The only thing I've been able to dig up to suggest anything is this.

It says, "In respect to the Otherworld, the creature does not appear in the later works of the series."
I've never quite got this or how using the effigy of a doctor as part of a nightmare is disrespectful while a nurse is not.
I was especially surprised not to see doctors represented in SH3, especially since Alessa befell most of her suffering at the hands of doctors instead of nurses. I personally think the variants would have added a bit more variety to the monster variants in some of the variants.
Not to mention I genuinely found the doctors more disturbing then the nurses.
Anyone have any sort of theory to this or can I just chalk it up to Team Silent being a bunch of pervs who would rather make sexy nurses then doctor monsters.









