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A new varmint has entered the arena. I spotted her as she, somehow, moved through a wall. Clad in bandages that tell an untold tale of something horrid. This...nurse as it seems, brings me new angst during my lonely nights, as my mind runs amok. | ![]() |
~ Benedict Baker |
The Nurse | |
---|---|
Name | Sally Smithson |
Gender | Woman |
Origin | American of English descent |
Realm | Crotus Prenn Asylum |
Power | Spencer's Last Breath |
Power Attack Type | Special Attack
(Blink Attacks) |
Weapon | The Bonesaw |
Movement Speed![]() ![]() ![]() |
96.25 % | 3.85 m/s |
Alternate Movement speed | 333.25 % | 13.33 m/s (Blink) |
Terror Radius![]() ![]() ![]() |
32 metres |
Height ![]() ![]() ![]() |
Average |
DLC | CHAPTER 1: The Last Breath Chapter |
Voice Actor | Anais Renevey (BHVR) |
Breathing | |
Menu Music | |
Terror Radius Music | |
CharID | K04 |
Sally Smithson or "The Nurse" is one of 40 Killers currently featured in Dead by Daylight
.
She was introduced as the Killer of CHAPTER 1: The Last Breath Chapter, a Chapter DLC released on 18 August 2016.
Overview

The Nurse is a warping Killer, able to blink through obstacles and quickly close gaps with her Power.
Her personal Perks, Stridor, Thanatophobia
, and A Nurse's Calling
, allow her to decrease Survivor abilities and track them when they are injured.
She is focused on spotting and tracking, making it harder for Survivors to hide.
Difficulty Rating: Very Hard
(These Killers require a high amount of practice and understanding, inexperienced Players are likely to find little success when using them)
Lore

- Additional Lore can be found in Tome 6 - Divergence: The Cleansing of Crotus Prenn.
Sally Smithson came to town with dreams of children's feet and laughter in a wooden home built by her husband Andrew. But life came not with smiles but with plans of destruction. Andrew worked as a lumberjack - a job with its perils. One day, Andrew's foreman had to pay Sally a visit, forever changing her life. She was alone.
Without food on the table and no other option, Sally had to find a way, but the only employment she could get was at the Crotus Prenn Asylum. Nobody sought employment there unless they were in dire need. Just like Sally. Without any education, she started at the bottom, doing the hard night shift.
Over the years, her mind had reached its limits, two decades of seeing horrid things that violate the eyes. Memories that are re-played every night. Being abused verbally and physically, by people without limits. Sally saw insanity from the outside, just to catch it herself.
Finally she could not take it any more and concepts of purification emerged inside her. She did what she felt was necessary. As the morning staff arrived one day in September - they found over fifty dead patients, lifeless, in their bed along four staff members, also dead.
Only Sally had survived the night, but her mind was gone, rocking back and forth non-stop. Exactly what happened is only known by her, but it seems that some of them had been choked as they had marks around their necks. They got her into an ambulance, but that ambulance never reached the hospital. It was found crashed in a nearby wood, all the staff dead and Sally nowhere to be found.
Load-out
Unique Perks
The Nurse comes with 3 Perks that are unique to her:
A Nurse's Calling | Unlocks potential in your Aura-reading ability.
"Still attached to the fragments of her past life, she is drawn to those in need of help." | |
---|---|---|
Stridor | You are acutely sensitive to the breathing of your prey.
"If you do not stop and catch your breath... she will." | |
Thanatophobia | Their courage fades in the face of their undeniable mortality.
"She plays with us and revels in our pain." |
Prestige
Prestiging The Nurse will automatically add Tier I of her Unique Perks to the inventories of all other Killers and unlock the ability for their higher-tiered versions to spawn in their Bloodweb.
Prestige The Nurse twice more to automatically add Tier II and Tier III respectively into the other Killers' inventories.
Weapon: The Bonesaw

The Bonesaw is the Primary Weapon of The Nurse.
Rusty metal implement for tearing through flesh and bone.
Power: Spencer's Last Breath
"A powerful and violent last breath snatched from Crotus Prenn Asylum Warden Patrick Spencer.
Channelling its energy allows The Nurse to pierce and jump through the Spirit World in a blink multiple times in a row.
Doing so leaves her in a state of fatigue."
SPECIAL ABILITY: SPENCER'S LAST BREATH
The Nurse starts the Trial with 2 Tokens.
Press and hold the Power button to charge a Blink.
Release the Power button to initiate a Blink.
Using Spencer's Last Breath consumes -1 Token per Blink / Chain Blink.
SPECIAL LOCOMOTION: BLINK
A Blink allows The Nurse to pierce the Realm of the Entity and teleport through obstacles and walls in a straight line:
- Grants the ability to teleport for up to 20 metres.
- The Nurse can adjust the Teleportation distance by aiming at any point closer to her.
- The Nurse can teleport to other floors by aiming at the ceiling or floor of a room that has another one above or below it.
SPECIAL LOCOMOTION: CHAIN BLINK
After the first Blink, if there is at least 1 Token available, the Chain Blink Window automatically opens for 1.5 seconds, during which The Nurse can initate a Chain Blink:
- Grants the ability to teleport for up to 12 metres.
- The Nurse can adjust the Teleportation distance by aiming at any point closer to her.
- The Nurse can teleport to other floors by aiming at the ceiling or floor of a room that has another one above or below it.
SPECIAL STATE: FATIGUE
After either the Chain Blink Window closes or the final Chain Blink elapses, The Nurse enters a state of Fatigue for 2 to 3 seconds, depending on how many Blinks she chained.
Power Trivia
Movement Speeds:
- Fatigue: 0.96 m/s
- Charging during Chain Blink Window: 1.16 m/s
- Walking during Chain Blink Window: 1.54 m/s
- Charging Blink: 2.89 m/s
- Walking: 3.85 m/s
- Blink Lunge: 6.16 m/s
- Blink: 13.33 m/s
- This assumes a default Blink of 20 metres in 1.5 seconds, as this speed value is derived from those parameters.
Blink:
- Maximum Blink range: 20 metres
- Minimum Blink range: 1.5 metres
- Maximum Blink duration: 1.5 seconds
- Minimum Blink duration: 0.25 seconds
- Fastest Blink speed: 13.33 m/s
- This is calculated based on maximum range using the maximum duration.
- Slowest Blink speed: 6 m/s
- This is calculated based on minimum range using the minimum duration.
- Maximum Blink charges: 2 Charges
- Blink Recharge time: 3 seconds per Charge
- Blink Charge time: 2 seconds
- The Charge duration determines the maximum available Blink distance and duration: the longer one charges, the farther she can Blink, up to her maximum distance and the longer that Blink will take to complete.
- The Nurse can choose not to make use of the maximum distance available to her based on her Charge time, by aiming her camera to a location that is closer than her maximum available range.
However, doing this will still use the Blink duration determined by the maximum available range.
Chain-Blink
- Chain Blink Window duration: 1.5 seconds
Fatigue:
- Base Fatigue duration: 2 seconds
- Chain-Blink penalty: +0.5 seconds each
- 1 Blink: 2 seconds
- 2 Blinks: 2.5 seconds
- 3 Blinks: 3 seconds
- Blink Attack penalty: +1 second
- This cool-down is added only to the other Fatigue cool-downs, if The Nurse has executed an Attack before going into Fatigue.
- The Nurse cannot be stunned during her Fatigue, Fatigue takes precedence and overrides other stuns.
Lightburn (obsolete):
- This mechanic was removed in Patch 6.7.0.
- Shining a Flashlight on The Nurse's body at any time would block her from charging a Blink.
- Shining a Flashlight on The Nurse's body while she was already charging a Blink would instead stun her and force her into Fatigue.
- Lightburn induced by Flash Grenades
or Firecrackers
was applied instantly upon explosion.
Add-ons for Spencer's Last Breath
Icon | Name | Description |
---|---|---|
Metal Spoon | A dull, partially rusted and stained metallic spoon. Confiscated from Room 202's patient, the "Bad Man".
| |
Plaid Flannel | A torn piece of red and black plaid flannel. The scrap of fabric imbues The Nurse with devastating focus.
| |
White Nit Comb | A parasitic nit comb taken from the clinic. Once the symbol of a deep connection between an anxious patient and her nurse.
| |
Wooden Horse | An unpainted toy carved out of cheap wood to resemble a horse. Once the symbol of a deep connection between a catatonic patient and his nurse.
| |
Bad Man Keepsake | A rotten molar ripped from the "Cataontic Boy's" cold dead hand. Normally stable and calm, it becomes incredibly agitated at The Nurse's touch.
| |
Catatonic Boy's Treasure | A pine-cone which unexpectedly calmed a patient's repetitive movement. Taken from the "Catatonic Boy's" body.
| |
Dark Cincture | A black rope used as a belt in times of mourning. Taken from Father Campbell's body.
| |
Dull Bracelet | A worthless piece of jewellery that might have an important significance to someone. Taken from the "Anxious Girl's" body.
| |
Pocket Watch | A charred and broken pocket watch with rattling pieces. Taken from Nurse Moris' body.
| |
Anxious Gasp | The gasp of surprise collected from the asylum patient Mary Jenner, also known as the "Anxious Girl" that The Nurse was fond of. Twitches vigorously at The Nurse's touch.
| |
Ataxic Respiration | The irregular and deteriorating breath collected from the asylum patient known as the "Catatonic Boy". Normally stable and calm, it becomes incredibly agitated at The Nurse's touch.
| |
Fragile Wheeze | The whistling and rattling breath stolen from Father Campbell. Silently curves and bends at The Nurse's touch.
| |
Heavy Panting | The slow and bulging breath stolen from Harvey Kavanagh, the asylum's "Fat Orderly". Dimly oscillates at The Nurse's touch.
| |
Spasmodic Breath | The twitchy and tremulous breath stolen from the "Bad Man". Aggressively pulses and jumps at The Nurse's touch. Hitting a Survivor with a Special Attack causes the following effects for 60 seconds:
| |
"Bad Man's" Last Breath | A powerful last breath snatched from the asylum patient known as the "Bad Man". In the hands of The Nurse, it jolts with intensity.
"Bad Man's" Last Breath" has a cool-down of 45 seconds. | |
Campbell's Last Breath | A powerful last breath snatched from the asylum priest Father Campbell. In the hand of The Nurse, it crackles with intensity.
| |
Jenner's Last Breath | A powerful last breath snatched from the asylum patient Mary Jenner, also known as the "Anxious Girl". In the hands of The Nurse, it trembles with intensity.
| |
Kavanagh's Last Breath | A powerful last breath snatched from the asylum orderly Harvey Kavanagh, also known as the "Fat Orderly". In the hands of The Nurse, it wobbles with intensity.
| |
Matchbox | A matchbox containing an odd collection of mismatched buttons. Serves as a reminder of a horrible place.
| |
Torn Bookmark | A white and pristine piece of ribbon once attached to a sacred book. Serves as the symbol of a dispute.
|
Achievements
There are 3 Achievements related to The Nurse:
Icon | Name | Description |
---|---|---|
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Adept Nurse | Playing as The Nurse, achieve a Merciless Victory using only her 3 Unique Perks: Stridor, Thanatophobia, and A Nurse's Calling |
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In the Void She Walks | Playing as The Nurse![]() ![]() ![]() |
![]() |
From the Void She Kills | Playing as The Nurse![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
Cosmetic Options
Players can choose from a variety of Cosmetic options to customise The Nurse:
Base Cosmetics
Default
Prestige
Perk Charms
Prestige Level 7 Reward | Prestige Level 8 Reward | Prestige Level 9 Reward |
---|---|---|
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A keepsake gained upon mastery of a particular skill. |
Alternatives
DLC
Icon | Name | Body | Rarity | Description | DLC |
---|---|---|---|---|---|
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Sand Bag | ![]() |
Uncommon | A jute sand bag emptied and tightly wrapped to suffocate. Ironically accessorised with a gas mask. | Bloodstained Sack |
![]() |
WW2 Nurse Uniform | ![]() |
Uncommon | Standard uniform for nurses in military service during World War 2. | Bloodstained Sack |
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Is That A Panda? | ![]() |
Uncommon | A unique bag for the Nurse, created for TheSwiftLegend. | Charity Case |
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Smiley | ![]() |
Uncommon | A unique bag for the Nurse, created for Smiley. | Charity Case |
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The Dark Nurse | ![]() |
Uncommon | A unique dress for the Nurse, created for Peng. | Charity Case |
Special
Icon | Name | Body | Rarity | Description | Event |
---|---|---|---|---|---|
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Marked Bridal Saw | ![]() |
Common | A grim bouquet of red rose and sharp steel. An almost imperceptible whisper echoes in the wielder's mind: "anoyk yeqkany'ye hvay'k l'gnoo eydokl'x : sekall'o ammk'ix" | 1 Year Anniversary |
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Sally of the Lantern | ![]() |
Uncommon | The fires of insanity burn within.
"Have a horribly good Halloween 2017!" - The Dead by Daylight Team |
All Hallows' Eve |
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Frosty Eyes | ![]() |
Uncommon | Heart chilling eyes of the cold blooded.
"Have a Wonderful Winter 2017-2018!" - The Dead by Daylight Team |
Winter Solstice 2017 |
Event
Icon | Name | Body | Rarity | Description | Event | Exclusive to Event Participation |
---|---|---|---|---|---|---|
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Crown of the Entity | ![]() |
Event | A crown emanating a festive and ominous aura created by the Entity's biggest fan. | Fourth Year Anniversary | Yes |
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5th Anniversary Crown | ![]() |
Event | A crown crafted for a very special anniversary.
"Thank you for supporting & inspiring us along the years!" - The Dead by Daylight Team |
Fifth Year Anniversary | Yes |
![]() |
Festive Gown | ![]() |
Event | A long lavish gown, lined with silky, golden fabric. Once worn to celebrate her wedding anniversary. | Lurking Stripes | Yes |
![]() |
Bonbon Bonesaw | ![]() |
Event | A spoonful of sugar won’t make this medicine go down any easier. | Haunted by Daylight 2022 | Yes |
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Nurse's Mask | ![]() |
Event | A mask she found herself wearing at the masquerade ball. | Twisted Masquerade 2023 | Yes |
Exclusives
Icon | Name | Body | Rarity | Description | Event |
---|---|---|---|---|---|
![]() |
Legacy Nurse 2 | ![]() |
Very Rare | The touch of the Entity leaves burning scars and blisters of light. Is it a gift or a curse? | Legacy Prestige Reward |
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Legacy Nurse 3 | ![]() |
Very Rare | The touch of the Entity leaves burning scars and blisters of light. Is it a gift or a curse? | Legacy Prestige Reward |
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Legacy Nurse I | ![]() |
Very Rare | The touch of the Entity leaves burning scars and blisters of light. Is it a gift or a curse? | Legacy Prestige Reward |
Rift
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A prim and proper exterior often hides a darkness deep within.
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A tearful look back on the past.
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The ambulance that was supposed to take her to the hospital never made it.
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If a patient suffers from a broken heart, she can fix them.
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The life and love she had was no more, turned to dust and blown away.
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With foul serum still dripping from her wound, she broke free from her captor.
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A jute sand bag tightly wrapped around the head and accessorized with a gas mask.
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A Benjamin Bell-type instrument designed to cut through thick bones during your arbitrary amputation rounds.
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In-Game Store
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Your first weeks of training while working at the asylum. They say it gets better before it gets worse.
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Your first weeks of training while working at the asylum. They say it gets better before it gets worse.
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Pieces from her old life, before it took a dark turn.
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Pieces from her old life, before it took a dark turn.
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Now, I am become Death, the destroyer of worlds.
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A tearful look back on the past.
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The ambulance that was supposed to take her to the hospital never made it.
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Her rage subsided as she was freed from the fog and released into a new realm.
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Wrapped up. Disposed of. Left for dead. It's time to break free. It's time for revenge.
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A spoonful of sugar helps the mustard gas go down.
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A special day. Left at the altar. No one shall rest until a soulmate is found.
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Sally watched the woman dressed in black roam through the asylum corridor during visiting hours, as she did every day.
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She began her work at a private lunatic asylum created to provide humane care for domestic detainees.
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She was one with the embers that smoldered in the furthest reaches of the darkness.
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One of her most reclusive patients spent his days drawing a creature that drifted around while draped in a long robe.
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She projected a false image of serenity that deluded those around her.
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After breaking free from the madhouse, rejoin society to inflict your dark treatment.
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The life and love she had was no more, turned to dust and blown away.
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After the loss of her husband, she worked twelve-hour shifts at an asylum to pay the bills. In the halls at night, she’d hum a sad tune to numb her pain.
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With foul serum still dripping from her wound, she broke free from her captor.
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An old-fashioned hand axe, specifically designed for chopping through hard bone.
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A spoonful of sugar won’t make this medicine go down any easier.
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A mask she found herself wearing at the masquerade ball.
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DLC
The Nurse is part of 3 DLCs:
- CHAPTER 1: The Last Breath Chapter (comes pre-installed)
- The Bloodstained Sack
- Charity Case
History
Lightburn
Up to Patch 6.7.0, 'The Nurse was affected by a unique mechanic when Survivors would use light-emitting Items against her when or before charging a Blink:
SPECIAL VULNERABILITY: LIGHTBURN
Interacting with the Spirit World causes The Nurse to suffer from Lightburn, which leaves her vulnerable to bright lights while using her Power:
- Shining Flashlights
directly at The Nurse prevents her from charging a Blink for as long as the light is shining at her.
- Shining Flashlights
directly at The Nurse, or detonating Firecrackers
or Flash Grenades
near her, while she is in the process of charging a Blink will stun her, forcing her into Fatigue.
Change Log
Patch 1.1.2
- Nerf: added Lightburn vulnerability.
- Nerf: reduced the default charges of Spencer's Last Breath
from 3 Blinks to 2 Blinks.
- This, in conjunction to a Nerf to Fragile Wheeze
, reduced the maximum number of available Blinks and Chain Blinks from 7 Blinks to 5 Blinks.
- 7 Blinks were possible with the 1.1.0-1.1.1 versions of Fragile Wheeze
and Campbell's Last Breath
.
- 7 Blinks were possible with the 1.1.0-1.1.1 versions of Fragile Wheeze
- This, in conjunction to a Nerf to Fragile Wheeze
- Nerf: reduced The Nurse's default Movement speed from 4.0 m/s or 100 % to 3.85 m/s or 96.25 %.
Patch 1.3.0
- QoL: increased The Nurse's Carrying Movement speed from 3.504 m/s or 87.6 % to 3.68 m/s or 92 %, to match that of the other Killers.
Patch 1.9.0
- QoL: standardised The Nurse's post-Blink Lunge to the default variation shared by all Killers now.
- This now allows for full rotation mid-Lunge compared to the former Lunge which was restricted to a straight path and could not avoid potential obstacles by curving around them.
- QoL: a Blink's duration is now determined by how long a Blink was charged for. Charging duration still determines the maximum available Blink distance, but The Nurse is no longer committed to that distance and can shorten her travel path by aiming her camera to a desired spot closer to her.
- QoL: The Nurse can now blink upwards and downwards, including through floors and ceilings.
Patch 3.3.1
- Nerf: reworked Spencer's Last Breath
to be based on Charges, requiring The Nurse to wait for her Blink Charges to reload instead of having the maximum amount available immediately post-Fatigue.
- Nerf: reworked several Blink Charge Add-ons, reducing the maximum number of available Blinks (with Add-ons) from 5 to 3.
Patch 5.5.0
- QoL: rewrote the majority of the code governing The Nurse, especially net-working, to fix a plethora of issues that plagued her over the years.
Patch 6.5.0
- QoL: added a new sound cue that plays when The Nurse has fully regenerated all her Blink charges.
- Nerf: any attack following a Blink and before The Nurse succumbs to Fatigue is now considered a Special Attack and no longer activates any effects associated with Basic Attacks.
- Change: received a second Add-on Pass, which brings her strongest and her weakest Add-ons in line with the rest.
- Change: The Nurse now features a unique Menu Music, Terror Radius
and Chase Music.
Patch 6.7.0
- Buff: removed the Lightburn mechanic.
Patch 8.3.2
- Change (undocumented): slightly modified The Nurse's Momento Mori animation.
Trivia
- The Nurse was the first female Killer.
- The Nurse was the first Killer to be introduced as a DLC.
- In The Entity's Realm, she shares her home turf with The Clown
in the Crotus Prenn Asylum.
- The Nurse's teleportation Power holds references to several other Games with the ability under the same name of "Blinking".
- The Nurse was the first Killer who used telekinesis to perform various interactions.
- The Nurse has the lowest default Movement speed and is slower than a running Survivors to compensate for her ability to teleport through obstacles, walls, and even floors.
- However, this also makes her entirely dependent on using her Power for any sort of mobility.
- Before the standardisation of the Lunge Attack, The Nurse had the shortest Lunge amongst all Killers, due its reach being tied to the base Movement speed.
- The Nurse was one of just two Killers affected by the Lightburn mechanic before its deprecation, due to her power interacting with the Spirit World.
Developer Tidbits
- The Nurse screams from pain and sighs with relief every time she Blinks.
- This is because the process is painful to her, according to the Developers during one of their Weekly Dev Streams.
- The Nurse was "bat-shit crazy" when she strangled one of her patients at Crotus Prenn Asylum, which made her more susceptible to The Entity's corruption.
Design
- The Nurse was hinted at by the Developers to have been be inspired by the nurses featured in the Silent Hill franchise.
- The Nurse was the first notably shorter Killer introduced into the Game in comparison to the original Killer trio.
- The Nurse was the first Killer to float and glide across the floor instead of walk and remained the only Killer to do so for nearly eight years until the addition of The Lich
, who also floats and glides across the floor, immediately followed by The Dark Lord
in his Vampire Form.
- The Nurse does not have an audible footstep, though her dress creates a faint rustling noise when moving.
- The Nurse leaves a trail of glowing dots and black smoke after her.
- In the earlier days of Dead by Daylight, The Nurse was one of the very few Killers whose breathing was not distorted in some way.
- She makes a rather human-like wheeze, which sounds stressed, as if her throat was closed up.
- This is possibly due to her suffering from "Stridor", an affliction that causes a high-pitched wheezing sound caused by a disrupted airflow, likely due to her burns.
- This medical condition is also the namesake for the Perk Stridor
.
- This medical condition is also the namesake for the Perk Stridor
Gallery
For more go to the Nurse's Gallery
In-game assets
-
The Nurse
-
The Nurse (Portrait render)
-
The Nurse (Background image)
Official art
-
Introducing The Nurse to Dead by Daylight
-
The Nurse
-
The Nurse
Old assets
-
The Nurse's previous portrait
Concept arts
-
Bloodstained Sack Concept Art
-
'Miss Smithson' Concept Art
-
'Kampo Trainee' Concept Art
-
'Vengeful Enchantress' Concept Art
-
'Flashforward' Concept Art
Screenshots