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According to hunter Martin Creaser they "crack open skulls and feed on brain juice". They can pass as human but their true form is revealed in a mirror.

In 5.11 Sam, Interrupted, the wraith is disguised as a nurse called Kara. It amplified a person's insanity to make the brain produce more chemicals like dopamine, which it likes to feed on. She feeds on the brain through a thin pointed protrusion that emerges from her wrist which she inserts into the brain.

Wraiths can be killed with Silver

Trivia: Lara Gilchrist also appeared in 1.11 Scarecrow.