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It is common for children to be afraid of disguised, exaggerated, or costumed figures — even Santa Claus.

Ute myths feature a cannibalistic clown monster called the Siats.

In the Space To Care study aimed at improving hospital design for children, researchers from the University of Sheffield polled 250 children regarding their opinions on clowns ; all 250 children in the study, whose ages ranged between four and sixteen, reported that they found clowns frightening and disliked clowns as part of hospital decor.