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Do No Harm

Summary:

The doctor’s gloved fingers lift your chin, tilting your face upward with a touch both clinical and unnervingly intimate.

“Your pulse is weak...” he murmurs, “Yet there is a softness to you that the Pestilence envies.”

You want to pull away, to break the suffocating proximity, but something in his gaze pins you in place. It’s not just authority. It’s an obsession, an aching need to know you. To have you. To possess you.

“Kindness is not my trade.” he continues, and the honesty is almost kinder than a lie. “Care is. Protection is. I intend to keep you from the Pestilence as long as it pleases me. Whether that is kindness depends on the patience of time and the constitution of your heart.”

He looks at you with the single-mindedness of someone who catalogues organisms by their capacity to survive and by the fissures they leave in the world. You want to pull back. You want to run; you have to run. But when he leans closer - so close you can feel the faint, medicinal scent of vinegar and lavender radiating from him - and speaks your name, something in your chest unclenches.

“Physician...” he whispers, brushing a thumb lovingly along the curve of your cheek. “Stay with me. Please."

Chapter 1: The Breach

Notes:

(See the end of the chapter for notes.)

Chapter Text

You run.

Your boots slam against the cold, tiled floor of Site-██, the sound swallowed by the shriek of klaxons overhead. Every pulse of the warning lights paints the world in red and shadow. The narrow corridors feel longer than you remember, stretching into an endless maze.

Your lungs burn in the sharp, dry chill of Canadian air pumped through the vents. Somewhere above the noise, you think you can hear metal groaning.

You curse under your breath. You curse the administrators, the logistics officers, the smug signatures on the paperwork that dragged so many notable anomalies into this remote outpost. The collapse of Site-19 was supposed to be tragedy enough.

Instead, they scattered the danger like seeds on the wind, and here you are, reaping the harvest.

The breach shelter should be three hallways down, right turn, then the reinforced steel door with the yellow-black hazard stripe. You cling to that mental map almost religiously. It's all you have.

Somewhere down the hall, a voice shouts… cut off mid-word by something wet.

You keep running until your trembling hand smacks the panel beside a door. There wasn’t time to reach the breach shelter. You needed safety now.

Your key card slides mercifully, and the light blinks green without demanding anything higher than your battered, barely-worthy Level 2 clearance card. The lock gives a sharp click, and you shove yourself inside before it can change its mind.

The heavy door seals behind you with a hollow thunk, muffling the sirens to a dull, distant wail. For the first time in what feels like hours, the light isn’t blood-red but a dim, dusty amber.

The room is small, rectangular, clearly more of a storage space than a true shelter, but right now it feels like a cathedral. Shelves line the walls, stacked with battered containment manuals, sealed crates stamped with hazard symbols, and a scattering of emergency rations in foil packets. In the corner, a metal desk sits under a grime-streaked bulletin board, littered with out-of-date memos and curling safety posters.

You drop to one knee beside the wall, forcing your breathing to slow. Your pulse deafens your ears to all else but your heart.

Your fingers curl around the edge of a crate, gripping the cold metal. Just a few minutes. Just enough to gather your strength before you move again.

Suddenly: footsteps.

You don’t have time to think.

You shove yourself behind the metal desk, heart hammering. Your breath catches, and instinctively you clamp your palm over your mouth, muffling the ragged edge of a gasp.

Then came the voice: smooth, calm, but carrying a strange weight, neither fully French nor quite British.

“There’s no need to hide, my friend.”

Your blood freezes.

Silence from your end. Your muscles coil tighter, every nerve screaming to stay still.

Footsteps shuffle closer. Something metallic clicks, like the scrape of a toolset against the floor.

“Ah, I see you prefer silence. Quite prudent.” The voice moves closer, the thick scent of old herbs and something sharp, antiseptic, drifting under the sterile fluorescent hum.

You hear gloved fingers brushing along the desk edge near your hiding spot, fingers tracing your sanctuary.

“Come now. There is no pestilence here worth curing… except perhaps the fear itself.”

The shadows shift, and you realize there’s no escaping this alive. You’ve heard stories of the doctor, of SCP-049. You’ve even sat down and listened to a few lectures and observational studies about him. He was… fascinating to say the least. But you never imagined you’d ever get to speak to him properly. He was a myth. A legend, and to have him breathing in the same oxygen as you was frightening to the very marrow of your bones. This wasn’t real, you almost convinced yourself.

Just a dream, right?

You swallow hard, the taste of dust and fear thick on your tongue. Your voice trembles as you finally speak.

“I’m not hiding from the Pestilence.” you say, eyes narrowing as the shadow steps fully into the amber light.

You peer closer at him, the figure cloaked in black was more like a relic stitched from another century, carried forward like a ghost refusing rest.

His heavy black coat swallows the light in deep folds, each crease sharp like a shadow’s edge. The fabric smells of old leather and damp earth.

That mask - oh, that mask . It’s a smooth, bone-white beak, curved and elongated, an eerie simulacrum of a bird. Its surface is cracked in places, dulled by age and use, but the glass eyeholes gleam coldly, voids that never seem to blink.

His gloved, slender hands move with the subtlety of a surgeon and the delicacy of a collector, the black fabric stretched taut over knuckles.

You catch yourself staring and look away.

He inclines his head in a slow, almost thoughtful nod. “Neither am I. I am here to hide. From that beast.”

Your heart lurches. “You mean… 682?”

An almost imperceptible shiver passes through his posture, like a ripple across still water. “Yes. That abomination. Even the Pestilence pales beside it.”

You meet his gaze, and for the first time, you see a flicker of vulnerability in the doctor’s presence.

“Why… why hide with me?” you ask, wary but unable to stop the curiosity blooming between dread and something like hope.

His gloved hand rises slowly, fingertips barely gracing the edge of the desk where you crouch. “Because, Physician, sometimes the most unlikely refuge is found in the presence of another lost soul.”

Outside, the distant alarms wail on, but here, in this tiny room, time slows.

You take a slow breath, the edges of panic softening just a fraction. The presence before you invites something you hadn’t dared hope for: conversation.

“So… if you’re hiding from 682… what exactly does that mean for you?”

His answer is low and measured. “The Beast is relentless, a force of destruction without reason or mercy. It hunts all that breathe and move - anomalies and humans alike. It does not discriminate.”

You swallow the lump in your throat. “And you think it might find us here?”

He nods slowly. “I believe so. This facility is no longer a sanctuary. It is a battlefield.”

“Then why do you trust me? You could-”

He cuts you off gently. “I do not trust you, Physician. Trust is a fragile thing, and I have little use for it. But I respect you. You have survived where others have not. You think. You question.”

Your lips twitch in a bitter, half-smile. “Sounds like you’ve been paying attention.”

A crackle in the air, the hum of the emergency lights overhead.

“Tell me, do you believe in the Pestilence?”

You glance away. “I believe there are things worse than disease. Fear. Isolation. The unknown.”

He nods again, slowly. “Then we are not so different, you and I.”

A fragile truce forms in the silence.

Just then, the door groans - a sickening, twisting sound of metal bending and warping. Your breath catches in your throat.

You freeze. Every instinct screams: This is it.

Barely a month here, and this is how it ends. Not with a heroic sacrifice, not with some noble cause. Just one more lost soul swallowed by the world of the anomalous.

Your hands clench into fists, knuckles pale. Desperation wells up, sharp and raw. You close your eyes and pray.

Then-

A soft, sudden weight settles before you. You dare to open your eyes.

SCP-049 crouches down, his dark cloak pooling around him. His gloved hand hovers so close to your face you can feel the cold breath of it, but he pulls back, just shy of contact.

You thank the stars for his self restraint.

“Physician. You are not yet to die. I promise you, you will survive.”

His tone carries a weight heavier than the alarms, deeper than the fear.

It’s a vow.

For a moment, suspended in the tense quiet, you wonder if he truly means it.

The door shudders violently, then bursts open with a thunderous crash that shakes the room’s very bones.

The door gives one final tortured shriek, then bursts inward with the screech of rending steel. Cold air rushes in with the flood of black-armored figures, rifles sweeping the room.

SCP-049 turns his head over his shoulder. “Ah, you have arrived. I was beginning to wonder if you intended to take your time this go around.”

He rises to his full height in one smooth motion. He adjusts the lapels of his coat, as though the breach of the door were a mere social inconvenience rather than a rescue.

“049! Step away from the doctor!” one of the MTFs barks, weapon trained on him.

He inclines his head in acknowledgment, then steps back with theatrical compliance, hands raised slightly to show he holds no instruments or weapons. “Very well,” he replies calmly. “I would not wish to alarm the patient.”

You feel the tension in the air coil tighter as the soldiers move in, two of them angling toward you, another keeping the barrel of his rifle locked on the doctor.

049 takes another step back, but his gaze stays on you, unreadable behind the dark glass of his mask.

One of the MTFs breaks formation and approaches, the black visor of his helmet reflecting the amber light as he crouches in front of you. His gloved hand rests lightly on your shoulder.

“You okay?” his voice crackles through the helmet mic.

You swallow and nod. “I’m fine.” Your voice sounds smaller than you’d like.

“Good,” he says, giving your shoulder a light squeeze before straightening. “682’s been recontained for now. Breach is almost over.”

Relief hits you in a thin, unsteady wave.

The MTF glances over his shoulder toward his squad. With a short, silent hand signal, he orders something you don’t recognize - until a sharp, sweet scent hits the air.

Lavender.

049 stiffens immediately, the sound of his breath hitching behind the mask before the first tremor shakes through his frame. “Ah… clever.” he manages, the words slurring slightly, “but… entirely unnecessary…”

The scent thickens, clinging to the back of your throat. The doctor staggers, his gloved hands twitching in slow, jerking motions. Then, with a low groan, he collapses to one knee.

The squad moves in quickly, two securing the harness around his torso and arms, the reinforced straps buckling tight across his chest. They work quickly but carefully, making a point never to touch his hands.

“Easy,” one of them mutters to the others. “We all remember what happened last time.”

049 tilts his head toward you even as they tighten the restraints. But it wasn’t long before his head droops forward in defeat.

The harness locks with a final metallic click.

And just like that, the plague doctor is no longer a looming presence beside you: just another contained anomaly being marched back into the belly of the site.

But the MTFs don’t give him the dignity of a careful escort.

Two of them seize the reinforced straps across 049’s shoulders and haul him upright, his boots scraping across the floor rather than stepping in time. He stumbles once, but they don’t slow, yanking him forward like dead weight on a tether. The lavender still hangs heavy in the air, making his movements sluggish, his head lolling slightly with each jolt.

His coat catches on the doorframe as they drag him out of the storage room, one MTF simply jerks him sideways until the fabric tears with a sharp, dry rip.

“Move it.” one of them mutters under his breath.

The doorframe swallows them, their heavy boots thudding down the hall until the sound fades into the wail of distant alarms.

You’re left alone in the amber-lit storage room, the lavender scent mingling with the antiseptic tang from before. The silence that follows feels heavy, pressing in from all sides.

You replay the encounter in your mind: the polite voice, the strange vulnerability when he spoke of 682, the promise murmured before the breach of the door. None of it fits neatly into the shape of the monster you’d been briefed on.

Your fingers curl against the floor, and you realize you’re not sure what unsettles you more: the fact that SCP-049 was so close to you… or the quiet part of yourself that almost didn’t want him to leave.

Notes:

Hey! Thanks for reading, that means a lot to me! This was a little brainworm I had since reading a lot of 049 fics, and I kind of wanted to throw my own spin on the genre while doing my good ol' fashioned "noodlekin flaire" to the whole thing. We'll see how this develops, and if I actually manage to stick to an upload schedule lmaoooo love y'all ♡♡♡