Alternatively, navigate to your local files: Steam > steamapps > common > Spooky's House of Jumpscares > Karamari_Hospital and run the specific .exe file.
Launch the base game and look for the option to choose . download-spookys-house-of-jump-scares-karamari-hospital
Once downloaded, the DLC may not launch automatically from the main menu depending on which version of the game you are using. : Alternatively, navigate to your local files: Steam >