Somewhere in the southern states, within the hours of dusk, a man in a white coat steps inside a small dilapidated building. Dragging behind him the unconscious body of a middle aged man he attacked not long ago. Making it past some of the ruined furniture, the stranger takes his unwilling guest to a door leading to the basement. Being somewhat careful to bring the slumbering man down the stairs.

Making it to the bottom, although dark, it appears the entire basement has been turned into a makeshift lab. Tables filled with surgical tools, a few caked in blood. Shelves stocked with jars containing what appear to be organs of various types. At the far end are several tables with only two other people inhabiting them, both covered in blood soaked tarps. Both greatly assumed to be victims just like the latest one being dragged in.

Reaching upward, the white coat wearing stranger grabs a dangling string and illuminates the room just a little more. Revealing the man to be dawning a set of doctor's apparel, along with a nametag pinned to the shirt pocket that says "Dr. Smiley". A minute or so later, he manages to bring the unconscious body to a vacant table. Letting out a tired sigh, he combs a bit of raven dark hair out of his piercing red eyes as he looks upon his next patient.

Smiley: "exhale" Alright then. Just need to sterilize the scalpels and we can get started.

Smiley makes his way past his other two victims and quickly comes to a stop, confused. He turns around and stares at the three patients and soon has a thought.

Smiley:... I thought I only had two.

Looking back to the bodies, ignoring the latest addition, Smiley glances at the closest one and reaches for the tarp. Lifting up the cover, he sees his handy work on the last patient he worked on. A woman with her abdomen cut open from neck to belly button, the heart and liver surgically removed. A look of absolute anguish forever plastered on her face from the operation.

Lowering the tarp, Smiley moves on to the next. Grabbing the cover, he lifts it up and simply sees you with a sawed off pointing at him.

(Y/n): Peekaboo.

You empty both barrels into his chest as the blast sends him flying back, crashing into a nearby cart and sending scalpels scattering across the concrete floor before finally hitting the ground himself. Blood slowly pooling around him.

You hop off the table and walk over to the fresh corpse, loading two new shells into your shotty. As you make your way towards Smiley, the medical bastard suddenly jumps up with a needle filled with strange blue liquid and jabs you in the leg. The contents seem to take effect immediately as you try to take aim only to lose feeling in your fingers. And arms. And teeth. Pretty much everything is going numb as you slowly start to lose consciousness. Your shotgun clattering on the floor as you lose your grip.

Your legs finally give out on you as you fall to your hands and knees, barely able to to keep yourself awake. Which somewhat impresses Smiley as you remain awake.

He wipes some blood from his mouth as he breathes heavily, on account you shot him in the chest not ten seconds ago. Proving that he is definitely not human.

Smiley: "cough" Clever one, aren't you?

He makes his way around you, albeit with a limp, and walks over to a nearby table. Placing both hands on it to keep himself steady.

Smiley: While "grunt" While you might have collapsed one of my lungs and pretty much sealed your fate, the fact that you're even "cough" still awake from that much dosage is quite phenomenal. I might actually keep you around longer than my usual patients just to see how you function.

As Smiley sorts through the table's contents, his back turned to you, you try with great effort to reach for something in your pocket. With some struggle, and a bit of luck that Smiley is still fucking around at the table, you manage to pull out a syringe. Wasting no time, you jam it into your leg and push the plunger down. After several agonizing seconds, the contents of the syringe kick in as the artificial adrenaline courses through your veins.

(Y/n): "snort" HIYAAA!!!

You jump to your feet and charge Smiley with your newfound energy. He doesn't have time to turn around as you barrel into him head on, tackling him through the table and across the room. You force him to crash into the shelves of jarred organs, several of them falling to the floor and expelling their contents. As he tries to shake you off, you grab one of the intact jars and smash it over his head. A spleen falling to the floor with a splat.

Not letting up, you just start pummeling Smiley's head in with your fists. He tries to fight back, only to get stunned from the head trauma or have his arms shoved out of the way. You grab a hold of his head and bring it down hard on your knee, caving his nose in. You hold onto his head and start bashing it on a table.

Once. Twice. Thrice. You hammer his head to the table until you just throw him to the floor, leaving yourself winded. He lies there motionless, his face an absolute gory mess from abuse. But he's still alive, judging by the heavy breathing. You look over to the table and spot a bone cutter. Grabbing it, you walk over to Smiley and kneel close to his head.

(Y/n): Heeeyyy doc! Glad you could pencil me in for an appointment. You see, I've been having this sharp pain in my neck that's just driving me crazy. I think it's somewhere, here.

You place the bone cutter on Smiley's neck, pulling his head up by his hair, and start sawing away. There are some pained gurgling sounds from his throat as the saw's teeth bites through his flesh, blood now pouring out of the wound. Smiley starts coughing up blood as the saw makes it to the spine.

After a few more pumps with the bone cutter, the head is severed just enough to simply rip it off. What little skin still holding on gives way as you lift Smiley's head up. Blood now oozing out of the neck. You turn the head around so you're now face to face with the good doctor. Eyes half open and jaw completely slacked, more blood dripping out.

You take a look around the lab one last time before landing your eyes on Smiley's latest victim, just recently dragged in...

After a few hours of messing around, you make it back outside to the driver's seat of your van. Looking over to the passenger side, you see a bag full of those syringes with the strange blue liquid. Might come in handy later. Glancing to the back of your van, you spot the still unconscious man from before just lying on the floor.

(Y/n): Let's get you some real medical help.

Turning back to the front, you adjust your side mirror and spot the house you just came from. Now burning in flames thanks to the help of some matches and spare gas.

Finished admiring your handy work, you start up your van and drive off to the nearest hospital. Driving past a new lawn ornament you left for the burning house. Doctor Smiley's head skewered from neck hole to the top of his scalp, simply staring at nothing as it continues to bleed on the spike.

[Location: Suburban neighborhood]

On a normal street of a normal neighborhood, within the late hours, Clockwork stands near the back door of a house with her green hoodie up. Waiting for Eyeless Jack to either finish up or send someone her way. As she waits, she looks off with her one good eye as she goes into thought.

Clockwork: 'So we're  going in pairs now? Are things really getting bad where we can't even do our own things alone? This is getting ridiculous. If we can just find out who's hunting us, we can turn the tables and end this crap. But who....? Jane, maybe? No. She's only after Jeff, wouldn't bother going after anyone else before him.... Maybe Judge? That actually makes sense. This seems like something she'd do if given the chance. But still-'

She suddenly hears frantic footsteps inside. Pulling out a knife, she leans next to the door and waits. The door bursts open as she quickly launches the knife out and stabs someone. A man it seems. His momentum of trying to get out causes the knife to dig into his chest as he lets out a gasp. Moving quick, she pulls the knife out and plunges it into his neck. Killing him quickly. Not something she normally does, but she's not in the mood right now.

Pushing the body off, sending him tumbling to the floor, Clockwork looks up and spots Eyeless Jack making his way downstairs.

Jack: Alright, that's the last of them.

Clockwork: Who else was it?

Jack: A mom and two kids. Let's get going before somebody calls about the screams.

The two quickly make their way to the forest just past the backyard, leaving behind a now empty house.