Victim 18 is the ghost form of Andrew DeSalvo and he first appears on the stairs leading to the basement. Andrew's ghost is a rather dangerous one, as he can perform a barrel roll that deals a great amount of damage, and also has a very strong aura that will damage Henry faster than any other ghost would. A Saint Medallion is required to weaken the evil presence, and a Silver Bullet is a great option to quickly pin him, followed shortly by a Sword of Obedience. It is recommended to pin him in the water wheel room, since it has a broader area for movement, and less enemies to annoy the player.