Super Battleworn Insomniac

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Super Battleworn Insomniac
Screenshot of the level Super Battleworn Insomniac
"It's coming back. My vision is blurring..."
Level No.1-XN
Pre-clearThe patient is experiencing a relapse. Treatment method remains: rhythmic defibrillation on the seventh beat.
Post-clearPatient has 7/8th of a heart left but is otherwise healthy. Infection source remains unknown...
PassBeat the level with less than 8 misses
Act 1 Night
← 4-4 Know You 5-1 Lucky Break
1-X Battleworn Insomniac
"Thank you so, so much. I feel lighter!"

Super Battleworn Insomniac, also known as Super Oriental Insomniac (1-XN) is a level in Rhythm Doctor. It is the Night Shift version of Battleworn Insomniac.

It is the fourth boss level in the game. It is the first time the player has to handle irregular 7/8th beats. It is unlocked after beating Know You.


After the player returns to the hospital, Ian greets them, along with Paige, as he explains the situation to Paige; hospital devices overheating, network instability, and electronic malfunctioning. Confused, Paige keeps inquiring, as Ian reveals that all patients' conditions seem to be as usual, except for the Insomniac, whose heart rate is "out of control." Paige then urges the player to treat the Insomniac and prevent the virus from taking over the building, emphasizing to "focus on the seventh beat, no matter what." The player treats the Insomniac through more intense glitches and disruptions caused by the Connectifia Abortus virus. Halfway through the level, the virus breaks off a chunk of his heart, causing his heartbeat to be changed to 7/8th time, with the player having to rapidly adjust to this irregular time for the rest of the level, as the glitches and disruptions rise to such an intensity that the player has to rely almost solely on their own internal rhythm, as both the visuals and music become wildly unhelpful and distracting. After the level, the power comes back on, as all the patients in the hospital gradually gather around Ian and Paige, every single one of them thanking the two doctors for their hard work and care. Paige responds happily and tells all of them that she'll be right with them after they return to their rooms. Paige then tells the intern that they are "officially part of our Middlesea Hospital staff now, as far as [she's] concerned," and thanks them for all they have done. She then suggests that they take the day off tomorrow.


[1-XN unlocks]
IanSpriteS.png You're back. Thank god.
IanSpriteS.png You can still hear me, right?
IanSpriteS.png S-something happened while you were gone, it almost severed your connection to the hospital.
IanSpriteS.png Phew, looks like Paige is back for her shift too.
PaigeSpriteS.png What's going on? Why is the power flickering on and off?
IanSpriteS.png You're just in time! I-I'm not sure what's happening.
IanSpriteS.png Our network just became really unstable, it keeps losing connection.
IanSpriteS.png My PC started overheating, all of them are.
IanSpriteS.png And now even the electricity in the building is giving out!
IanSpriteS.png The backup generators have taken over, but they're starting to overheat too.
IanSpriteS.png Even my phone is acting strange...?
PaigeSpriteS.png Did something happen? Did a power line go down?
PaigeSpriteS.png Wait, forget it. How are the patients? Is everyone okay?
IanSpriteS.png I-I started checking everyone as soon as I could.
IanSpriteS.png Nobody's condition is out of the ordinary, except for...
IanSpriteS.png ...that chronic insomnia patient from earlier.
IanSpriteS.png His heart rate is out of control.
PaigeSpriteS.png The virus that was jamming our signal?
PaigeSpriteS.png Whatever, it doesn't matter. Intern, let's go. We need you.
PaigeSpriteS.png We can't let this virus take hold of the building, with so many patients here.
PaigeSpriteS.png Just focus on the seventh beat, no matter what.
[Interlude 1]
On first 4 attempts:
IanSpriteS.png A complete relapse?!
IanSpriteS.png B-but...
IanSpriteS.png How...?
On 5th attempt or higher:
IanSpriteS.png Do I have to sound surprised every time?
PaigeSpriteS.png Yes. Quit whining.
IanSpriteS.png ...A relapse?!
On fail, before second interlude:
IanSpriteS.png D-don't give up!

[Interlude 2]

IanSpriteS.png The virus...
IanSpriteS.png It's-- it's broken off a chunk of his heart!
PaigeSpriteS.png Hope you're good with irregular time, intern.
PaigeSpriteS.png Here we go.

[Interlude 3]

IanSpriteS.png N-Nice!
PaigeSpriteS.png Keep that same rhythm in your head now, stay calm.
On fail, after second interlude:
IanSpriteS.png O-oh dear...
PaigeSpriteS.png This rhythm got confusing...
IanSpriteS.png Try drumming on a table in "seven-eight" time.
IanSpriteS.png If you can master that, this beat will be no problem!
Rank screen, if level perfected:
IanSpriteS.png Wow...not a scratch!
PaigeSpriteS.png Hmm..
PaigeSpriteS.png You're really something, huh? Incredible.
PaigeSpriteS.png It looks like he's going to be okay...
IanSpriteS.png T-the power's back on...!
IanSpriteS.png Everything seems to be working now.
IanSpriteS.png I h-had no idea this virus could infect the building itself...
IanSpriteS.png Where does it keep coming from?
PaigeSpriteS.png If we keep working, you should eventually be able to figure it out, right?
IanSpriteS.png I think so, yeah...
IanSpriteS.png Phew...
PaigeSpriteS.png Well. We did it.
PaigeSpriteS.png Great work, everyone!
IanSpriteS.png Now what?
PaigeSpriteS.png Making the rounds and checking in on our patients.
PaigeSpriteS.png I need to check whether Mr. Stevenson's bed settings are comfortable.
PaigeSpriteS.png I'll also doublecheck that Mrs. Stevenson has tapioca pudding, it helps her swallow her pills.
PaigeSpriteS.png Whatever it takes to make everyone's stay as comfortable as possible.
PaigeSpriteS.png Oh, speaking of patients...what about Hailey? I hope her trip went okay.
HaileySpriteS.png I'm back! It went great!
HaileySpriteS.png And look, I found someone who was trying to run away!
Cole Spritesheet.png Shhh, I told you I'd come back!
Cole Spritesheet.png Did everybody miss me?
IanSpriteS.png Did you leave the hospital just so you could drink coffee without us noticing?
Cole Spritesheet.png What? No.
IanSpriteS.png There's a cup in your hand right now!
Insomniac's Spritesheet.png Thank you, doctors. It feels like a weight has finally been lifted.
PaigeSpriteS.png Of course! Let us know if you feel any more pain or discomfort.
MrStevensonSpriteS.png Hello? What's all the commotion out there?
MrStevensonSpriteS.png Where's my cane? If there's a party, don't any of you be starting without me!
PaigeSpriteS.png S-sir, your physical therapy definitely hasn't started yet, please stay in your bed!!!
NicoleSpriteS2.png Looks like you're getting even more popular around here, doc.
NicoleSpriteS2.png Thanks for everything! Let me know when my rehab starts, I'm ready when you are.
HaileySpriteS.png Thanks for letting me go on that trip for my grandma, Dr Paige!
Samurai V1.png Thank you, for everything.
PaigeSpriteS.png You're welcome, everyone! If you all head back to your rooms, I'll gladly visit you all so we can catch up.
PaigeSpriteS.png And you, intern. Thank you so much for everything you've done
PaigeSpriteS.png You're officially part of our Middlesea Hospital staff now, as far as I'm concerned.
PaigeSpriteS.png Hey... don't tell Edega I said so, but I think you should take tomorrow off!
PaigeSpriteS.png Even if you're working remotely, you still need a break every once in a while, right?
PaigeSpriteS.png So go rest up! Ian and I will handle things while you're gone.
PaigeSpriteS.png See ya!
JanitorSmol.png Alright, is that buff sword guy gonna be okay, or what?
JanitorSmol.png I poked my head in while you were operating and I saw some crazy quantum-dimension light show goin' on.
JanitorSmol.png I got a migraine just lookin' at it. I can only imagine how HE must be feelin'.


  • In the Act 5 update, this level's after-clear dialogue was changed. Previously, Paige instructed the intern to do a final check-up on all patients, before transitioning directly into Helping Hands. Since this level now leads into Act 5 instead, the dialogue has been changed, wherein Paige now tells the player to take the day off tomorrow.
  • Prior to the Act 5 update, the game would display "act 1 night" as being complete when the player finished the level. The game now displays "act 4" as being complete.


  • Despite being labeled as the completion of Act 4, this level is still classified as 1-XN and no proper "4-X" exists. This makes it the only instance in which an Act ends with a level that does not technically belong with its number.
  • This is the first boss level to have a Night Shift version. It is also the only boss level to have extra dialogue if the player perfects it.
  • This and wish i could care less are the only Night Shift levels that are necessary for beating the main story.
  • Upon the player's first entry into the level during a game session, the level's introduction will stutter, before entirely freezing and preventing all progression. The level only progresses once the player presses an input key, wherein the level will feature a fake-out effect before progressing past the intro and starting the gameplay. This is intended to replicate the same visual effects that occur when programs on a Windows operating system stop responding, wherein the program's visuals become tinted with a transparent layer of white, usually when a user has pressed a key while focused on said program. If the level has already been played in the same game session, this fake-out effect is entirely skipped.