In the cut-scene introduction to Ballistic Trauma, we see Papa Caesar on his mobile phone telling someone that Detective Washington and his associate (Agent G) are on their way to the hospital. Papa Caesar explains to the person on the phone that he has a plan to eliminate any evidence of their evil plot. Here we see the Screamer suspended in a large tube of liquid.
Throughout the level, the Screamer can be seen stalking the players throughout the hospital, randomly popping up in various windows and peering through certain doorways. During these 'cameos', the Screamer cannot be harmed, nor can she harm the players.
At the end of Ballistic Trauma, the Screamer is faced by our heroes in the bowels of the hospital in an empty, partially flooded operating theatre.
In the 'Director's Cut' version of the level, Detective Washington and Agent G encounter the Screamer prior to the actual fight. She is spotted standing in a corner at the end of the hallway. When G and Isaac try to talk to her, she disappears in a flash. Wondering where she has gone, she appears directly behind the agents and screams at them, knocking them unconscious before disappearing again.
As seen in the cutscene before the level, she is incubated in a large test tube. Her hospital gown suggests her to be a female patient with her disoriented probably due to the tests she was worked on. Her vertebrae can be seen on her back making her posture leaning. The mutation from the formula greatly enhances her vocal cords granting her the powers to scream, hence her name, in a very loud tone. However, her body isn't tough enough to deflect gun ammunition so she use the method of misdirection and false imagery to distract her opponents when being threatened.
The screamer is the Boss in Ballistic Trauma. She summons Doctor zombies with her greatly advanced vocal abilities. Her weak point is shooting her whole body. On the first attack, she will appear then coming near to you. The best way to use in this attack is an SMG. On the second attack, she will appear and summon the Doctor zombies. The best way to do is shoot the blocking zombies by an SMG then when there are no zombies, use a shotgun or an auto shotgun that's upgraded to shoot her before she screams to you.
In the extended cut, the boss fight has a slight increase in difficulty, as one of her attack patterns is changed from alternating between nurses and having to shoot her and charging at players through several flashes accompanied by false images. With little time to react, one must choose which projection to shoot, otherwise they will be maimed in a horror movie like fashion.
|The House of the Dead||Chariot • Hangedman • Hermit • Magician|
|2||Judgment • Hierophant • Tower • Strength • Magician • Emperor|
|III||Death • Fool • Sun • Wheel of Fate|
|4 / 4 Special||Justice (4 and 4 Special) • The Lovers • The Empress • Temperance • The Star • The World • Magician (4 Special only)|
|Scarlet Dawn||Chariot • Hangedman • High Priestess • Moon|
|Overkill / Extended Cut||Jasper • Coco and Sindy (Extended Cut only) • Screamer • Nigel and Sebastian • Meat Katie (Extended Cut only) • Crawler • Lobber • Brutus • Mother|
|Zombie Revenge||UDS-03 • Warm Hedlin & Shell Hedlin • UDS-05 • UDS-02 • UDS-07 ("Nikelle") • UDS-06B • UDS-TP II 00 & UDS-TP II 01 • UDS-03 ("Neclien") • UDS-04C • ZED • Black Magician Type 01|
|Vampire Night||Bathe'lemy • Guillaume • Rauoul • Diane • Auguste|
|Sega Golden Gun||Zhang Jiao • Gao Qiu • Da Ji • Dark Emperor|