The Screamer is the boss character for the 'Ballistic Trauma' level of House of the Dead:Overkill.
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 window 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 'Directors Cut' version of the level. Detective Washington and Agent G encounter the screamer earlier in the level. She is crouched in the corner of a dark corridor in the hospital and when our heroes approach her, she stands up and displays her lovely singing voice - smashing windows and sending our heroes across the corridor into unconsciousness.
Throughout the battle, The Screamer employs a variety of tactics to damage the players. First, she simply scuffles quickly from one side of the theater to the other, and if allowed to get too close, will grab on to the players and begin to assault them with a point-blank sonic blast. In order to break free of her grip players must frantically shake their wii-motes.
Secondly, The Screamer will summon four zombie nurses, and through teleportation (or perhaps possession) she will rapidly switch places with each one. Players must wait until the Screamer stops moving in order to attack, for if they shoot a zombie nurse instead the boss will get a free swipe that cannot be repelled.
Finally, the Screamer will summon zombie doctors and will shamble towards you, hiding behind them, essentially using them as mutant shields.