A ladder placed in front of the St. Lukes Hospital sign in Brookhaven

Brookhaven RP · 5 min read

Brookhaven Hospital Secret: The Second Floor and X-Ray Room

TL;DR, bestie

  • Second floor, way 1: grab a ladder from your inventory and place it under the broken wall above the reception desk. Climb up and through.
  • Second floor, way 2: climb onto the emergency room roof next to the hospital, walk to the far side and drop in through the broken window.
  • Upstairs is dim and abandoned. Look for “EXPERIMENTAL” chairs that turn into a secret code, an Agency logo, and a pod holding a green figure.
  • X-Ray Room secret: jump behind the skeleton image and walk through the wall. A blue button under the desk teleports you to a hidden spot.
  • None of it gives rewards. It’s lore and roleplay fuel for the Agency mystery.

🗓️ Last updated: 1 November 2026 — the hospital was rebuilt as Brookhaven General Hospital in the 9 October 2026 update. The second-floor and X-Ray secrets above are from the old St. Lukes layout, and the Agency storyline now continues on the new restricted third floor

St. Lukes Hospital looks like a perfectly normal place to roleplay a broken arm. Look up, though, and there’s a whole abandoned floor nobody talks about. Head into the X-Ray Room and the wall isn’t as solid as it seems. Here’s exactly how to reach both secrets, what’s inside, and how to use them in a roleplay.

Brookhaven St. Lukes Hospital reception and pharmacy with two avatars
Image: YouTube – OneNinja

The hospital at a glance

AreaWhat’s there
ReceptionCounter, waiting chairs, a Patient role and a usable wheelchair
PharmacyNext to reception
Patient roomsThree rooms with beds, dressers, visitor chairs and TVs
Surgery roomMedical equipment and curtains you can close
NurseryBabies, ideal for “new baby” roleplay
X-Ray RoomA skeleton image on the wall… and a secret behind it
Second floorAbandoned, and off-limits by the normal stairs

The free Hospital job (commonly played as a doctor) and Patient job are both in the Jobs menu.

Secret 1: the abandoned second floor

Way 1: the ladder (easiest)

  1. Walk in through the main entrance.
  2. Open your inventory and take a ladder.
  3. Look above the reception desk. There’s a broken wall up high.
  4. Place the ladder underneath, climb up, and squeeze through the gap.

Way 2: over the roof

  1. Head to the emergency room roof right next to the hospital. You may need a ladder to get up.
  2. Walk across to the opposite side of the roof.
  3. Drop in through the broken window.

Parkour option: players also reach the roof by jumping from the poles or the Emergency sign in the car park by the cemetery, then entering through a cracked door.

What’s up there

FindWhy it matters
Dim lighting, dirt and rustIt’s meant to feel abandoned and unsafe
“EXPERIMENTAL” chairsSit on one and the sign’s text changes into a secret code used in other Brookhaven secrets
Old surgery area and cabinetPerfect for spooky roleplay
Agency logo painted on a wallA big clue that the Agency ran experiments here
A big crack in the wallLook down into reception below. Great for “spying”
Observation RoomA pod holding a green, zombie-like figure, plus an Agency paper used to trigger hidden secrets

There are also classified files in a cabinet behind the reception counter downstairs. Have a snoop.

Secret 2: the hidden room in the X-Ray Room

  1. Go into the hospital and find the X-Ray Room.
  2. Jump behind the skeleton image on the wall.
  3. Walk straight through the wall. You’re in a hidden room.
  4. Look underneath the desk for a small blue button.
  5. Press it to be teleported to a hidden location. Players describe a strange green room where your avatar looks like it’s swimming through the air.
  6. To get back: find the small wooden stool and press its blue button to teleport out.

Tip: do this with a friend. If one of you gets lost, the other can talk them back through the steps.

The skeleton in the Brookhaven hospital X-Ray Room
Image: YouTube – Fabshine

Using the secrets in roleplay

  • Night shift horror: a nurse hears noises upstairs, climbs the ladder and finds the Observation Room.
  • Agency investigation: a detective follows the clues from the classified files to the second floor.
  • The patient who vanished: someone goes in for an X-ray and never comes out (they pressed the blue button).
  • Escape room: hide the ladder and make your friends find another way up.

Is it a glitch?

No. Both secrets are deliberate parts of the map tied to Brookhaven’s Agency storyline, the long-running mystery that also runs through places like the Agency Bunker. There’s nothing to collect and nothing you can lose, so explore freely.

Kiko’s take: This is the Brookhaven equivalent of finding a secret level on a dusty old PlayStation demo disc. Totally pointless, totally brilliant. Climbing up to a creepy abandoned floor while someone downstairs roleplays a calm dentist appointment is my favorite kind of chaos.

FAQ

How do you get to the second floor of the Brookhaven hospital?

Place a ladder under the broken wall above the reception desk and climb through, or go across the emergency room roof and in through the broken window.

What’s on the hospital’s second floor?

It’s an abandoned floor with “EXPERIMENTAL” chairs, an old surgery area, an Agency logo and an Observation Room with a pod.

Where’s the secret room in the X-Ray Room?

Behind the skeleton image. Jump behind it and walk through the wall.

What does the blue button do?

The button under the desk teleports you to a hidden location. Another blue button by the stool brings you back.

Do the secrets give rewards?

No. They’re lore and roleplay locations, not prizes.

Sources

Last checked: 29 September 2026 (NZDT). Image credits: YouTube – Bladeslaya; YouTube – OneNinja; YouTube – Fabshine. Related: Brookhaven school roleplay ideas, Brookhaven family roleplay ideas, Brookhaven beginner guide, and the Brookhaven hub.

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