Patient X

⭐ ⭐ (239 endorsements) 📥 15,950 downloads 📌 v4.1 📅 3/29/2026
🟡 Updated this year

By Kazzy · Gameplay

⬇ Download Mod Source: Nexus Mods ↗ 📅 Updated: 6/12/2026 📅 Created: 3/29/2026

🔍 Analysis

  • 👍 1.5% endorsement rate — high engagement, a strong quality signal
  • 🏆 #24 of 164 Gameplay mods in this game by downloads

📋 About This Mod

Patient X

Patient X adds a persistent Mr. X stalker system to Grace’s hospital section, turning him into a full hospital wide hunter rather than a simple model swap, scripted chase or proximity spawner.

He operates through a custom behavior layer built around Search, Investigate and Chase states, letting him react to sight, noise, loss of contact and recovery in a way that I hope feels believable and much closer to RE2-style Mr. X but with a hybrid stealth behaviour to compensate for Grace's different style of gameplay.

Key Features  ⚙️

  • []State-Based Hunting: Mr. X a full state-based hunting system built around Search, Investigate, and Chase, so he no longer feels like an enemy that always knows exactly where you are. He reacts to sight, noise, and broken contact in a way that makes encounters feel more dynamic, more believable, and far less scripted. [/]
    • []Safe Room Logic: Safe rooms remain functional, with Mr. X being stashed when you enter and reintroduced through delayed off-screen releases when you leave, preventing cheap spawns directly outside the door. [/]
      • []Spawning & Stealth:  Release points are filtered by distance, visibility, and off-screen weighting to reduce obvious pop-in and quieter movement and crouching can help delay or avoid detection. [/]

        Requirements:

        REFramework with Loose File Loader enabled.

        Fluffy Mod Manager

🤖 AI-enhanced — based on mod data

Patient X adds a persistent Mr. X-style stalker to Grace's hospital section in Signalis, featuring smart sound and heat map based hunting, safe-room logic, and stealth-friendly behavior. This mod is for players seeking a more intense, survival-horror experience in that area.

✨ Key Features

Adds a persistent Mr. X stalker to Grace's hospital section.
Implements smart sound and heat map based hunting AI.
Includes safe-room logic for player respite.
Features stealth-friendly behavior to encourage sneaking.

📊 Pros & Cons

✅ Pros

  • Community favorite with 239 endorsements and nearly 16k downloads.
  • Adds a whole new layer of tension to the hospital section.
  • The AI actually uses sound and heat maps, so it feels smart, not just a scripted chase.

⚠️ Cons

  • Only affects Grace's hospital section, so if you're not there yet, you won't see it for a while.
  • The stalker might be too intense for players who prefer the original pacing.
  • Potential compatibility issues with other mods that alter the hospital area or AI behavior.
🎯 Is This For You?
For Signalis players who want a more terrifying, unpredictable hospital section with a stalker that actually hunts you. If you're a stealth fan or enjoy survival horror tension, this is a must-try. Skip if you prefer the original, more scripted experience or want changes outside the hospital.
📦 Install:Easy· Under 1 minute

💡 Beginner Tips

  • Use sound to your advantage: crouch or move slowly to avoid attracting the stalker.
  • Learn the safe-room locations in the hospital; they're your only guaranteed breathers.
  • Pay attention to the heat map: if you've been running around, the stalker will know where you are.

📊 Mod Details

Game
Residentevilrequiem Mods
Author
Kazzy
Version
4.1
Downloads
15,950
Endorsements
239
Category
Gameplay
Created
3/29/2026
Updated
6/12/2026

🔧 How to Install Resident Evil Requiem Mods

Download from Nexus Mods.

📖 Full step-by-step install guide for Resident Evil Requiem →

Visit the official mod page for specific installation instructions for this mod.

🎮 Need cheat codes or console commands? Check ur gaming wiki for Resident Evil Requiem commands, item IDs, and more.

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