Main Ward

The Main Ward is the first area of the main game, which as of the writing of this article, contains the first and third set of levels.

The first set introduces Samurai, Logan, Hailey, and the Insomniac.

The second set introduces Cockatiel, Richard Hugh, and Mr. and Mrs. Stevenson.

Chinese New Year (1-CNY)
Chinese New Year is a bonus level, with Logan and Hailey in special outfits seen in only this level within the main game.

Samurai Techno (1-1)
Samurai Techno is the very first level you play, with a BPM of 200. It is very simple, containing only one single row (Samurai) and basic 4/4 patterns.

Intimate (1-2)
Intimate is the second level within the main game, introducing the X beats. These do not play the sounds when the pulse lands on one, requiring the player to count the beats in their head. This level involves Logan trying to get rid of a nervous feeling about a girl he likes, Hailey.

Battleworn Insomniac (1-X)
Battleworn Insomniac is the first boss level of the game. This level throws a lot of glitchy distractions (stuttering, TV static, and more) to try and throw the player off. One thing to keep in mind is that the pattern is the same throughout the entire level, which is pressing space on every 7th beat of the song (not the pulse count), which will help combat the audio and visual distractions.

Super Battleworn Insomniac (1-XN)
Later on in the game, the Night Shift version of this level is unlocked. This one is at a much faster tempo than the original, and the distractions kick in on the second measure, compared to the regular third measure. Midway into the song, the virus of this level digs into the patient's heart, causing a chunk of it to come off, resulting in the rest of the level being played in 7/4 time, which is the only instance of irregular time in the whole main game so far.

Sleepy Garden (3-1)
Sleepy Garden is the first level in the game's third set, introducing the cockatiel as a patient. Logan and Hailey are shown trying to catch it at the beginning of the level. Midway through, both Hailey and Logan start to dance, with only the cockatiel's row playing. At the end, it goes back to normal.

Classy (3-2)
Classy is the next level within Set 3, introducing the Politician, or Richard Hugh in the Steam version's level editor.

Distant Duet (3-3)
Distant Duet is the penultimate level of Set 3, introducing the Stevensons as patients, and also introduces the swing gimmick (technically speaking, it was introduced in 2-3 with the swing oneshots, but it was properly introduced here.) The player controls Mrs. Stevenson's row throughout the full level. (Writer's Note: This is my favorite song within the game!) (SVT Ward Writer's Note: This is also my favorite song in the game!)

One Shift More (3-X)
One Shift More is the third boss level in the game, concluding Set 3. There are a total of 4 patients to manage, and is the second level to have vocals, the first being Set 2's boss stage, All The Times. This level runs on 6/8 and is the only instance of freetime pulses being used in the main game, seen in the ending. In the very last hit, if you wait long enough, Hugh will yell at you for not pressing the spacebar. After about a minute, a hand will appear on the screen, pressing it and continuing the level to the ending cutscene, which is presumably him doing it.