Posters of Ruzka can be spotted scattered around Point Lookout, suggesting that she was a pre-war circus attraction. Unlike regular yao guai, which evolved from American black bears, Ruzka seems to have been a brown bear. Now completely feral and ghoulifed, Ruzka amuses herself by playing with a big red ball and the entrails of encroaching swampfolk. She lives in a small alcove at the end of a small inlet channel, nearby the jet crash site and the sacred bog. She is dangerous and threatening, unless one has the Animal Friend perk.
Ironically, when discussing yao guai, Herbert Dashwood's terminal states that "you're not going to find one of these babies balancing on a big rubber ball, though, I can tell you that much," which is exactly what Ruzka is implied to do.
Ruzka is much larger than the regular yao guai, towering over the Lone Wanderer when she rears on her legs. She is possibly twice the size of a normal yao guai.