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A Forum for Patients of Fourth Hospital
Type
Web Novel (CN)
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Rating(4.3 / 5.0, 76 votes)
5    68% (52 votes)
4    12% (9 votes)
3    5% (4 votes)
2    5% (4 votes)
1    9% (7 votes)
Language
Support Book (#ad)
Author(s)
One entry per line
Artist(s)
One entry per line
N/A
Year
Example: 2012
2022
Status in COO
Status in Country of Origin. One entry per line
181 Chapters + 11 extra Chapters (Completed)
Licensed
No
Completely Translated
Original Publisher
One entry per line
English Publisher
One entry per line
N/A
Release Frequency
Every 19.3 Day(s)
Activity Stats
[Graph]
Weekly Rank: #5518
Monthly Rank: #3622
All Time Rank: #7027
Reading List
[Graph]
On 1366 Reading Lists
Monthly Rank: #18328
All Time Rank: #6778

Description

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Yu Xiao, a terminal stage cancer patient with an incurable condition, had reached a point where she had accepted her fate. Living each day with indifference, she had already made peace with the idea of departing from this world.

One day, her phone automatically downloaded an app called ‘Four Hospital Patients’ Discussion Forum’.

“Fourth Hospital? Isn’t that the local psychiatric hospital?”

Curious, she tapped into the app. The top post read: 【Guide for the Morgue】

Yu Xiao:???

Second post: 【Cataloguing the Ghosts I’ve Encountered Over the Years】

Yu Xiao: No wonder it’s a forum from a psychiatric hospital.

【Step-by-Step Guide to Becoming a Talisman Master!】 This one seems quite intriguing!

————

That night, terror descended, and the hospital was engulfed in a crimson hue. Unnameable horrors lurked outside the wards, murmuring by the rooms, “Let’s see who’s been naughty now?”

————

During rounds that night, the inspection ghost lifted Yu Xiao’s blanket and stumbled upon the talismans by her pillow. The ghost was amazed to find high-level talisman.

The inspection ghost cried, “Why would advanced talisman appear at a beginner’s level?!”

Associated Names
One entry per line
Fourth Hospital Patient Exchange Forum
四院病友交流论坛
Related Series
N/A
Recommendations
Girls’ Dormitory Escape (2)
In Virtual Reality (1)
My House of Horrors (1)
Scream Queen (1)
My Family Is Very Odd? (1)
Ten Day Ultimatum (1)
Recommendation Lists
  1. Entertaining novels with FL. Part 8
  2. Horror not-so-Horror
  3. My Favs
  4. Occult Mysteries
  5. My fave read

Latest Release

Date Group Release
01/23/25 Inky Dragon Translations c192
07/26/24 Inky Dragon Translations c191
07/26/24 Inky Dragon Translations c190
07/25/24 Inky Dragon Translations c189
07/24/24 Inky Dragon Translations c188
07/24/24 Inky Dragon Translations c187
07/24/24 Inky Dragon Translations c186
07/21/24 Inky Dragon Translations c185
07/21/24 Inky Dragon Translations c184
07/12/24 Inky Dragon Translations c183
07/12/24 Inky Dragon Translations c182
07/12/24 Inky Dragon Translations c181
07/10/24 Inky Dragon Translations c180
07/10/24 Inky Dragon Translations c179
07/09/24 Inky Dragon Translations c178
123…13
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Review
17 Reviews


zither8899
New zither8899
Apr 05, 2025
Status: Completed
This novel is amazingly written: full of comedy, camaraderie and friendships, plots and twists, unique world building, and good plot progression.

I always never knew what to expect after every chapter, it always kept you wondering what will happen next.

The ending was foreshadowed but nevertheless left a bittersweet aftertaste. This is the first novel I've read of this kind and I'm glad for the creative and unique world the author crafted and shared with us. May this novel get more appreciation!
1 Likes · Like Permalink | Report
Shortk
Shortk
Apr 19, 2024
Status: c127
Love the girl squad surviving on their own with their own skillz and need no man energy. So much better than those millions of books on surviving horror instances where they picture girls as either a burden, an object for s*xual desire at all times, useless, helpless, cowardly, only good for seducing (although the MC does make use of this but like in a quirky way), incapable of working with others and other females, selfish and ruthless, or non-existent. Imagine that: females being 3D in a horror scene. She does... more>> have a lot of plot armor let's be real though. She's definitely Op. But it's really a funny/comedy novel so I can't take it too seriously and I just enjoy it. The premise is fun and quirky and different enough to draw you into otherwise just another book about horror sequences. But this one feels like there's more of a purpose because the structure of it is based around terminally ill patients who need a second chance at life. And it isn't about patients attacking each other.

One of the cons of this book other than the plot armor that the MC has is that I would say she doesn't mind taking points when she has a business or a plan from other patients. Which I would argue is like maybe not morally correct but she's surviving you know. And she's not like bullying them into it. Yea she is kinda ruthless sometimes, but to a degree it's understandable in this environment. The other con is that low-key high-key her wardmates are so lecherous towards men like I'm all for the reversal of dynamic but I don't like seeing this for either gender. Saying lecherous might be a stretch tbh. They're just thirsty and after awhile I'm just tired of reading about it lol.

The biggest pro is that the translations are among the best I've ever seen. Footnotes, details, and images galore. It's really so easy to tell when someone mtls for money (the audacity) versus high quality translations, esp when you see it. This is top tier translations. <<less
10 Likes · Like Permalink | Report
ChosenChildOfCreation
ChosenChildO
Feb 10, 2024
Status: c191
To be honest, I had a lot of laughs out of this one. The MC might not be OP, but there really is something wrong with her head >_< reason for this might be because of her illness. I love the dynamics between the OP and her friends (wardmates) especially whenever they can make the other patients doubt life. There are some loopholes with the worldview, or maybe because I did not manage to understand the concept about time and space of the Horror Hospital.

In terms of character, most would... more>> either have friendship with the MC, love the MC during the use of props, or hate the MC due to her actions. Each one has their own role, but I still pity that three headed dog security head who was left behind when the hospital director changed positions. Ghosts really do hold grudges. The plot was awesome, I'm currently looking for novels such as this one to relieve my loneliness for the weekend.

It's a sad thing that there's no romance tag even if the MC charms others here and there using props. But there definitely should be a romance subplot tag for that little singing ghost in the mortuary. I also hope that the MC can open up her heart for Nightmare who's really a very considerate entity who has eyes for the MC.

Although I feel like it ended abruptly, I'm still satisfied with this ending. <<less
10 Likes · Like Permalink | Report
QCY
QCY
Jul 27, 2024
Status: c45
This is not bad as a light read, but there are several glaring issues:

  • British slang??
This is a CN..... why are some characters saying "blimey" and "bugger"???? Girls are also referred to as "gals"... which in a Western historical context might make sense, but this is China.

  • English nicknames are given to the characters without any context
For example, the 3 main characters: Yu Xiao = Smiley, Zhao Lan = Misty, and Zhou Xiao Zhen = Precious

The story uses these names interchangeably from ch1, which makes it very hard for me to remember... more>> who is who, especially at the beginning of the story when we are not even introduced to why the nickname exists. I suspect that this is an error in machine translation, because I believe the nickname for Yu Xiao is Xiao Xiao, which means Smile in English, and so her name likely gets translated as Smiley. The nickname for Zhou Xiao Zhen can either be Xiao Zhen or Zhen Zhen, which would be translated to precious, treasure, or baby.

  • Overly eloquent and pompous language
This is somewhat my personal preference, but I prefer language that's direct and simple. Unfortunately, we are constantly bombarded by descriptions and adverbs and adjectives.

For example:

  • " 'Don't fret about sales, ' Zhao Lan's eyes sparkled with assurance, exuding a vibe of social prowess."
  • "Xie Meng Meng flashed a grin and said, "Your ward has three people, and Liu Fei's ward also has three people. How about you team up with one of the three from their group?"Yu Xiao scowled and shook her head. "No way, " she said, sounding petulant. "I don't want to team up with smelly guys." Liu Fei and his crew bristled at her words; their noses twitched with indignation. "We don't want to team up with you either!"

    Xie Meng Meng's smile faded slightly and she looked at Zhao Lan and Zhou Xiao Zhen. "How about one of you two team up with them?"

    Zhou Xiao Zhen clutched Zhao Lan's hand and shook her head vehemently. "No!" she exclaimed. "We two can't be separated!" "

I applaud such diverse use of vocabulary, but it gets really tiring when everything is like this. <<less
6 Likes · Like Permalink | Report
Blithe
Blithe
Mar 29, 2024
Status: Completed
9.8/10

I can think of only one word to sum up this novel, absurd.

This novel is a comically absurd take on the usual horror survival genre that would keep you gaffawing at night, scaring away all the neighbourhood ghosts from your room.

... more>> Brief synopsis:

Three cancer patients gets transported to a horror world where you get " treated" by visiting different "healing" instances all the while trying not to be butchered by the native ghosts of that instance. Our MC and her two bffs tackles every instance in the most insane ways possible to find their way back to the real world and get cured. They make a variety of enemies and allies along the way.

Pros:

MC is seriously awesome. Considering that she has a brain tumour and is deaf half of the time, the things this girl gets up to is completely unhinged. She has knack for pissing off every attending doctor / monster that crosses her path and I'm here for it.

LOVE the trio. Most Chinese novels, slash that, most light novels in general don't portray female friendships very well even though they can be the best relationships one can attain throughout one's lifetime. Thus it was a joy to read this novel. The care, the love and the sweetness of their friendship warmed my heart throughout the novel.

The ML is a cutie patootie. While he may not have a big role in the entirety of the novel, he is like a silent pillar that is always ready to back up our MC and I like that.
Spoiler

I also like that he was the only guy MC wasn't intentionally seducing.

[collapse]

It is quite reverse harem-y at least at least in the first half of the novel. It isn't actually reverse harem considering
Spoiler

Everyone she 'seduced' absolutely hates her guts and plots against her many times.

[collapse]

This novel although it is set in a horror world and has terminally ill people in them, is quite lighthearted.

Cons:

I couldn't really understand what happened in the end. To those who finished the novel -
Spoiler

did she finally leave her post ?

[collapse]

Last but not least I have to thank the author for bringing a relatively fresh breath of air into the world of FMC novels. Recommend this novel to those who like horror comedy. <<less
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Themintykitten
Themintykitt
Nov 03, 2024
Status: --
First off, huge thanks to the translator for the top-notch work and the added images—may both sides of their pillow be the right temperature

As mentioned by another fellow reviewer this novel is a hidden gem. The characters are incredibly well-developed, especially the fMC who has a refreshingly strong (and spitefully vengeful), male-coded personality. Her friends are equally distinct, making the trio’s dynamic both fun and engaging. The hospital’s concept is also brilliantly crafted and adds depth to the story.

The story follows three terminally ill patients who are transported to a... more>> mysterious horror hospital where they must survive eerie "healing" instances. The characters' encounters with ghostly doctors and bizarre treatments create a blend of humor and horror.

The 'forums' and 'daily morning announcements' never fail to crack me up- I thoroughly enjoyed the entertaining world-building and witty dialogues, especially the hilarious exchanges between the protagonist and her ward mates. And this extends to every side character we meet, which is rare. The protag's interactions with her friends are also a rare portrayal of strong, supportive female friendships in a horror setting. While there isn’t much of romantic plot till very later on, the fMC still has a 'romantic' harem of haters ;)

If you're interested in a horror-comedy with unorthodox characters, Forth Hospital Exchange Forum might be worth checking out.

A heads-up: while the ghosts in later instances become less threatening (something that might usually turn me off), the mix of mystery, wit, and fun kept me hooked. Each instance is creatively done, and well written It’s one of the few novels I’ve binge-read! <<less
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CandleLight
CandleLight
Feb 26, 2024
Status: C191
==Editted after I finished novel==

(c1-c98)

Wow, this is so much fun! Highly recommended!

... more>> MC personality is definitely not normal... in a good way! She definitely carries this story, making it fun and thrilling despite the backdrop of horror.

Story plot is very intriguing. I am very curious to what's outside, like how the world works. Clearly, each instance is not just a fabricated story. The 'people' inside weren't just NPCs. Snippets of their dynamics really makes the world alive.

And the of course the forum. I love reading reaction posts for MC shenanigans xD

All in all, this novels is definitely worth your time. Give it a try!

==Update==

(Chapter 191 - completed)

It was a great ride. I finished reading and 191 chapters felt short, yet also just right.

First half had more comedic elements, the latter half had the tragedies.

Spoiler

First and Second hospitals are so pitiful.

[collapse]

Spoiler

Brother Bed... I really liked this guy. Good amount of crazy.

[collapse]

The ending is also great, and tied all (imo) loose ends.

Especially at the end

Spoiler

/////MAJOR SPOILER/////

I love nightmare. He's so cute! Can't believe someone so obedient (to MC) is a 'Nightmare'. This guy is an angel. He never forced MC to do anything she didn't want, just used cute kitten eyes.

I read that there's no romance here but I disagree. Nightmare is obviously ML in the extra chapters.

They even kissed! For a full minute! And nightmare asked if he could do again! MC said sure! (While thinking he is too innocent and need to make him watch more idol dramas xD)

For this, I am happy for them both. Had been shipping so hard since Nightmare was introduced!! (╥﹏╥)

[collapse]
<<less
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Chopatibai
Chopatibai
Nov 10, 2024
Status: c191
Overall 5/5

Recommend reading? YES!

From what I've read, this is a gem.

Story (5/5)

I've read it from chapter 1 to the end just within a week. A bit sad that I couldn't read the extra chapter. The story is interesting from the start to the end. There is some horror elements for sure, but comedy usually overwhelms the horror element in this story. So you don't have to fear the story being too scary. I don't feel irritated with any parts of the story except some minor issues ... more>>
Spoiler

Protagonist Yu Xiao seems to forgot to use her x-ray glasses gadget a couple chapters after she got it. Then she didn't use it again until the end of the story, even though using that gadget is logical and could give the protagonist vital information with out unnecessary danger. I think the author just forgot that the protagonist had that gadget.

[collapse]
The story length is just right, not too short or too long. The ending also tied almost all the loose ends in the story (but I didn't read the last extra chapter, which might contain the missing loose ends.)

Characters (5/5)

I don't feel irritated or annoyed with any characters. All characters are Interesting, villains included. The characters relationships and dynamics are done well. While I feel like protagonist's two female friends should have more important roles/action, their personalities and screen time are done right. There are lots of characters development as well (mainly the attending doctors/ghost). The characters are not just used and thrown away, most them reappeared later in the story as well.

Translation (5/5)

I read Inky Dragon Translations. The translation is good overall. Although there are some mistakes, the error rate is very low compared to the word count. I considered this a high quality translation. I think the translator put some effort into this translation. There are explanations for the character names, some chinese terms. The translator also localised some slangs into english slang, while some people hated it, I think it adds more flavour to the story. The translator provided special effect to text and added some pictures related to that part of the story, making the story more immersive. The translator also made the text to be distinct from normal text depending on the situation, making it easily distinguishable whether it is a hospital announcement, or a normal person speaking etc. Overall I highly appreciate Inky Dragon Translations for translating this novel. <<less
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ChronoH0
ChronoH0
Oct 15, 2024
Status: c191
A flawed MC who can be quite emotional and very action before thinking oriented kind of gal. Tho there are some part of the writing I felt was underused or became plot hole mainly I felt that the author kinda made many instances felt like a breeze to MC due to special position she obtained or the solution most of them are brute forced, which as long as it is still engaging is mostly fine.

... more>>
Spoiler

The author forgot MC made a third talisman type but that never use or came into play.

[collapse]

Honestly the instances are quite creative I'm really impressed. Like probably might have similar ones to other novel's death games but most are really interesting especially one that has big plot relevance.

Tho there is something I do wish more to see is are guides for clearing these instances. Granted it seems useless for MC and her gals but I want to see how the other players managed to clear these games since forum does exist. I would say that there could be a story reasons I won't indulge it here due to spoilers but just one or two could be nice.

My take on the ending is it is almost well done. I think the ending is quite that bittersweet sort of feels that not quite many horror novels I read has. I do feel that it is a bit abrupt on the ending climax which I think is just personal opinion. And yeah not much negative other than like I mention author uses more brute methods in throughout most of the game.

The most fun characters and probably the MC I feel like most can't see to like due to her temper issues but I find refreshing <<less
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LII_Vera
LII_Vera
Oct 12, 2024
Status: Completed
It was a good read. I laughed a good couple of times — the MC and her crew’s antics are truly hilarious. I never was bored during the chapters, and while MC has some plot armor, it’s never to the point of being unreasonable. Though, if you’re expecting her to suffer even for a short time, leave it — she’s almost invincible from the start, the only real danger for her and her gals is being stuck somewhere unpleasant and doing things they don’t really want to. But hey, lower... more>> stakes have their own appeal.

All the characters are distinct, and some plot twists are downright brilliant (Gu village sacrificing outsiders dilemma, as well as Time Hospital).

Though, I don’t want to re-read it, and taking one star for it. While it was a fun read, it wasn’t truly satisfying, you know?

I was entertained to watch MC making fools of some ghosts, but she’s not really a likable character. Not due to her lacking in morals or something like that, but her way of thinking makes it really unsafe to stay around her, unless you’re in really good graces with her. I’d like to never meet someone like that in my life. She’s like a natural disaster — it is amusing to see on the blue screen, but very unfortunate to meet in reality.

The ending was thankfully organic, but once again didn’t feel truly satisfying for me — maybe because MC became less fun
Spoiler

after she obtained the ultimate power of being the Director. Before I had fun reading about a human being brazen enough to do whatever comes to her mind, but with her gaining the highest position in the circus of a hospital, it became kinda sad and boring. Nightmare is also pitiful — he’s stuck with her, while she kept him in the box in his cat form, bossed him around and very reluctantly started treating as something other than a tool. I don’t count them as romance, as MC had more earnest feeling to her wardmates, and they are her friends. Nightmare, unfortunately, has settings of a typical FL from novels with a male MC— he’s there, he’s perfectly obedient, he’s blindly devoted, he’s powerful, he can be however hot MC wishes.

[collapse]

The translation and writing is actually good, so I recommend this novel, even if it’s not exactly to my taste. <<less
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Senior Brother Goose
Senior Broth
Aug 04, 2024
Status: c99
It started off really fun, with the MC and her friends coming up with (or perhaps stumbling upon) unexpected ways to complete the scenarios. However, the MC keeps behaving really erratically at important moments and makes s*upid emotionally charged decisions, which I find incredibly boring to read about - she's not making interesting choices, she's just doing whatever comes to mind first.

Romance: supposedly only at the very end, but it's almost like a reverse harem with the way the MC and her two girl friends lust after ever male ghost.

Dropped... more>> for the annoying MC. <<less
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Sheddy
Sheddy
Apr 10, 2024
Status: c104
Fun read at first, but it slowly gets boring... the translation is also in british slang, so it kinda feels weird sometimes. MC and her friends feels very inconsistent, sometimes they were fearless when they see ghosts, then suddenly they were so scared that they couldn't even speak.. MC also sometimes have weird outbursts whenever she gets in trouble which feels inconsistent with her character from the first 2 instances. MC's 2 friends are useless most of the time, they even feel like a nuisance.

As much as I want... more>> to know the ending, the novel feels too boring for me to continue, so I'm dropping it here. <<less
2 Likes · Like Permalink | Report
AquasVeritem
AquasVeritem
Mar 15, 2024
Status: c113
This is absolutely hilarious. Definitely worth the read. The MC is a lunatic in all of the best ways, and the rest of the characters are pretty great too.
2 Likes · Like Permalink | Report
Ichigoeater
Ichigoeater
Mar 15, 2024
Status: c116
It's good. Really good.

While the protagonist is female, this story is good for both genders, as romance isn't even a subplot. In fact, you know reverse harem? This story is like that, except she's gathering haters instead of admirers. ... more>>
Spoiler

Not a single attending doctor she's encountered hasn't wanted to unalive her by the end of it.

[collapse]
There is someone who can be considered a male lead, but

Spoiler

he isn't even introduced until around 80 chapters in, and he's kind of just a (literal) clinging kitten lying offscreen where I am now.

[collapse]

I will say that Yu Xuan is a bit unpredictable. Maybe it's the tumor in her head, but she makes some strange choices sometimes. Or maybe, they're so logical, it's unexpected? She's a bit heartless sometimes, too.

In fact, if it weren't for her pronouns and two friends to remind me, looking at her personality, actions, and others' reactions to her, she's almost male-coded. It's kind of a breath of fresh air.

Oh, right. The instances. They're fun, too, and a little nuanced at times. I won't go into details, but there's a mystery in the world building. If the instance isn't only confined to a hospital, the world seems a bit... real? <<less
2 Likes · Like Permalink | Report
KusumaSusilo
KusumaSusilo
Oct 23, 2024
Status: c191
This novel is a hidden gem, and you can clearly see with all the reviews so I won't say much. The translator did a really great job picking up this story, because it was just my cup of tea. I completely read everything in 4 days, and with all the chapters it is really saying something. I can't stand stories that are too long. However, Smiley or our MC here that jumps into instances has a good pacing. The number of times they did treatment is just right. I have... more>> to say though with the ending... Why does it feel deceitful, pun intended. Oh well, I'm not gonna dwell on it too much. Didn't expect the (maybe deceitful) happy ending. So let's deceit ourselves as it is, hahaha. <<less
1 Likes · Like Permalink | Report
Reading go brrr
Reading go b
Oct 20, 2024
Status: Completed
I genuinely really enjoyed this book! I love the world it’s so interesting and the ghosts and their ghostly jobs was so entertaining! As always the gossip forums were some of my favorite parts to read and our MC and her ward mates were so funny and I loved their wholesome interactions (and their obsession with young Leonardo DiCaprio hahah) highly recommend!! (Another horror novel by the same translator that I also recommend is In Virtual Reality)
1 Likes · Like Permalink | Report
Princess_August
Princess_Aug
Aug 17, 2024
Status: Completed
Good story. Fun characters. I like my main characters to be quite cool and I loved just how human she is. She sometimes acts impulsively and can be petty and vengeful but she really cares about others.
1 Likes · Like Permalink | Report
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