The True Knot are a group of quasi-immortal "vampires" who employ torture to feed on the life force, known to them as "steam," of children who are gifted with the Shining. They are an unknowably old group, and there were at one point so many of them that there were many splinter groups–hence their being the "True" Knot. They are a main antagonist in Doctor Sleep, currently led by Rose the Hat, with Crow Daddy as her second-in-command, and Snakebite Andi as their youngest turn. They all abandon their rube names for their more unconventional names, possibly to further fit in with "RV people," possibly due to their disgust with rubes.
They own many businesses and campgrounds/rest areas secretly to cover up their meetings, turnings, and feeding. One of these is Bluebell Camp ground outside of Sidewinder, Colorado, where the Overlook Hotel once stood, now the Overlook Lodge is present there.
The True Knot only consume the steam of children with The Shine, but if an adult with The Shine has a unique ability they find desireable, they will attempt to recruit and "turn" them. According to a conversation with Rose the Hat to Snakebite Andi, they will not consume adults because it would be like eating bad meat from an old cow. According to Rose, if they refuse their memories could be wiped and their power taken away.
If a recruit agrees to be turned the members gather around them in a circle and begin a call & response type of chant lead by Grampa Flick. A container (filled with a child's steam) is opened and the potential recruit is to inhale it and consume it. At this point, the process is painful and survival is not guaranteed. The recruit feels all the pain of the tortured child when they died and their body begins to change (disappear to varying degrees). A member of the true Knot, then gives them more steam if they survive, possibly to give them a taste of an enjoyable experience. The new recruit is now turned.
- Disease (being so old, they have not developed immunity to modern diseases and can contract diseases through steam)
- Regular trauma that can kill a normal human