Fatal Frame: Maiden of Black Water was launched on October 22, 2015 in America!!
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She was being treated inside of Rougetsu Hall, a sanatorium built on Rougetsu Island specifically to attend to patients of Luna Sedata Syndrome. She is also one of the patients that knew the heroines of Fatal Frame IV during their stay in Rougetsu Hall. Ayako stood out from the other patients due to her homicidal tendencies, however, she eventually met her end when the disease could not be controlled and she finally bloomed.
Did you know? There is a real life Himuro Mansion. It's located in the North eastern part of Japan. Just like in Fatal Frame, gruesome rituals were performed there and paranormal activity occurred as well.