Mental: Slot Overview
The logic here is odd but fair: the layout is uneven, symbols fracture, multipliers spike without warning. It’s not about paylines — it’s about effects chaining into each other. In this Mental slot review, we focus on how the grid stretches, how the spider triggers transformations and why one symbol can suddenly pull half the screen into a win.
Graphics & Sound: Asylum Horror & Surgical Detail
Mental looks like a frame from an asylum horror film shot on old stock: grainy image, dim lighting, worn clinic walls, a grimy metal table, X-ray plates on the sides and patients staring at you from the reels. The rusty brown palette makes the screen feel sterile on the surface and wrong underneath. Symbols fit straight into this style: finger bones, lungs, hearts, eyes. Patient symbols barely move, but the small twitches are enough to keep things uncomfortable.
Sound in Mental works as part of the horror rather than as background. There is no real music, just the hum of ventilation, door creaks, dull thuds and short, harsh lines from the patients. During spins, you hear dry mechanical clicks and tapping, as if someone behind the wall is quietly counting down to the free spins. Big wins bring metal clashes, a tense low rumble and distorted screams instead of any celebratory fanfare. The same pressure stays even in the menus: here, the sound design sets the tone rather than simply decorating the slot.

Volatility & RTP
Mental uses configurable RTP profiles, with the default being at 96.08% — some casinos may run lower versions, so it’s worth checking the number in the game info. Volatility is rated as Extreme by Nolimit City, which means long stretches without much happening are normal, and rare wins can be very big. The maximum theoretical win is capped at x66,666 times your bet.
How to Play Mental
Before you start, set your stake using the coin button — the range runs from 0.20 to 3.60. Spins can be triggered either with the on-screen button or by pressing the space bar. The main screen also includes a quick toggle for turning sound on or off. Depending on your jurisdiction, fast spins, turbo spins and an autospin mode may be available.
Game Symbols and Payouts
Mental uses an unusual 5-reel layout where reels 2 and 4 start shorter, showing only two symbols each. The slot has 108 win ways by default, and in bonus modes, the number can expand dramatically, reaching up to 11,840 ways.
Top symbols:
| Symbol | 3 | 4 | 5 |
|---|---|---|---|
| Patient-1 | x0.75 | x1.5 | x5 |
| Patient-2 | x0.6 | x1.25 | x3.75 |
| Patient-3 | x0.5 | x1.1 | x2.5 |
| Patient-4 | x0.45 | x1 | x2 |
| Patient-5 | x0.4 | x0.9 | x1.5 |
Low symbols:
| Symbol | 3 | 4 | 5 |
|---|---|---|---|
| Eye | x0.3 | x0.75 | x1.25 |
| Brain | x0.25 | x0.65 | x1.15 |
| Lungs | x0.15 | x0.55 | x1.05 |
| Heart | x0.2 | x0.6 | x1.1 |
| Hand | x0.1 | x0.5 | x1 |
Mental: Slot Features
The Mental slot does not have classic paylines or traditional wilds; instead, the slot leans on a set of special symbols and Nolimit City’s signature mechanics:
- Scatter (scorpion): landing three triggers Autopsy Free Spins. One additional scatter upgrades the bonus to Lobotomy Free Spins, and two upgrade it further to Mental Free Spins — the most volatile mode.
- Spider: appears only on reels 2 and 4. It triggers the Mental Transform effect and then immediately disguises itself by turning into one of the advanced symbols: a Wild, an xWays symbol, an xSplit symbol or a Dead Patient. In free spins, the spider becomes sticky and stays on the reel.
- xWays: turns into several identical symbols, expanding positions on the reel and increasing the chance of forming ways.
- xSplit: splits symbols into two, effectively doubling their count and raising the potential multiplier.
- xNudge Wild: a multiplier wild that nudges to fill the whole reel, increasing its multiplier with each step.
- Dead Patient: the high-value patient symbol. In the base game, it delivers the top payouts; in free spins, it can collect multipliers that stack into very strong results.
All these mechanics interact: xWays expands the setup, xSplit boosts multipliers, the spider triggers the transformations, and in the right chain of effects, the win can spike hard.
Bonus Choice
Mental comes with three free-spin levels — each one harsher than the last. All of them are triggered through Scatter, and every tier adds more multipliers and a higher chance of pushing toward the x66,666 cap.
- Autopsy Free Spins — You get 8 spins. The Enhancer Cells under reels 2 and 4 activate here, producing xWays, xSplit, spiders and other effects. Solid hits are already possible at this stage, but the Dead Multiplier is not active yet.
- Lobotomy Free Spins — Triggered by 4 scorpions, or by upgrading from Autopsy. Again, you receive 8 spins, but this tier introduces the Dead Multiplier — a random value up to x9,999 that applies to wins involving two specific patient symbols. The multiplier can stack.
- Mental Free Spins — Requires 5 scorpions or an upgrade from Lobotomy. You still start with 8 spins, but now both Enhancer Cells are active on every spin, and two spiders appear at the same time. This creates the maximum density of transformations, multipliers and xWays on each round.
All bonus modes can award extra free spins. When you upgrade from one tier to the next, your remaining spins carry over.
Summary
The Mental slot game is deliberately difficult: its rules sit at the opposite end of the spectrum from something straightforward like Big Bass Bonanza. At times, it feels closer to a mechanical puzzle than a slot.
The atmosphere lands perfectly, but the gameplay logic remains slippery. At first, you try to understand every trigger, every cell and every split; then you eventually give up on full control and just track multipliers and how the bonus rounds pay. Players who enjoy dissecting every interaction will likely appreciate it far more than those who prefer clean, readable mechanics.
In our demo run, we reached free spins after roughly 100 rounds. Across 500 spins, we didn’t end up ahead, but didn’t crash either — the slot’s extreme volatility simply means long stretches without major hits, and patience is essential.
If you like what Mental does, have a look at Tombstone R.I.P: same sharp aesthetic, brutal volatility and mechanics that can be just as punishing.









