Nightmare Reaper: How to Access NG+ (Hospital Guide)

A common question I’ve seen asked is “how do you access NG+”, so I figured it would be a good idea to make a quick guide.

To put it simply, in order to get to NG+ you have to complete all the steps of the hospital. I’ve listed each step in order and when they are earliest available to complete. If an item isn’t there or a door isn’t open make sure to SLEEP IN THE BED in order to advance the hospital state.

First available after completing Spore Pit (Level 6)

The door to your room will be open
Go out into the hall and take a right
Pick up keycard on the floor

First available after completing Sulfuric Mines (Level 15)

Note: This is also when you are able to access the Arena for the first time. More details about that in the section below.

Leave your room and turn left to find the gate open
Go through the gate and take another left
Follow this hallway until you reach an office
Pick up keys from the table

First available after completing Putrid Sewers (Level 21)

Go back to the gate from last step and take two rights to find the door blocked open
Take a left and follow the stairs down (right and up for an Arena Token)
Check the table on the right and grab the keycard

First available after completing your second level set in Chapter 2 (Level 34)

You’ll wake up to find everything red and an alarm blaring
Go back downstairs to the canteen and take a left to find the door open
Take a left and follow the hallway till you reach a boiler room
Grab the keys and use the panel to turn off the alarm

First available after completing your fifth level set in Chapter 2 (Level 43)

A piece of paper will have been slipped under your room door. Pick it up
Go to the office from Step 2 and use the wall panel to reactivate the alarm and reopen the door in the canteen
Go to the panel in the boiler room and deactivate the alarm once more
Then go to the door you pass in the hallway to get there
You can now use the keypad and get inside

First available after your seventh level set in Chapter 2 (Level 49)

You will wake up to hear a loud thud
Repeat the process from Step 5 in order to get back to the same room
You will find a cabinet knocked over and a set of keys on the floor
You can then use these keys to unlock the first cage door in the boiler room

First available after completing The Wasteland 1 (Level 56)

You should hear some kind of rain noise
If you go to the stairs and go right and up you’ll find the door open with yellow caution tape across it
Activate the tape to remove it and go inside

First available after Sorcerer’s Mansion 1 (Level 65)

Head back upstairs to find the cabinet at the end of the room moved and a new area open

First available after Buried Ruins 1 (Level 74)

Head back upstairs to find a pair of bolt cutters on the ground in the corner
You can use these in the nearby room (from Step 8) to cut the chains and grab the set of keys
Repeat the process from Step 5 in order to get back downstairs to the boiler room
You will now be able to unlock the second cage door in the basement and reach an outside area

First available after defeating the final boss

Repeat all the steps needed to get back to the basement and to the outdoors area
You will find a tree along the edge has been broken
Jump over it to find a small area with a teddy bear
Grab the teddy bear to complete the hospital and unlock NG+

Once Step 2 is available if you head towards the stairs but turn left instead of right you will find a room with a bed in it
Using this bed will warp you to the Arena area and allow you to get your first Arena token (Unlocks new arenas to play in) and the cartridge for the Jade minigame

Note: New Arena tokens are found throughout the hospital as you unlock new areas. You’ll easily find all 8 simply by going through the hospital as required, with each new step typically granting you access to a new token.

Congrats! You now just need to sleep and you’ll be transported into the start of NG+
You even get to keep the teddy bear for your troubles