Having learned that there's a member of the Rochester family institutionalized at Gryphon Sanctuary, the local mental asylum, Maddie and the player decide to pay her a visit to see if she knows anything regarding the Rochester's activities at Grim Chapel or their deals with The Devil. However, their investigation gets delayed when, upon arriving, they're informed about the murder of doctor Irving Blackmoor, who was killed after being electrocuted to death with an electroshock machine.
Tropes:
- Asshole Victim: Apart from being a Slut-Shaming misogynist who bragged about performing surgery on women without anesthesia just because he could, Dr. Blackmoor also tried to perform a Lobotomy on a 12-year-old girl and is implied he had done many of these before, not to mention his electroshock therapies that are also considered barbaric.
- Back for the Dead: After making a single and not that important appearance in Case 23, Dr. Irving Blackmoor returns as the victim here.
- Bad Boss: Gregory Stravinsky, the asylum's director, is shown to be an absolute jerk who, in his own words, would maintain the hospital's patients completely sedated and feed through a tube if the regulations permitted it, as it would make the job easier.
- Battleaxe Nurse: While Nurse Sylvia May isn't outright evil, she's mostly apathetic regarding the patient's poor living conditions, instead lashing out at other matters such as Dr. Blackmoor's misogyny instead of his lobotomies or electroshock therapies.
- Bedlam House: Gryphon Sanctuary isn't shown to be a very pleasant mental hospital to be committed in, with electroshock therapies, straitjackets, and lobotomies being common by the staff.
- Call-Back: Horatio Rochester and William Oland reappear during the Additional Investigation.
- Cloud Cuckoo Lander: Alice Riddel, Dwayne Reed, and Patricia Rochester, the three asylum patients you meet as suspects, are shown to be this to varying degrees: Alice is convinced her Imaginary Friends are real and her parents "went to the sky", Dwayne believes that Dr. Blackmoor could read his mind and wanted to steal his brain, and Patricia has been reduced to an incoherent mess who speaks in a combination of Metaphorgotten, Purple Prose, and Ice-Cream Koan.Patricia: Oh, I don't bother to learn the doctors' names. They are just a blurred mass of lost souls, swarming through this underworld like so many tuna in white coats!
- Cope by Pretending: Sylvia deduces that Alice has been coping with her parent's deaths by pretending her imaginary friends are real.
- Creepy Child: Despite her cheerful appearance, Alice can be quite creepy and unnerving during her dialogues, such as claiming that Dr. Blackmoor was killed and eaten by a giant caterpillar or telling you her stuffed rabbit told you where to investigate.
- The Cuckoolander Was Right: During the investigation, Alice tells you that her rabbit told her the "grizzlechomp" ate Dr. Blackmoor then hid in the kitchen and that you should probably investigate there, which ends up being useful due to the clues you find despite the fact she was just making stuff up.
- Death by Irony: Dr. Blackmoor was killed with the very electroshock machine he used to torture his patients with, by one of his patients.
- Disc-One Final Boss: William Oland AKA The Devil is promptly arrested in this case halfway through the district, even though he was the very reason you came to Grim Chapel in the first place.
- Don't Celebrate Just Yet: When you arrest William for being The Devil, he smugly claims that his arrest won't be the end of the Rochester's illicit activities in Grim Chapel, and that you should watch your back because of it.
- Electroconvulsive Therapy Is Torture: Dr. Blackmoor used an electroshock therapy to torture his patients with.
- Everyone Has Standards: Yes, even the mad do. As it turns out, the reason why Dwayne electroshocked Dr. Blackmore to death was because he was going to give Alice, a little girl a lobotomy.Dwayne: Alice is just a little girl! You don't do that to a child! He could have my brain if he really wanted, but not hers!
- Evil All Along: William Oland, the eccentric and cuckoo tavern owner you just met in the previous case, is revealed to be The Devil who has been aiding the Rochesters and other people commit murder through "supernatural" means.
- For the Evulz: Upon admitting being The Devil, William tells you that he started his services to have fun and become a legend, and that he considered everything he did "a game".
- Foreshadowing:
- When you ask Patricia about The Devil, she replies with one of her usual nonsensical quotes, claiming that "in the furthest corner of her mind, there is something looming and scratching at the window, but it's very hazy". This is the first sign that she's starting to recover her memory about The Devil and Sylvia working together, which prompts Sylvia to kill Patricia in Case 48.
- When you interrogate Horatio about Patricia, he momentarily loses his cool and asks you what you know about her in a very alarmed tone before regaining his composure. Come Case 53, and you discover Horatio wrongfully committed a sane Patricia to Gryphon Sanctuary as a mean of disposing of her, and is worried you might've found out about it.
- Happily Adopted: Alice gets adopted by her grandma at the end of the case after Judge Lawson decides to help her get out of Gryphon Sanctuary, which is clearly an unsafe environment for Alice.
- High-Voltage Death: How Dr. Blackmoor was killed.
- Imaginary Friend: Alice has a handful of these, such as a rabbit, a giant caterpillar, and a grizzlechomp, whatever that might be.
- Institutional Apparel: When Dick gets accidentally Wrongfully Committed at Gryphon Sanctuary, he's seen wearing a straighjacket until you come rescue him.
- Karmic Death: Dr. Blackmoor was a sadistic who enjoyed torturing women for being "sinful" by performing surgeries on them without anesthesia to prolong their pain, and his death had him being slowly and painfully cooked alive with an electric machine he used to torture his patients with after he threatened to lobotomize a little girl.
- Lobotomy: Dr. Blackmoor unethically performed many of these during his time at Gryphon Sanctuary, and when Dwayne discovered his next target was a little defenseless girl, he decided Dr. Blackmoor was a monster who had to die.
- Papa Wolf: Well, he's not Alice's dad, but Dwayne killed Blackmoor to keep him from lobotomizing the girl.
- Paper Tiger: When Judge Lawson confronts Gregory about all the unethical procedures going on at his asylum, George smugly asks him what he knows about it and who he is to disapprove. Cue Lawson telling him he's the city judge and Gregory suffering from Overly-Nervous Flop Sweat.
- Playing Sick: Inverted. Dwayne has been pretending to be cured of his mental illness (and he seems to be a very good actor, considering he was programmed to be released soon), as he believes Dr. Blackmoor and the hospital personnel will steal his brain and read his memories otherwise.
- Screw the Rules, I'm Doing What's Right!: A variation. When Judge Lawson tells Chief Wright he's planning to do something regarding Gryphon Sanctuary and their unethical procedures, Chief Wright replies that this will do wonders for his political campaign, as Judge Lawson has submitted a petition to become the new Deputy Mayor. However, Judge Lawson tells him he's only doing it in the name of justice, not for reputation.
- Shout-Out:
- The case's title is a parody of the film Girl, Interrupted.
- The case contains several references to Alice's Adventures in Wonderland:
- Alice Riddel is a parody of Alice, and even carries a stuffed white rabbit, eats mushrooms, and claims to be friends with a giant caterpillar.
- In the Garden scene there is a group of flamingos, one of which is wearing the Mad Hatter's hat, some roses on a bush, a tea party, a bottle of a blue liquid with a tag reading "Drink", a statue of a bipedal rabbit with a waistcoat and cane, a bush in the form of a giant caterpillar, a cat, a mouse, a tortoise, a jumbled pocket watch, a chess queen, playing cards, and a heart painted on a tree.
- In the Garden Patio scene, there is the aforementioned rabbit statue, a cat statue playing cards, a rose, a pocket watch, a mouse, a cup of tea, a heart, a hookah pipe, and a flamingo, as well as a portrait of a woman resembling Alice Kingsleigh in Tim Burton's Alice in Wonderland.
- Spanner in the Works: Thank to you refreshing a little bit of Patricia's memory during the Additional Investigation, you finally discover the identity of The Devil who has been helping the Rochesters and terrorizing Grim Chapel, arresting him for good.
- The Starscream: Gregory claims that Dr. Blackmoor wanted to do this regarding the asylum.Gregory: He said he would take over one day. Just imagine, this insignificant speck who couldn't even beat me at chess thought he would overtake me!
- Tinfoil Hat: You find one pertaining to Dwayne, which according to him, he used to prevent Dr. Blackmoor from reading his mind with telepathy.
- Would Hit a Girl: Dr. Blackmore was quite a monster towards his female patients, often preforming surgery on them without anesthesia whatsoever, this even goes as far as planning to lobotomize a little girl!
- Would Hurt a Child: Dr. Blackmore had no problem with giving a 12 year old girl a lobotomy, this prompts one of his patients to kill him before he can carry it out on Alice.
- Wrongfully Committed: In Chapter 3, Dick accidentally gets committed at Gryphon Sanctuary after being mistaken for an escaped patient, forcing Maddie and the player to rescue him.
