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http://kf-wiki.com/wiki/Patriarch#Background
Cysts are simply uncompleted clots, cloned too fast and not completely formed, thus the reason they are pale, weak and blind.
No clue about gorefiends, they are showed in a comic but not explained how they were created.
Hans is a nazi mad scientist survived this long thanks to his biotech suit, that allows him to suck off people's health and essence for himself.
Any kind of elite version of the zeds was made by Hans, as shown on VS mode, all zeds are elites, while patty is normal
Idk why they were in the island tho
It's been on Tropically Bash Web-page