Ghouls (Homo sapiens wichtusare, former known as Manesphagus horridus) are metahumans infected by a virus known as HMHVV, specifically the Krieger strain. While they are not un-dead, they do exhibit the same vampire-like behavior. Ghouls must consume raw human flesh and have an allergy to sunlight. Though they are physically blind, they are endowed with an enhanced sense of smell and hearing, and have an astral and physical dual-nature that allows them to perceive the astral plane. Ghouls are especially sensitive to the presence of foreign substances within their bodies, which makes it difficult to use cybernetic implants on them. Their strength and body are greater than that of a normal human, but their intelligence and charisma scores suffer greatly. Their fingers elongate and they grow sharp claws from their fingernails. Finally, they are also completely immune to the VITAS plague.
Some ghouls regress to a feral state after the change, while others retain their sanity. Those who remain sane often undergo extreme plastic surgery to pass for human and usually replace their blind eyes with cybernetic implants to allow them to see.
Guess.