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Nightmare Ortensia's appearance looks like that of the original Disney incarnation of Ortensia, with her pink skirt and hat, but she has multiple eyes in her mouth, and in holes on her body. She also has long spikes piercing threw her with eyes on the end of them. Her dress is also tattered and ripped. She also appears to be missing half of her left ear.
It is unknown what she will do in-game.
it is unknown where she will start/how she will help the player in-game.
Nightmare Ortensia is the only nightmare suit that is not an original suit from Five Nights at Treasure Island.