Wraith

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True form of a wraith.

Pad of Definitions

A Scottish word, first used in English in 1513. A wraith is an apparition, vision, or double of another living person. Its appearance is commonly seen as an omen that the person being doubled is about to die.

Pad of Definitions (1.01 Pilot (episode)), Official Website

According to hunter Martin Creaser, who draws the impression of a wraith shown at right, they "crack open skulls and feed on brain juice". They can pass as human, but their true form is revealed in a mirror. Wraiths can be killed by silver, and are burned when silver touches their skin.

5.11 Sam, Interrupted

In 5.11 Sam, Interrupted, the wraith is disguised as a nurse called Karla. She amplifies a person's imbalances to make the brain produce more chemicals like dopamine, which she likes to consume. She feeds on the brain through a thin pointed protrusion that emerges from her wrist, which she inserts into the brain. She is killed by Dean with a silver plated letter opener.