His sideburns are actually perforating suction cups. They create a mini-vacuum to better puncture your skin and suck out all the blood.
(long overdue) evidence:
And finally one which is quite difficult to find:
turning on the light and quickly using the crystal didn’t help to see her 
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Btw., “putting her down” also means another thing… which coincidentally happens fairly often when people play this game.
And what do I see in the background? Turns out somebody discovered a “bug” just recently:
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Nah! You can TURN OFF the cat clock to match the real sound. It’s like that toilet paper orientation option.
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