Scavland Hospital Quest Guide

Zalesye Medical Wing, Keycard & Tongue Monsters

Walkthrough for Scavland Hospital Quest: locating the northeastern Zalesye Hospital complex, counters for Tongue Monsters, Room 204 keycard and breach methods, and unlocking Physician Anna medical barter tiers.

Evidence: Official Steam announcements & community reports · Update 0.5.169
Quick answerThe Hospital Quest is a critical Act I progression milestone issued by settlement physician Anna in Zalesye. To complete the contract, travel to the Abandoned Regional Hospital situated in the far northeastern ruins of Zalesye past the train depot. Players must breach the barricaded second-floor surgical wing to secure three Sterile Antibiotic Crates and a Surgical Kit from Room 204. The interior corridors are prowled by lethal Tongue Monsters (Lickers) with long-range whip grapples; counter them by bottlenecking doorways, sidestepping tongue thrusts, and staggering them with heavy 12-gauge Buckshot before bandaging acute lacerations.
A dimly lit underground medical corridor in the Abandoned Zalesye Hospital

Media: user-provided authorized asset pack · Official Steam announcements & community reports · Update 0.5.169. This image supports context, not every mechanic described on the page.

Field notes

  • 01 · Contract Activation & Route Preparation: Accept the quest from Settlement Physician Anna in Zalesye. Pack at least 2 Tourniquets, 1 Morphine injector, and a close-quarters shotgun (TOZ-34 or Mikhail 74U with Buckshot) before departing toward the northeastern sector.
  • 02 · Breaching the Ground Floor Lobby: Approach the hospital complex via the western ambulance bay to avoid open-field sniper crossfire. The ground floor lobby contains 4 Ghoul sentries; neutralize them silently with a suppressed 9mm sidearm to avoid waking the entire facility.
  • 03 · Countering the Tongue Monster Ambush: Ascending the central staircase triggers a Tongue Monster (Licker) spawn. Tongue Monsters attack via an 8-meter tongue whip grapple that immobilizes the player. Disengage backward down the stairwell, force the monster into the doorway bottleneck, and stagger it with two rapid 12G Buckshot rounds.
  • 04 · Locating Surgical Crates & Pharmacy Stash: On the second-floor surgical ward, locate Room 204 behind a locked wooden door (breachable with a basic crowbar or heavy melee strike). Secure the three glowing green Antibiotic Crates and the steel Surgical Kit on the operating table.
  • 05 · Southern Fire Escape Extraction: Do not retreat through the main lobby. Exit via the southern fire escape ladder behind Room 208, dropping safely into the perimeter canal for a direct sprint back to Zalesye settlement.

Evidence boundary

Quest Giver Physician Anna at the Zalesye Settlement Clinic
Target Objective 3x Sterile Antibiotic Crates & 1x Steel Surgical Kit in Room 204
Apex Threat Tongue Monsters (Lickers) feature an 8m grapple whip; counters: 12G Buckshot stagger
Door Breach Method Room 204 door can be pried using a Crowbar or kicked down with 3 heavy melee hits
Doctor Barter Reward Unlocks Tier-2 Medical Trade (Morphine, IFAKs, Charcoal Radiation Filters) + 3,800 Rubles
Verified Baseline Early Access Patch v0.5.169

Questions players ask

Where is the Abandoned Hospital in Scavland?

The Hospital is located in northeastern Zalesye, past the rusted railway depot and adjacent to the flooded quarry. Watch for yellow biohazard warning signs along the perimeter.

How do you kill the Tongue Monster in the hospital stairwell?

Do not fight it in open hallways. Retreat down the stairs into the door frame so its tongue grapple hits the wall, then blast its exposed skull with high-stagger 12G shotgun buckshot.

What do I do if I cannot find Room 204?

Head to the second floor, turn right past the nurses' station, and look for the room marked with a red medical cross stencil over the doorway.

What rewards do you get for completing the Hospital Quest?

Completing the quest grants 3,800 Rubles, +250 Commonfolk faction reputation, and unlocks Physician Anna's Tier-2 medical shop containing Morphine, Hemostatic Gauze, and IFAKs.