---
title: "Mousoukyou Zanatorium"
description: "A world where Spiria, a virus that causes delusions and hallucinations, has become an epidemic.  The protagonist, Rui Genzaki, unfortunately gets infected with "
image: "https://t.vndb.org/cv/22/75522.jpg"
---

# Mousoukyou Zanatorium

![Mousoukyou Zanatorium](https://t.vndb.org/cv/22/75522.jpg)

**Alternative Title:** 妄想狂ザナトリウム

**Developer:** Pageratta

**Release date:** Aug 27, 2023

**Platform:** Windows, PS4, PS5, Switch, XBO, XXS, Website

**Language:** English, Japanese, Chinese (simplified)

**Rating:** 5.8/10 (50 votes)

## Description
A world where Spiria, a virus that causes delusions and hallucinations, has become an epidemic.

The protagonist, Rui Genzaki, unfortunately gets infected with Spiria and begins to have hallucinations. His younger sister, Mone, takes him to Kamikawa Sanatorium Hospital. There he encounters his first love, Riza, the suspicious director, Anri, and strange monsters.

Is the world you see reality? Or is it delusion?

[From [Steam](https://store.steampowered.com/app/2586250/_/)]

## Characters
### Genzaki Rui (玄崎 類)
A new arrival at the Kamikawa Sanatorium

- **Gender:** Male
- **Alias:** Genzaki Louis
- **Hair:** Brown, White
- **Items:** Shinai, Katana, Book
- **Subject of:** Amnesia, Terminal Illness, Psychosis, Illness, Hospitalization, Delusion
- **Clothes:** Robe, Hospital Gown
- **Engages in:** Kendo, Unarmed Fighting, Suicide Attempt, Suicide Ideation
- **Eyes:** Teal
- **Body:** Ambidextrous, Amputee

### Anri (アンリ)
The director of Kamikawa Sanatorium.

- **Gender:** Female
- **Hair:** White
- **Eyes:** Amber
- **Engages in:** Murder, Mercy Killing
- **Clothes:** Lab Coat, Fingerless Gloves, Gas Mask
- **Personality:** Confident
- **Items:** Assault Rifle
- **Role:** Pharmacist, Social Organization Leader

### Gelni (ゲルニ)
A floating skull sometimes seen by Louis. He is based off the main villain of the show "Seikengers".
His name is a reference to the work "Guernica" by Pablo Picasso.

- **Gender:** Male
- **Alias:** Guerni
- **Eyes:** Green, Red, Heterochromia
- **Personality:** Selfish, Rude, Funny
- **Role:** Skeleton, Figment
- **Engages in:** Breaking the Fourth Wall

### Genzaki Mone (玄崎 萌音)
The protagonist's sister.

- **Gender:** Female
- **Alias:** Genzaki Monet
- **Hair:** Twin Tails, Orange
- **Clothes:** Coat
- **Engages in:** Hypnotism
- **Subject of:** Injury, Hospitalization
- **Items:** Backpack
- **Personality:** Smart, Brother Complex
- **Eyes:** Teal
- **Role:** Figment

### Tensho Riza (天星 理座)
A childhood friend that Louis meets in the hospital.

- **Gender:** Female
- **Alias:** Tensho Liza
- **Hair:** Violet
- **Eyes:** Green, Red, Heterochromia
- **Role:** Childhood Friend, Figment
- **Subject of:** Illness, Hospitalization
- **Clothes:** Nurse Uniform, Hairpin, Bracelet, Police Officer Uniform, Hospital Gown
- **Personality:** Eccentric, Cheerful, Nihilist
- **Engages in:** Suicide Attempt, Suicide Ideation

### Genzaki Monet (玄崎萌音)
[spoiler]The real Monet, who is believed to have died before Louis' arrival at the sanatorium.[/spoiler]

- **Gender:** Female
- **Eyes:** Teal
- **Hair:** Orange
- **Subject of:** Unavoidable Death

### Tensho Liza (天星理座)
[spoiler]The real Liza, who was killed by Spiraea monsters before Louis' arrival at the sanatorium.[/spoiler]

- **Gender:** Female
- **Hair:** Violet
- **Eyes:** Red
- **Role:** Girlfriend, Childhood Friend
- **Clothes:** Hairpin, Pendant Necklace, Slippers, Sleeveless Dress
- **Personality:** Optimist, Eccentric, Cheerful
- **Subject of:** Unavoidable Death

## Shops
- [Official Website](https://www.kemco.jp/game/horrific_xanatorium/ja/)
- [Steam](https://store.steampowered.com/app/2586250/)
- [Itch](https://ijedi1234.itch.io/paranoia-zanatorium-english-patch)

## Releases
### Japanese
- **2023-08-27**: Mousoukyou Zanatorium - [Freegame Mugen](https://freegame-mugen.jp/adventure/game_11415.html), [NovelGame](https://novelgame.jp/games/show/8482)
- **2023-08-27**: Mousoukyou Zanatorium - [ErogameScape](https://erogamescape.dyndns.org/~ap2/ero/toukei_kaiseki/game.php?game=35104), [Freegame Mugen](https://freegame-mugen.jp/adventure/game_11415.html), [NovelGame](https://novelgame.jp/games/show/8482), [BOOTH](https://booth.pm/en/items/5047531)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [ErogameScape](https://erogamescape.dyndns.org/~ap2/ero/toukei_kaiseki/game.php?game=36441), [Steam](https://store.steampowered.com/app/2586250/), [SteamDB](https://steamdb.info/app/2586250/info/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [PlayStation Store (JP)](https://store.playstation.com/ja-jp/product/JP0013-PPSA22263_00-JP0HXANA00000PS5), [PlayStation Store (NA)](https://store.playstation.com/en-us/product/UP2500-PPSA22776_00-US0HXANA00000PS5), [PlayStation Store (EU)](https://store.playstation.com/en-gb/product/EP2363-PPSA22777_00-EU0HXANA00000PS5)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [Nintendo](https://www.nintendo.com/store/products/horrific-xanatorium-switch/)

### English
- **2024-01-21**: Paranoia Zanatorium - [Itch.io](https://ijedi1234.itch.io/paranoia-zanatorium-english-patch)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [ErogameScape](https://erogamescape.dyndns.org/~ap2/ero/toukei_kaiseki/game.php?game=36441), [Steam](https://store.steampowered.com/app/2586250/), [SteamDB](https://steamdb.info/app/2586250/info/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [PlayStation Store (JP)](https://store.playstation.com/ja-jp/product/JP0013-PPSA22263_00-JP0HXANA00000PS5), [PlayStation Store (NA)](https://store.playstation.com/en-us/product/UP2500-PPSA22776_00-US0HXANA00000PS5), [PlayStation Store (EU)](https://store.playstation.com/en-gb/product/EP2363-PPSA22777_00-EU0HXANA00000PS5)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [Nintendo](https://www.nintendo.com/store/products/horrific-xanatorium-switch/)

### Chinese (simplified)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [ErogameScape](https://erogamescape.dyndns.org/~ap2/ero/toukei_kaiseki/game.php?game=36441), [Steam](https://store.steampowered.com/app/2586250/), [SteamDB](https://steamdb.info/app/2586250/info/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [PlayStation Store (JP)](https://store.playstation.com/ja-jp/product/JP0013-PPSA22263_00-JP0HXANA00000PS5), [PlayStation Store (NA)](https://store.playstation.com/en-us/product/UP2500-PPSA22776_00-US0HXANA00000PS5), [PlayStation Store (EU)](https://store.playstation.com/en-gb/product/EP2363-PPSA22777_00-EU0HXANA00000PS5)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/)
- **2024-04-26**: Mousoukyou Zanatorium - [Official website](https://www.kemco.jp/game/horrific_xanatorium/ja/), [Nintendo](https://www.nintendo.com/store/products/horrific-xanatorium-switch/)

## Tags
Terrorized by Monsters, Post Apocalyptic Earth, Male Protagonist, Multiple Endings, Bloody Scenes, One True End, Protagonist's Childhood Friend as a Heroine, No Sexual Content, Bad Ending(s), Proactive Protagonist, Lots of Event CGs, Denpa, Protagonist with Imaginary Friends, Open Ending(s), Brocon Heroine, Delusion, Epidemic, Unavoidable Heroine Death, Laid-back Heroine, Protagonist's Younger Sister as a Heroine, Sanatorium, Imaginary Friend as a Heroine, All Just a Dream, Psychiatric Hospital

## More Games from Pageratta
- [Mousoukyou Zanatorium](https://pinovel.net/v47142)

---
*View the full details at [pinovel.net/v47142](https://pinovel.net/v47142).*

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