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This is a Character Sheet for Fatal Frame IV.

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Protagonists

    Ruka Minazuki 

Voiced by: Mamiko Noto

https://static.tvtropes.org/pmwiki/pub/images/ruka1.jpg

"The things that nobody remembers will eventually become things that never existed, right?"

The 17-year-old, soft-spoken protagonist of Fatal Frame IV. She was the last victim of the kidnapping incident and can't remember much about her time on Rougetsu Island. When she hears about the mysterious deaths of the other victims, she decides to return to the island to try and remember her childhood there, as well as to find out why so many people died.
  • Amnesiac Hero: Her childhood memories are all but gone, especially pertaining to the kidnapping incident and her stay at Rougetsu Hall. Her suffering from Getsuyuu Syndrome and participating in the Kiraigou as a maiden didn't help matters.
  • Apocalyptic Log: Ruka's Diary, from when she was interned at Rougetsu Hall as a child.
  • Chekhov's Skill: Ruka's mother taught her how to play the piano, which plays a key role in defeating Sakuya later in the final battle, as well as helping her regain her own memories.
  • Color-Coded for Your Convenience: Yellow, as the color for her dress and the theme color of the game.
  • Meaningful Name: Her name can be read as "the flow of a song". The Tsukimori Song plays a very important role in the story.
  • Miko: The true Kiraigou considers her one, as a Tsukimori Shrine Maiden is required to fully complete the ritual and play the Lunar Melody. The practice died out, but Ruka's mother Sayaka took her bloodline as one seriously, teaching her daughter the song. It resulted in Ruka being chosen as a Kanade, a song-playing child assistant to the Kiraigou ceremony.
  • Parental Abandonment: Sayaka died of illness some time before Ruka left for Rougetsu Island, and her father Souya was killed during Sakuya's rampage in the Day Without Suffering.
  • Proper Tights with a Skirt: Her outfit features a skirt and dark tights.
  • Psychic Powers: As a Tsukimori, she has a sixth sense that lets her see ghosts, but also makes her Getsuyuu Syndrome case a bit more worrying.
  • Zettai Ryouiki: Grade A in one of her alternate outfits.

    Misaki Asou 

Voiced by: Miyuki Sawashiro

https://static.tvtropes.org/pmwiki/pub/images/misaki1.jpg

"Miya is special to me, and is always by my side."

A strong-willed girl who was kidnapped on Rougetsu Island as a child. Hearing that the other victims are dying mysteriously, she takes Madoka to their childhood place to recover her memories. She's a descendant of the Camera Obscura's inventor, Kunihiko Asou, and therefore inherited a strong sixth sense that leads to her spiritual connection with Sakuya.
  • Apocalyptic Log: Misaki's Diary.
  • Jerkass: She drags an unwilling Madoka to Rougetsu Island (though, admittedly, she's trying to save both their lives) only to thoughtlessly abandon her because she falls behind, leading to the poor girl's death. She also callously dismisses Madoka's fears, curtly telling her "It's fine, just do what I say."
    • Jerk with a Heart of Gold: She's harsh, yes, but she is there to try and stop the Syndrome from consuming them and continuing to haunt the island. As the game goes on, however, and as she gets her memories back gradually, she slowly changes to a softer approach to things.
  • Miko: Was one of the five kidnapped girls made into a Kanade for the Kiraigou ceremony.
  • Pet the Dog: In one Dummied Out diary entry, she would use her sixth sense to sense Madoka's suffering and protect her from Ayako's bullying.
  • Psychic Link: With Sakuya.
  • Psychic Powers: Given she's a member of the Asou family, she has a sixth sense of her own, not to mention enough knowledge to operate a Camera Obscura prototype. This is also what made Dr. Haibara notice her and have her take part in the Kiraigou.
  • Tomboy and Girly Girl: She's the tomboy to Madoka's girly girl.
  • Zettai Ryouiki: Grade A.

    Madoka Tsukimori 

Voiced by: Saori Goto

https://static.tvtropes.org/pmwiki/pub/images/madoka.jpg

"...I can't remember...I don't want to remember! I have to find Misaki!"

A reserved girl who was one of the kidnapped victims. After the deaths of her friends, Marie and Tomoe, she was dragged along by Misaki to Rougetsu Island to uncover the truth. She ends up spirited away and reappears as a boss for Ruka and Misaki to fight.
  • Apocalyptic Log: Madoka's Diary, Memos, and Notebook.
  • Decoy Protagonist: Trailers and promotional material teased Madoka as a playable character along with the other three possible ones. In the game proper, she dies in the very first chapter.
    • Further exemplified in Mission Mode, as you actually play as her for a few missions, except she still uses Ruka's Camera Obscura with the same upgrades.
  • Facial Horror: Her ghost can start Blooming during battle, horrifically distorting her face. She's the one that introduces the mechanic, in fact.
  • Fragile Speedster: Her ghost moves fast and will often try to come tumbling in a frenzy towards Ruka or Misaki to deal decent damage. She doesn't have much health, however.
  • Foil: To both Ruka and Misaki, who were kidnapped along with her, Marie and Tomoe, to serve as Kanade for the Kiraigou. Both girls want to find out the truth behind their past, their conditions and the deaths surrounding the island, and continue through the installations despite fearing the outcome. Madoka openly admits she wants to forget it and not think about it any longer, afraid of the pain it could bring her, leaving her vulnerable enough to get lost from Misaki and, by consequence, spirited away.
  • The Legend of Chekhov: A letter from her mother tells her that their family bloodline will protect her. It doesn't, but the Tsukimori name becomes much more important later in the story.
  • Recurring Element: The most recent victim of the game's curse, with the added bonus of being a character you play as, even if for a very short while.
  • Replacement Goldfish: She believed she was one for Misaki's friend, the mysterious girl in black. In reality it's Sakuya, Misaki's actual friend. The girl in black was a doll Sakuya gave to Misaki.
  • Rogue Protagonist: You only play as her for the first chapter, in which she dies right at the end. Come the following chapter and Ruka has to fight her as a hostile ghost.
  • The Quiet One: Noted to be quite meek and soft-spoken. Even despite her limited screen time, she has very few voiced lines.
  • Sanity Slippage: Her memos hint this happened to her before she died; her writing progressively becomes more childish and disjointed.
  • Shrinking Violet: Meek and easily pushed around by others.
  • Tomboy and Girly Girl: She's the girly girl to Misaki's tomboy.
  • Turns Red: Like other ghosts in this game, she'll "Bloom" when her health is low, powering her attacks and giving her the chance to kill in one hit.
  • Wake-Up Call Boss: The first ghost to be rather fast in her movements and almost unpredictable in how she'll attack, as well as the one that introduces Blooming as a combat mechanic.
  • When She Smiles: To Misaki in the Photograph Ending.

    Choushiro Kirishima 

Voiced by: Katsuyuki Konishi

https://static.tvtropes.org/pmwiki/pub/images/kirishima.jpg

"There's no evidence that Haibara crossed to the island, so headquarters can't do anything... The search will continue in Tokyo. But, Haibara... I have a feeling he is still on the island. Even if it's just my intuition..."

Ex-police officer turned detective. He discovered the five abducted girls in a cave beneath Haibara Hospital and has been chasing the perpetrator, You Haibara, ever since. Unlike other playable characters, he uses a device called the Spirit Stone Flashlight to fight ghosts.
  • All Love Is Unrequited: He had feelings for Sayaka, Ruka's mother.
  • Apocalyptic Log: His Investigation Record tapes and his personal Notebook.
  • Big Damn Heroes: He places the mask back on Sakuya Haibara's ghost, when Ruka is unable to do so.
  • Dead All Along: In a shocking twist, he died years ago and is himself a Ghost.
  • Determinator: It causes him to be caught in a cycle of pursuing You Haibara until the moment of his death. On a more positive note, it also saved him from the Getsuyuu outbreak. His determination in finding Haibara snaps him out of his fear of Sakuya's distorted face (he caught a glimpse of You running away during so), which would have caused him to Bloom otherwise.
  • Foreshadowing: When he shows up on the island, he appears to wake up on the ground for some reason. Also, he finds his notebook and investigation tools just scattered nearby.
  • Go Out with a Smile: He gives Ruka one last smile before joining the other spirits towards the afterlife.
  • Lunacy: How the Spirit Stone Flashlight exorcises ghosts; it shines absorbed moonlight from the Spirit Stones to purify the spirits.
  • Mechanically Unusual Fighter: Unlike the other characters who use the Camera Obscura, Choushiro's Spirit Stone Flashlight works very differently. For one, it switches between two modes, a mode that can take pictures (somehow), and the other mode which is used for combat. His "film" is recharged by standing in moonlight or just waiting for a while.
  • Perma-Stubble: It adds to his rough, "no-nonsense cop" appearance.
  • Resurrected for a Job: Played with. The spirit of Sayaka contacts him to aid Ruka when she returns to the island. He's still dead, but it breaks the loop his spirit was trapped in, and later he can join the others to the afterlife.
  • Taking You with Me: Rather than letting You Haibara escape, he tackles him off the roof so that they both fall to their deaths, and right after he was stabbed no less.
  • Tomato in the Mirror: When he sees his own corpse and realizes he's been dead the entire time.
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Major Ghosts

    Sakuya Haibara 

Voiced by: Rie Tanaka

https://static.tvtropes.org/pmwiki/pub/images/sayuka.png

"This... is this the last sound I'll hear?"

The main antagonist of Fatal Frame IV. Her father and brother tried to cure her disease by making her dance in an ancient ritual, the Kiraigou, wearing the eponymous Mask of the Lunar Eclipse, so she could cure the Getsuyuu Syndrome "outbreak" plaguing the island. The ceremony failed, so she now wanders the island inflicting death on all who look at her.
  • Apocalyptic Log: Sakuya's Diary.
  • Battle Theme Music: Her final encounter is accompanied by the Gesshou Shrine's rendition of the Tsukimori Song.
  • Big Bad: Of Fatal Frame IV.
  • Body Horror: She is constantly Blooming, a state that involves the face being horribly distorted in impossible ways.
  • Brother–Sister Incest: Implied in-game, with several mentions from You and Ayako seemingly referring to Sakuya as the mother with You as the father.
  • Came Back Wrong: The ritual's failure did not kill her, only leaving her in a state between life and death. However, that still allowed her to Bloom, a normally postmortem and contagious symptom of Getsuyuu Syndrome, and she became a wandering spirit that cursed the island and those who looked at her wherever she walked.
  • Companion Cube: The Miya doll she shared with Misaki so both would remember each other.
  • Contrasting Sequel Antagonist: Sakuya's failed ritual is the most "recent" in comparison to the other rituals presented in the series (happened during the 1970s), and her suffering from its outcome is also notable in that she lasted two years in a state of limbo until the game's disaster struck, while previous Shrine Maidens had theirs occur immediately after their deaths. Also, much like Reika, Sakuya's name isn't outright stated until a bit later in the game, but it serves to play into the overall theme of amnesia, regaining one's identity and connections. Finally, the previous games dealt with curses that were clearly referred to as such by characters, while Getsuyuu is treated as a medical condition despite its supernatural causes.
  • Cool Big Sis: She was this to her brother You, and also fellow patients Misaki and Ayako.
  • Cool Mask: The titular Mask of the Lunar Eclipse that she had to wear as an Utsuwa.
  • The Faceless: The nurses often mentioned in their memos that they can't remember her face even after seeing her, which horrified them.
  • Glass Cannon: A decently-upgraded Camera Obscura or Spirit Stone Flashlight can make the times you finally battle her incredibly short encounters, with a complete Camera able to end Sakuya's final battle in less than two minutes with the right film, although it doesn't change the fact that she's fast and strong enough to deal a ton of damage in short time if you're not watching her movements.
  • In-Series Nickname:
    • "Woman Dressed in Red" for her encounter at the halfway point of the game and fight with Kirishima after that;
    • "Lunar Eclipse Sakuya" for her final boss fight.
  • Interface Screw: As per tradition for this series, encountering her before her designated boss fights has her turn the screen monochromatic and distorted, only this time she also distorts the Camera Obscura so it cannot affect her.
  • Mad Scientist's Beautiful Daughter: She's a beautiful woman, surely, but the trope is downplayed in that her father and her brother both became mad scientist archetypes to try and help her condition.
  • Many Spirits Inside of One: As the Utsuwa of the Kiraigou ceremony, her true purpose is meant to be the vessel in which ghosts are sent through to enter the Afterlife.
  • Meaningful Name: The characters of her name are read as "night of the new moon." Saku is also synonymous with the verb "to bloom".
    • "Miya", Misaki's nickname for her, comes from the first and last kanji in each of ther names, with "Mi" meaning "night" and "ya" meaning "sea".
  • Musical Assassin: In her final boss form, Sakuya can weaponize the Getsuyuu Syndrome's "Resonance" (the factor that causes it to spread to other people, a resonance between souls) to cause damage to Ruka with a specific attack. Ruka can counter this by "equipping" the Mask of the Lunar Eclipse, avoiding the damage.
  • Not Quite Dead: The final boss fight will count as "defeating" her, when in reality she's just pacified long enough for Ruka to finish the Tsukimori Song and end the game. Fail to play the song correctly three times, though, and Sakuya will have to be fought again before the player can retry.
  • Psychic Powers: Noted for her strong psychic abilities, which worsened her condition.
    • Psychic Link: With Misaki, a fellow inpatient at Rougestu Hall. The two met when Misaki was still 7 years old, creating a doll bearing the name Miya to help both remember each other.
  • Sanity Slippage: Came with the later stages of Getsuyuu Syndrome, combined with an immensely powerful sixth sense. The reason why she isn't even referred to by her name early on is that the realization of severe lapses in her own identity caused her to have violent fits.
  • Tragic Monster: She panicked at the worst possible moment and was driven mad by an illness, barely aware of who she was and having her face mutilated by Blooming; notably, instead of exorcising her, you restore her mind, and she finishes the ritual peacefully.
  • Unkempt Beauty: She's repeatedly noted to be an incredibly beautiful woman, though disheveled because of her illness.
  • Yamato Nadeshiko: When not taken over by her illness, she was very gentle and elegant as befits a Japanese lady. She had a strong devotion to her family, and gave Misaki considerable strength through their meetings.

    You Haibara 

Voiced by: Takahiro Sakurai

https://static.tvtropes.org/pmwiki/pub/images/youhaibara.png

"My sister will wake up. One day, for sure."

Sakuya's brother, and a doctor at Haibara Hospital. For the sake of his sister, he conducted cruel experiments and killed many people. He helped kidnap the five girls for the ceremony, and tried to recreate it to cure Sakuya's illness.
  • Apocalyptic Log: The Black Notebook.
  • Brother–Sister Incest: Implied with Ayako, with hints that she is the daughter of Sakuya and You.
  • Dead All Along: Choushiro hunting him through the hospital building is actually a never-ending time loop their ghosts are both going through.
  • Disney Villain Death: Choushiro tackled him off the roof of the hospital after You stabbed him, in a Taking You with Me maneuver.
  • Mad Scientist: He became one, in his efforts to find a cure for his sister.
  • Serial Killer: Was suspected of being one due to the many people that died during his experiments, which steadily became more inhumane and sadistic.
  • The Unfettered: Downplayed in that he does show emotional responses to other characters and is openly regretful of what he did with the experiments and kidnapping the girls, although they're severely minor in comparison to how much he loves his sister, which is his driving force to commit these horrible deeds in the first place. By the time Choushiro finally cornered him, You simply stabbed him and let himself be killed in retaliation, since by that time he had nothing left to care for any longer, including his own life.
  • The Unfought: While his spirit haunts the island, Kirishima's confrontation with him doesn't involve a battle of any kind. He also never Blooms, since he ran away when Sakuya began the Day Without Suffering.

    Doctor Shigeto Haibara 

https://static.tvtropes.org/pmwiki/pub/images/haibara.png

"The lunar eclipse occurs once every 10 years. This opportunity to perform it again must not escape. ...We have no time."

The director of Haibara Hospital, and father to Sakuya and You. In the past, his family were ceremony masters and practitioners for the island, and his obsession with curing his daughter led to him forcing her to perform the forbidden ritual, with him as the figurehead and organizer as per family tradition.
  • Apocalyptic Log: Director Haibara's Notes.
  • Combat Hand Fan: His hostile form uses a ceremonial hand fan as a weapon, using it to throw needle-like projectiles and energy disks.
  • Cool Mask: He wears a ceremonial mask during the ritual and as an attacking spirit. Given he died during the Day Without Suffering, this was likely done to prevent Blooming should the ritual fail, which it did.
  • Find the Cure!: He was determined to find a cure, in order to save his daughter.
  • Harmful Healing: Many of his patients got worse from his experimental treatments, such as a little girl that mentions bleeding from her eyes in her diary.
  • High Priest: He attempted to revive the traditions of the Haibara family, who served as the island's High Priests in the past.
  • Mad Doctor: Some of the treatments he attempted are chilling to see or read about, and often killed the patients. Keep in mind that at least two hostile ghosts you can face have borderline MEDIEVAL iron devices on their heads from failed brain surgeries.
  • Mad Scientist: He became one in his desperation to cure his daughter.
  • Recurring Element: Fulfills the role of a Ceremony Master ghost in this game, acting as the high priest for the Kiraigou due to his family occupying this role in the past.
  • Well-Intentioned Extremist: His brutal experiments and the secret ritual were all to find a cure from the disease plaguing the island.

    Sayaka Minazuki 

https://static.tvtropes.org/pmwiki/pub/images/sayaka.png

"Someday when Ruka's cured, I'll see her smile..."

Ruka's mother, who took her away from the island after the incident 10 years ago. She is in poor health, and asked Kirishima to look for her daughter.
  • Apocalyptic Log: Sayaka's Diary and Letter to Souya.
  • Dead All Along: She died to her illness some time during the decade between the eclipses, and it was her spirit that awakened Kirishima to help Ruka.
  • Ill Girl: She fell ill at some point after leaving the island, and was bedridden for some time.
  • Mama Bear: She was horrified by her husband's actions, and took Ruka away from the island to protect her. Even in death, she lovingly watches over her daughter.
  • Miko: A descendant of the Tsukimori shrine maidens, and took her heritage seriously.
  • The Power of Love: Her love for her daughter is strong enough to trascend even death itself.
  • Someday This Will Come in Handy: She made a point to teach Ruka to play a particular song on the piano, which turns out to be the song necessary to calm the Moon and defeat Sayuka.
  • Too Good for This Sinful Earth: She's the single most helpful, caring, loving person in the game, having unfortunately succumbed to her illness some time before the events of the plot.
  • Yamato Nadeshiko: She is a classic Japanese lady, with elegance and a strong devotion to her family and heritage.

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    Souya Yomotsuki 

Voiced by: Takahiro Sakurai

https://static.tvtropes.org/pmwiki/pub/images/souya.png

"I must overcome this masterpiece. Achieve Souetsu's most earnest wish - to complete the Mask of the Lunar Eclipse."

Ruka's father, a master Mask Maker for the island. He became obsessed with re-creating and perfecting the Mask of the Lunar Eclipse, agreeing to help the Haibaras carry out the ritual.
  • Action Dad: During the final chapters, his ghost becomes hostile towards his own daughter and will relentlessly attack her, visibly against his will.
  • Apocalyptic Log: Souya's Notes.
  • Cool Mask: He made them, and wears one for much of the game, both as part of the ritual and possibly to prevent Blooming should it fail. Which it did.
  • Disappeared Dad: He has been absent from Ruka's life since her mother took her from the island years ago, and she recalls him spending little time with his family before then, too focused on his mask-making, especially when he was tasked with the Mask of the Lunar Eclipse.
  • Face Death with Dignity: When the Kiraigou failed and Sakuya began to wander, causing the Day Without Suffering, Souya resigned himself to the caverns underneath Rougetsu Island and simply sat down and waited for his demise.
  • The Faceless: Throughout the game, Ruka cannot recall what he looked like. Though averted in the game's ending, where he even smiles proudly at her.
  • Gone Horribly Right: He began to believe his Mask of the Lunar Eclipse was supposed to shatter, and cause Sakuya to Bloom.
  • Improbable Weapon User: His hostile ghost uses masks as projectiles, and his grab attack has him try to force one onto Ruka's face.
  • In-Series Nickname: Mask Maker.
  • Married to the Job: His marriage and relationship with his daughter suffered as a result of his obsession with refining his art.
  • Recurring Boss: Fought constantly in the final chapter as Ruka ascends the Tsukuyomi Lighthouse towards Sakuya.
  • The Reveal: After the curse is broken, Ruka (and the audience) finally see him without his mask.

    Ayako 

https://static.tvtropes.org/pmwiki/pub/images/ayako.png

"That nurse came again today, to tell me I was too noisy. When I made a little cut and pulled the scissors back, she gave an ugly howl. I hated her ugly insides."

An important patient at Haibara Hospital, hinted to be the daughter of Sakuya and You Haibara. She was a cruel and sadistic girl, often bullying Madoka or the nurses through psychopathic, violent means.
  • Apocalyptic Log: Ayako's memos.
  • Ax-Crazy: With her extreme sadism and cruelty, it's safe to say she is very much this.
  • Brother–Sister Incest: Hinted to be the product of such a union.
  • The Cameo: She appears as a ghost in the Haunted House mode of Deep Crimson Butterfly.
  • The Computer Is a Cheating Bastard: She introduces her very first battle by tackling Misaki in a cutscene, and then immediately starting the battle in a damaging grab attack. Better hope you have full health or a Stone Mirror.
  • Creepy Child: Certainly one of the creepiest in the series, due to her cruel and sadistic nature. She's so creepy, she actually makes an appearance in Deep Crimson Butterfly as a mission boss.
  • Creepy Doll: The dolls scattered across Rougetsu Island are implied to be all hers, as breaking the curse of the dolls has her image suddenly appear and stare deeply and unflinching at the player, giggling.
  • Elegant Gothic Lolita: Her overall style.
  • Enfant Terrible: She enjoyed such past times as pushing people down stairs, dragging them down hallways by their hair, and cutting the heads off small birds (like she did to a canary Madoka used to own).
  • Face of an Angel, Mind of a Demon: She was a very beautiful little girl with a sweet face, but a cruel and vicious nature.
  • Jerk with a Heart of Jerk: One of the nurses believes her to actually be a sweet girl. She's not, and is in fact one of the most evil ghosts in the entire series.
  • Jump Scare: Her hostile ghost is introduced with one, which carries out from the cutscene as a grab attack.
  • Only One Name: Her surname is very intentionally left out, with the staff only knowing that her family is very important and she has a connection to Dr. Haibara.
  • Room Full of Crazy: Her room is filled with strange giggling, shifting lights, and doll limbs hanging from the ceiling.
  • Sadist: She enjoyed torturing others, viewing them as her playthings.

Hospital staff and patients

    Tsubaki Tono 

"I came to this island upon my uncle's recommendation. Although I was scared at first, I'm very grateful now."

A beautiful nurse from the Mainland. She was well-loved for her kind nature, and asked to play the role of the Vessel/Utsuwa in the island's celebratory festival, the Rougestu Kagura. During her performance, the failure of Sakuya's ritual happening simultaneously caused her to die on the spot, in front of all the attending guests.
  • Apocalyptic Log: Tsubaki Tono's Diary.
  • Ethereal White Dress: In both her Nurse form and Vessel form.
  • Game-Breaking Bug: Her unmasked Vessel form has a Blooming photo you're incapable of obtaining due to a glitch.
  • Hime Cut: Long hair, even bangs and such adds a refined air to a kind-hearted nurse.
  • In-Series Nickname: "Utsuwa" (aka Vessel) for her fully-dressed ceremonial form. Her nurse and later unmasked Utsuwa forms use her actual name.
  • Literal Split Personality: Her Nurse form is a kindly ghost that aids Kirishima, while her Vessel form is a hostile spirit that attacks Ruka.
  • Wolfpack Boss: Her Vessel form is sometimes fought along with the Accompanists/Kanade from the festival, making a total of six ghosts fought at once.

    Kageri Sendou & Watashi 

https://static.tvtropes.org/pmwiki/pub/images/kageri.png

"Don't touch "me"...!"

A young woman from a wealthy family hospitalized at Haibara Hospital. After losing her twin sister who she was obsessed over, she created a life-sized doll modeled after her as a substitute and believed it to be alive, taking her around the island on a wheelchair. On the Day Without Suffering, Kageri looked at Sakuya's Blooming face and, beginning to suffer from it herself, chartered her doll around the island until she died.
Her ghost now walks the corridors of Haibara Hospital with her doll in tow... which actually is alive, now.
  • Angsty Surviving Twin: She went mad after the death of her sister.
  • Apocalyptic Log: Kageri Sendou's Letters and the Black Woman's Dropped Letter.
  • Black Sheep: From a prominent family, she became the family's shameful secret.
  • Creepy Doll: "Watashi", the life-sized doll of Kageri's sister Kaoru. Now capable of movement, it stumbles creepily around whenever Kageri is present.
    • There's also the weird, uncanny mannequin in Kageri's room, which will look at the player if examined through the camera.
  • Creepy Twins: Kageri and Watashi invoke this image due to the absence of Kaoru.
  • Driven to Suicide: Kageri's obsession and controlling nature eventually drove her sister to presumably kill herself.
  • Dual Boss: Kageri and Watashi are often fought together, although there are moments where you face one of them on their own. If fought together, the player needs to take care of Watashi first in order to defeat Kaoru, making Kageri more of a Flunky Boss.
  • Eerie Pale-Skinned Brunette: She appears to have been one in life, and is certainly even worse an example in death.
  • Expy: Their dynamic brings to mind Akane Kiryu and her doll from "Fatal Frame II". Both pairs are twins who lost one sister due to tragic circumstances, had a doll made to replace said twin sister, and had said doll come alive. What differs between them are the circumstances leading up to their fates and their battle dynamics (Kageri comes from a wealthy background while Akane's family was influential but not necessarily wealthy, Watashi seems to have come alive after Kageri's own death while Akane's doll was possessed by an evil spirit as she was alive, and Kageri and Watashi are linked but not necessarily fought together all the time, while you never see the Kiryu "twins" apart).
  • Glass Cannon: Watashi, who will relentlessly (and pretty much literally) throw herself at you at a shocking amount of speed to deal a high amount of damage if the attack connects. If you manage to get her alone or lock her in a Fatal Frame combo without being interruted, however, you can bring her down fairly quickly.
  • Goth: They invoke the basic image, with the black dress and pale complexion.
  • Nice Hat: She wears an elegant dress hat, with a veil.
  • In-Series Nickname: Kageri is referred to as "Black Woman" for most of her Spirit List entries.
  • Uncanny Valley: Invoked with Watashi. Unlike Akane Kiryu's doll, who could at least move somewhat human-like, Watashi visibly jerks and contracts in creepy ways that make it clear it's not a real woman, and her face is also too woodened and expressionless to truly represent a real person, yet is just detailed enough to have discernible features, making her gaudier but also more openly terrifying.
  • Villainous Incest: She was obsessed with her twin sister, and eventually confessed her feelings. Rejected, she crippled her sister and kept her confined to a wheelchair and dependent on her, which led to said sister killing herself.
  • Yandere: Kageri was unhealthily obsessed with her sister Kaoru, crippling her to the point where she needed a wheelchair, all so she could make her be dependant on Kageri forever. This caused Kaoru to seek the the worst possible way to escape her sister's controlling tendencies.

    Yuukou Magaki 

"I was born! I was born!"

A patient at Haibara Hospital, going by what is presumably an alias. He was a wealthy painter, making many financial and artistic contributions to the hospital prior to his illness. On the Day Without Suffering, he watched Sakuya parade around the island and spreading the Blooming, openly embracing his death, satisfied that he painted the event due to a "vision" he had some time before.
  • Apocalyptic Log: His two work notes.
  • Art Attacker: He can hurl paint, which blocks the view finder temporarily.
  • Interface Screw: The paint he throws at the player can block the View Finder temporarily.
  • Mad Artist: As a result of contracting Getsuyuu Syndrome, his sanity deteriorated the more time he spent on the island. Eventually he started to have "visions" of the Day Without Suffering, and screaming incoherently about "eradication".
  • Psychic Powers: He began having visions of the disaster to come, painting images of the failed ritual and the Day Without Suffering on the screens and floor of his room.
  • Recurring Element: The closest thing this game has to a "crawling" ghost, mostly due to Magaki preferring to slither and crawl on all fours on the ground despite being physically able to stand up straight, even during battle.
  • Starving Artist: Averted, prior to his illness. He was successful enough to become a financial patron of Haibara Hospital until he was admitted.
  • Turns Red: His ghost can Bloom during battle.

    Shoji Katagiri 

"Please, investigate this hospital as soon as possible."

The assistant director at Haibara Hospital and a doctor under Shigeto Haibara's employ. He was worried about the increasingly inhumane practices his boss conducted to cure Getsuyuu Syndrome and somewhat skeptical of the more supernatural methods, but soon grew enticed by the prospect of witnessing the Kiraigou and its effects on the patients. During that time, he was also the one who heard the voices of the kidnapped girls coming from a well and notified the authorities in the mainland, resulting in Kirishima investigating the case and saving the girls when he went there.


Presumably he died during the Day Without Suffering, and now his ghost wanders the halls of the hospital.


  • Apocalyptic Log: The Assistant's Notes.
  • Beleaguered Assistant: To Dr. Haibara, helping with the preparations for the Kiraigou while essentially forced to keep quiet about the questionable practices he utilized to treat the syndrome.
  • Interface Screw: His ghost carries a pen light that he can flash to momentarily blind the player by lighting up the screen.
  • Mysterious Informant: To Kirishima and the police, which kickstarted the investigation into Haibara Hospital.
  • Sanity Slippage: Gradually, as he helped with the preparations for the Kiraigou, he became obsessed with the ceremony and Sakuya, steadily desiring to be a part of it himself. Nothing comes of him saying he wanted to be in the Kiraigou, but he did stay long enough to die by Blooming.
  • Turns Red: He's one of the ghosts that can Bloom during battle.

    Fuyuko Shiratsuki 

"That girl..."

A nurse at Rougetsu Hall, charged with overseeing the 2nd floor wards, meaning she was also in charge of Ayako and was a constant victim of her aggression. The most experienced nurse in the building, she died during the Day Without Suffering.
  • Apocalyptic Log: 2nd Floor Nurse's Log.
  • Break the Cutie: Any person would be broken having to look after Ayako, of all children. A particular Vanishing Ghost moment shows that Fuyuko was dragged by her hair by the 12-year-old into her room for further torture. She also had to deal with kleptomaniac Kazuto Amaki and would often go into his room to get back what he stole.
    • Kill the Cutie: Died in the Day Without Suffering after looking at Sakuya's Blooming face.
  • Turns Red: She can enter a Blooming stage during battle.
  • Warm-Up Boss: She shows up early in Chapter 1 to attack Ruka, serving as a second preparatory enemy for the game.

    Shie Sonosaki 

"When she opens her eyes, and opens that door... I know the world will collapse..."

A nurse previously in charge of Rougetsu Hall's fourth floor, Sakuya Haibara's ward. She was extremely frightened by her and, after a while, asked to be changed to another ward with seemingly no response from the director. After the failed Kiraigou and nurse Tsubaki Tono's death, Shie was moved to the basement to continue watch over Sakuya and also took over Tsubaki's duty as nurse for the third floor ward. Her fear of Sakuya had her constantly on edge, even as she was in a limbo state of being, and Shie had the dreadful feeling that once she left the room, it would spell destruction for them.


On the Day Without Suffering, Shie watched Sakuya open the basement door and leave the basement, Blooming and dying in the process.


  • Apocalyptic Log: 4th Floor Isolation Ward Reports, Duty Nurse's Memo, Duty Nurse's Note, Nurse's Note and 3rd Floor Nurse's Log.
  • Break the Cutie: She essentially suffered psychological abuse by being forced to watch over a patient that terrified her and then reassigned to watch both said patient in a dark basement and an entire ward in the 3rd floor.
  • Dual Boss: With Dr. Katagiri in Chapter 5.
  • Fragile Speedster: Her ghost can lunge really fast, enough to make the Fatal Frame moment extra delicate to time, but she can be dealt with fairly quickly if the player hits the timing right.
  • Hospital Hottie: She has a voluptuous frame and long black hair, but she's still very creepy-looking as a ghost.
  • Turns Red: Her ghost can Bloom during battle.

    Takashi & Iori Aiba 

Takashi: "I did come to the island to visit, but... A black mask..."

Siblings that traveled to the island to study Dr. Asou's work, and fell ill after attending the tourist Kagura festival. Takashi Aiba was an old college friend of Choushiro, and hoped to set him up with his sister Iori, but both ended up succumbing to the disease.
  • Apocalyptic Log: A Bundle of Half-Burned Letters and a Fragment of an Unsent Letter, both from Takashi.
  • Curiosity Killed the Cast: Takashi was yet another ill-fated Folklorist studying Dr. Asou's research. Even worse in that he didn't even seek out something that was "doomed" or "cursed" per se; as far as they knew, the Kagura was just a harmless reenactment of an ancient ceremony rich in folklore. Both he and his sister were victims of severe bad luck.
  • Dual Boss: They can be encountered together in Chapter 8. Takashi can also be fought with Tadayuki Kaido at the courtyard in Chapter 7, while Iori is fought alongside Natsuki Shiono during Chapter 2.
  • Eye Scream: Both siblings have bloody bandages covering their eyes.
  • Game-Breaking Bug: Takashi and Iori are some of the ghosts whose Spirit List entries include a Blooming photo that you can never capture due to a glitch.
  • I Never Got Any Letters: The hospital staff attempted to destroy Takashi's letters to Choushiro, which he eventually discovers while investigating the hospital.

    Kazuto Amaki 

"Give it back!"

A patient at Rougetsu Hall, suffering from Getsuyuu Syndrome. A young boy with a habit of stealing things and taking them to his room, he was a constant handful towards the staff. Died during the Day Without Suffering.
  • Apocalyptic Log: Boy's Diary.
  • Berserk Button: Trying to get a stolen object from him or his room by force or without him knowing. Nurse Shiratsuki's memo points out that asking him to return it politely works better, as he'll not resist doing so. Ruka has to fight him in Chapter 1 precisely because she accidentally presses this button by taking a mask in his room.
  • Expy: His design seems to be inspired by Toshio, the iconic child ghost from the Ju-on movies.
  • Game-Breaking Bug: His Blooming picture can never be taken due to a glitch.
  • Sticky Fingers: A kleptomaniac young boy that couldn't stop stealing things from around the hospital and taking them to his room.
  • Trash of the Titans: A downplayed example, but his room is full of things that he stole from around Rougetsu Hall.

    Shrine Guards 

A group of masked men and women serving the Haibara Family, natives to Rougetsu Island, tasked with watching over the basement levels of the island and its cave systems to prevent intruders from entering the Shrine of Mourning, as well as charged with carrying out the Face-Cutting Ritual in cases of Blooming. Four of them were present during the attempt to resurrect the Kiraigou ceremony, and all four were subsequently killed when Sakuya began the Day Without Suffering, cornering each of them in the caverns.


  • Apocalyptic Log: Note Left by Islander, left by Masanobu.
  • Cool Mask: They wear wooden masks, possibly to protect from Blooming. While it didn't stop them from dying to it, their ghosts will never Bloom during battle.
  • Faceless Mooks: They do have names, but the fact that the two men and the two women act similar to each other and even look alike due to the masks makes telling them apart a lot more difficult.
  • Facial Horror: Besides their creepy-looking masks, they were meant to carry out the Face-Cutting Ritual on victims of Blooming, so their spirits wouldn't suffer from it. A Hidden Ghost photo shows the grotesque results of the procedure.
  • Improbable Weapon User: The two men use long wooden poles, while the two women use torches.
  • No Name Given: Averted, since the Ghost List uses their full names to categorize them (the two males are Michihiko Ikushima and Masanobu Fuchiki, while the two females are Sato Mizunoe and Miyoshi Tsukigase).
  • Praetorian Guard: To Shigeto Haibara, guarding the Shrine of Mourning and keeping it sealed from the rest of the hospital.
  • Recurring Boss: Does your chapter mission even hint that you have to go to the basement levels? Then you're guaranteed to fight them at least once, maybe even two of them at the same time.
  • Recurring Element: Ritual aides for the ceremony master.
  • Torches and Pitchforks: They invoke this trope by using simple weapons and being residents of the island, if only a minor step up from an angry mob due to being guards to the Shrine of Mourning.

    Himiko Kiriya & Yuuzou Takemura 

Himiko: "I forgot something... No, I feel like I can't remember anything..."

A pair of inpatients at Rougetsu Hall. Both were chosen to undergo experimental treatment for Getsuyuu Syndrome, involving horrific-looking devices that were placed forcefully on their heads for brain surgery purposes. The surgeries only served to kill them faster, speeding up their Blooming.
  • Apocalyptic Log: Diagnosis Record on Himiko Kiriya.
  • Body Horror: Post-mortem, Yuuzou was cut up into pieces by the doctors in a futile attempt to study the syndrome and the effects of the surgery on it. A Vanishing Ghost picture can be taken of him in a sink at the surgery prep room, where he's half-submerged in dirty, bloody water where his body was supposedly left at.
  • Cruel and Unusual Death: Both succumbed to complications of brain surgery that worsened their Getsuyuu Syndrome cases and killed them through Blooming.
  • Harmful Healing: The two have a borderline-medieval-looking device on their heads, supposedly used for brain surgery performed by Dr. Haibara that only served to make their disease worsen and kill them.
  • Random Encounter: They are faced at random throughout the hospital areas.
  • Turns Red: Despite the horrific devices on their craniums, both of them are capable of Blooming in battle.

    Asagi Hizuki 

"Are you sick too?"

A very young girl committed to Haibara Hospital, with a severe case of Getsuyuu Syndrome. She died as a result of Dr. Haibara's experiments.
  • Apocalyptic Log: The Picture Diary.
  • Creepy Child: A very hostile and creepy little ghost girl.
  • Cruel and Unusual Death: She died as a result of experimental surgeries, with her diary describing her suffering greatly before finally succumbing. She describes her "head turning red", her hair falling out, and crying bloody tears.
  • Infant Immortality: Horribly averted. Not only does this 6-year old die, her death is described as particularly awful.
  • Stringy-Haired Ghost Girl: She's a very small example of the trope, with long matted black hair hanging over her face.
  • Tears of Blood: Her diary describes the experiments causing her to cry bloody tears.
  • Tragic Monster: At age 6, she's the youngest ghost in the game and, possibly, one of the youngest in the series as a whole. This little girl suffered a lot before she died.
  • Turns Red: Her ghost can Bloom later in the game.

    Takahisa Kouzuki 

"You cannot escape!"

An apprentice mask-maker under Souya Yomotsuki, living in the Yomotsuki House at the island to better learn the tricks of his trade. It's unknown how he died, but his hostile ghost attacks Ruka through the story.
  • Cool Mask: Has a wooden mask similar to Souya's, possibly to prevent Blooming.
  • The Dragon: To Souya, as his apprentice and obligatory encounter at his master's home.
  • Improbable Weapon User: Like his master, he uses masks as projectiles and tries to force one onto Ruka as an attack.
  • Teleport Spam: Prefers to inch closer and closer to Ruka in this manner, making it extremely difficult to lock-on to him.

    Yoriko Sonohara 

"I will leave this world, with the few memories I have left."

The first ghost fought in the game. Having gone through an extensive period of traumas, Sonohara was taken into Rougetsu Hall for treatment of Getsutyuu Syndrome. As she started to forget her family due to her condition worsening, she hanged herself in her room. Her ghost now haunts the corridors and is first met by Madoka at the Kunihiko Asou Museum.
  • Apocalyptic Log: Female Patient's Note.
  • The Goomba: As she's the first enemy you face, later encounters with her are kept relatively easy, as she has little health and deals low damage.
  • Random Encounter: She's met randomly through the Rougetsu Hall areas.
  • Trauma Conga Line: Her mother died during childbirth, her father and brother were killed in an unspecified accident, and her memories of them were starting to wane due to Getsuyuu Syndrome. Given that said memories were pretty much what kept her alive (as she puts it), it's no wonder she was Driven to Suicide.
  • The Un-Reveal: Her room in Rougetsu Hall, with a broken door and collapsed ceiling, making it impossible to access.
  • Warm-Up Boss: She's the very first ghost fought in Fatal Frame IV, introducing the combat mechanics for the game.

    Tadayuki Kaido 

"Repeating..."

A man visiting Rougetsu Island from the mainland. He contracted the Getsuyuu Syndrome during his visit and subsequently died from Blooming while under the hospital's care.
  • Random Encounter: Only one fight with him is mandatory, at the Hall's library. Afterwards he's a random encounter through the Rougetsu Hall rooms.
  • Turns Red: Capable of Blooming.
  • Wake-Up Call Boss: Because of his higher tendency to vanish from view, he'll be a nightmare for players who haven't grasped the lock-on feature.

    Tomoko Hinuma 

"It's too cold..."

A patient suffering from Getsuyuu Syndrome that killed herself by falling into the pool at the Courtyard.

    Natsuki Shiono 

"Welcome home..."

A patient who waited for her lover to return and visit her during her hospitalization, but he never came.
  • I Will Wait for You: She waited at the entrance door of her ward for her lover to come visit her during her stay at Rougetsu Hall. He never did.
  • Random Encounter: Fought at different rooms at the Hall.
  • Turns Red: Capable of Blooming.
  • Your Cheating Heart: The Ghost List states that her supposed lover "betrayed" her, hinting that he left her for another.

    Kyouko Kitazume 

A patient whose treatment had her be hanged upside down at the ceiling of a punishment room in the basement of Haibara Hospital. When the Day Without Suffering came, she was abandoned in the chaos and died while still upside down.


  • Cruel and Unusual Death: She was either left hanging with her body tied up in a basement room, or Bloomed during the Day Without Suffering. The fact she can do it in battle indicates the latter.
  • Lightning Bruiser: She is incredibly fast. Her rushing attack takes a millisecond and the fact she can disappear into ceiling beams and the walls makes her a nightmare to try and lock the camera onto. Doesn't help that her attacks hurt, taking moderate amounts of health each time.
  • Mechanically Unusual Fighter: She fights you from the ceiling, crawling on it and hanging herself down for an attack.
  • Recurring Boss: You'll face her a lot in later chapters, particularly because she leaves the basements and starts to torment you at the Hall proper, or even at the Lunar Eclipse Hall.
  • Turns Red: Can Bloom during battle.

    Sanae Houzuki 

A patient at Rougetsu Hall suffering from Getsuyuu Syndrome. Succumbed to Blooming.


  • Mook: Pretty much exists to be this. She's simple to deal with and is a Random Encounter most of the time.
  • Turns Red: Can Bloom during battle.
  • We Hardly Knew Ye: She has no other Ghost List entries besides her hostile form's and associated Blooming photo, so nothing else exists to give her a backstory other than her apparent enjoyment of the beach at Rogetsu Island.

    Katsuhito Kariya 

Inpatient suffering from the syndrome. By the time of the Day Without Suffering, his Budding was so severe he couldn't even recognize his own face.


  • Mook: A random encounter ghost with no mandatory fights.
  • Properly Paranoid: His Budding led him to become paranoid that the hospital was conducting experiments on the patients. He was correct.
  • Turns Red: Capable of Blooming.

    Accompanists 

The five "Kanade" that participated in the Rougetsu Kagura for the tourists during the night of the Kiraigou. When Sakuya's ceremony failed, Tsubaki's dance also ended in tragedy as both her and the Kanade collapsed. It eventually resulted in their deaths, causing them to haunt the Lunar Eclipse Hall where they once performed.


  • Creepy Child: A whole group of creepy masked children.
  • Fate Worse than Death: A confusing variation. They obviously did eventually die, but the Ghost List seems confused over how and where, citing how a few of them suffered from different afflictions each, with the Chimes player even leaving the island at some point. Given that you fight all five in the Lunar Eclipse Hall and a few other locations, however, it makes things a bit jumbled, either due to faulty translation or just tardier deaths.
  • The Swarm: You fight all five of them at the same time. They each have low health but can be dangerous if left around for too long. Even worse if you fight them while the Utsuwa is present, as they'll continously respawn until she's dealt with.


Alternative Title(s): Fatal Frame IV

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