it, and Mike does not have the machete, Wolfie will distract one of the Wendigos to protect Mike and will get his neck snapped.
- If Mike doesn't barricade the door, Wolfie will be slaughtered by a Wendigo when he looks down at Mike.
Collectibles[]
Clues[]
- Makeshift Graveyard - Outside, through the hole in the wall on the far left side of the Chapel, Mike can find a Makeshift Graveyard.
- Doctor's Report - After passing through the gate that Mike has to squeeze through, walk down the stairs, turn left and enter the cell and Mike can find this report
- Old Film Reel - Mike can find an old film reel of a patient transforming into a Wendigo when turning left to the camera and entering a small room.
- Case Study Dossier - Mike can find a case study dossier of a patient transforming over time.
- Suicide Note - A suicide note from Jefferson Bragg can be found by Mike further in the room with the case study dossier.
- Mine Rescue Photo - Mike can find this photo around the banister of the stairs (if Mike hadn't found it).
- Cigar Box - Mike can find a cigar box in the center of the room when he enters the Chapel (if Mike hadn't found it).
Totems[]
Original Game
- Death Totem #3 - While walking around the banister when you first arrive, Mike can find Death Totem #3 (if Mike hadn't found it), showing Mike sacrificing himself while walking around the banister when you first arrive.
- Danger Totem #4 - Walking through the door on the far right of the chapel, Mike can find Danger Totem #4 on the left, showing Mike getting attacked by a Wendigo.
Remake
- Loss Totem #4 - Loss Totem #4 can be found by Mike in the chapel, in the room to the left of the altar. The premonition foretells a Wendigo smashing Matt's face in.
- Death Totem #3 - Death Totem #3 can be found by Mike in the room on the left, behind the moveable room divider. The premonition foretells Mike striking his lighter, starting an explosion.
- Hunger Totem #4 - Hunger Totem #4 can be found by Mike in the graveyard behind the barrels, in the far left room in the chapel. The premonition shows a Wendigo chasing a deer before pouncing on it.