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

In 5.11 Sam, Interrupted, it is disguised as a nurse called Kara. She amplifies a persons 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.

It can be killed with Silver

Trivia: Lara Gilchrist also appeared in 1.11 Scarecrow.