Not only does it make hiding from him out in the open quite difficult, but the Doctor happens to move surprisingly fast on the ceiling in spite of his bloated size, letting him catch up to Mono with ease most of the time. The most dangerous aspect of the Doctor is his uncanny ability to crawl along ceilings like an insect (though there is no explanation for how he can accomplish this feat). The Doctor can reach Mono from above with ease and uses his strength to lift up entire tables.
It is learned through Mono's distraction that the Doctor hates his work being tampered with, reacting very violently to the point that he chases Mono and Six down in an furious attempt to kill them both. In spite of his unethical methods, the Doctor at least seems to care for the patients that are still alive, attentively checking up on as many as he can and when Mono shuts off the life support of a bedridden patient as a distraction, the Doctor rushes back to recover the patient while audibly panicking. The Doctor even seems to obsessively fascinated with his own craft, as he can be heard giggling to himself while working on patients and occasionally swaps prosthetics around for his newer patients to see which parts work in his eyes. While the Doctor seems adept at medical treatment, his efforts to cure people of their woes are extremely warped, continuously dismembering and decapitating patients so he can transform them into crooked, undead monstrosities doomed to walk the Hospital's halls forever, and it is implied that the Doctor employs electroshock therapy on them with an electric chair. The Doctor only vocalizes through labored breathing, groans, panting and screaming, but his actions display that he is entirely devoted to looking after the Patients in the Hospital. 3.2 Little Nightmares: Secrets of the Maw.
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