The Trans-Allegheny Lunatic Asylum is described as a highly haunted location due to its long history of patient mistreatment, overcrowding, and numerous deaths on its grounds. Visitors have reported encountering various phenomena, including disembodied voices, cold spots, apparitions of patients and soldiers, and unexplained sounds like footsteps and gunfire. The spirits of individuals like the young girl Lily, the aggressive patient Ruth, and a man known as Sloohoot are said to haunt specific areas, manifesting in different ways such as laughter, unexplained music, or physical interactions with visitors. The asylum operated for 130 years, during which inhumane treatments and harsh conditions were prevalent. The facility was designed for 250 patients but at times housed nearly 2,500, leading to significant overcrowding and poor living conditions. Over 20,000 people died on the grounds, and while research continues to find an accurate count, it highlights the potential for lingering spirits. The stressful and traumatic experiences of both patients and staff may have left a psychic imprint on the building. Guests have reported seeing shadow figures and the distinct forms of former patients and soldiers in Civil War uniforms. Cries for help, such as "Get me out of here," have been heard from within the isolation rooms. The sounds of marching footsteps, distant gunfire, and musical notes from a toy music box have been reported. Visitors have experienced being pushed, scratched, and feeling sudden cold spots. The spirit of a young girl who lived briefly at the asylum is said to interact with visitors in a room containing toys and a music box. Ruth: An aggressive spirit known for throwing objects at male visitors. Sloohoot: A man associated with torturing and killing people in the upstairs bathroom.