Male Ward

The Male Ward is the fourth level of Outlast, being a large hospital-like system of buildings that physically treats the male patients of Mount Massive Asylum and is the lair of Dr. Richard Trager.

Outlast
After escaping the Sewers, Miles makes his way through the ward's underground storage rooms where he chased into a dead-end kitchen by a group of hostile Variants. In the kitchen houses a dumbwaiter, accompanied by an intercom that tells Miles to get into the waiter if he wants to live. Miles does so, elevating up the dumbwaiter and escaping the Variants, and finds himself in another kitchen, right in the hands of Dr. Richard Trager; a psychopathic executive/surgeon who kidnaps anyone in the asylum before butchering them to near death and keeping their mutilated, still breathing bodies sadistically chained up. Trager then straps Miles to a wheelchair and wheels him deeper into the Ward via an elevator where he chops off two of his fingers in his "surgeon room" (which is really just a blood-splattered bathroom) and leaves him unmonitored for a few seconds.

In this time, Miles escapes, looking for the elevator's key all while being hunted down by Trager. In a reception room, Miles finds the key, and is chased back to the elevator before activating and rising to safety. However, after Trager slips into the elevator and tries to butcher Miles, the doctor's corpse clogs the elevator after he is killed in a struggle. Miles is then forced to leave the ward through the cafeteria, which was engulfed in flames by the Pyromaniac. Then going through a series of showers and laundry rooms, Miles managed to turn on the sprinkler system to extinguish the fire, all while being hunted by Chris Walker, before being attacked by the irate Pyromaniac. Miles finally makes it out of the ward and into the Courtyard.