A black screen comes on, and the credits roll. After an extremely short pause, she then whispers a desperate warning: "DON'T GO OUT!" Continuing on, Emily will appear, knock you to the ground, and kill the player using what is apparently a psychic attack (which is animated by the finger gun taunt from Team Fortress 2). Going outside causes the announcer to thank him for visiting Never Lose Hope Hospital. From there he can leave out the doors, or, if he changes his mind, he can go back into the elevator and continue to the basement to fight Dr. If the player chooses to leave, he enters into a lobby like area. Romero, recognizing that the player has discovered the truth, gives him two choices:leave the hospital, or continue his quest to kill him.
The player is left alone when the SWAT leader sucumbs to his wounds and goes to find Dr. Romero all along, as he has built a psychic device capable of killing. When the player awakens, the SWAT leader reveals that their objective was Dr. Despite the tragic losses and heavy resistance the remaining team members finally arrive at the extraction point, only for their helicopter to be destroyed by some sort of psychic energy which knocks the player unconcious and critically wounds the SWAT leader. Another casualty occurs as the group attempts to retreat when a mysterious enemy drags a SWAT member underneath a garage door and out of sight.
Weary of the mission, the SWAT leader decides to call an evac and abandon their mission. Once again, the team is forced to fight their way past various enemies, but suffers a tragic death when a SWAT member is overwhelmed by the paranormal energy and is killed out of self defense. After continuing his trip through the hospital and witnessing more strange phenomenon as well as visions of Emily, the player regroups with the SWAT team. As they fight their way past various enemies, a member of the SWAT team is killed and the player is separated from the group. The men enlist the player's help due to his seeming knowledge of the hospital layout. After a brief journey through the hospital where the player encounters strange anomalies as well as zombies the player meets a dispatched SWAT team who are at the location for an unclear search and destroy objective. Romero, who is seemingly trapped in the hospital as well and guides the player through various obstacles as well as directly assisting him. Eventually the player is contacted by one Dr. He then proceeds to leave and has visions of a ghostly woman, whose name is Emily, while exploring the general area. Continuing the story from the first Nightmare House, the player wakes and finds himself in an asylum-style padded room.
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