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Bethlehem Heights Psychiatric Hospital has served the mentally ill of the greater Columbia Basin with compassion and skill that has gone largely unrecognized outside of the professional medical world, thanks largely to being located in the conspiracy theory capital of the USA. For close to two and a half centuries after its founding 'Bedlam Heights' has been dogged with rumors of monstrous malpractice and evil government experiments, demonic influence and even psychic tampering with patients. Not helping matters is its use as a convenient place to shuffle inconvenient relatives, spouses or co-workers. No matter how diligently the hospital and its beleaguered legal staff uncover and expose fraudulent doctors, forged medical papers and suspicious court orders, public opinion remains firmly against the ill-funded and decaying institution, which hasn't been in the black since 1971. Now, the rumors appear to have come true. On New Year's Day, 2018, dawn revealed a dramatic shift to the staid Victorian manor on its high, lonely hill. The building is wrapped in spiked chains, the walls splattered with blood, an eerie red glow emanating from indoors and the faint sound of screams coming from somewhere inside. Its staff and patients are trapped inside, hopefully alive. Emerald City, Oregon's Mayor Amanda Talbot has given an open call to anyone who can help find out what's going on, why, if it can be stopped, how, and what it will cost them to do it. WHO: 2-3 PL8-12 PCs, of any sort. Preferably magical, but doesn't have to be. They will be joined by the Nightwatchman, a mysterious NPC whose mysteries are unknown. WHAT: Depends on how they approach the building and the interests of the players. WHERE: Emerald City, on the Oregon side of the Columbia delta, a bustling and colourful mini-metropolis majorly influenced by steady Asian immigration, whose burgeoning reputation as a center of technological development and application is well-earned. Like if a US Vancouver had some of Silicon Valley.