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If the butcher has no line-of-sight to any survivors (due to obstacles) and vice versa, then it seems like Menace should have no effect. The butcher can't see anyone to turn toward and the survivors can't see his horrifying visage. But a strict reading of the card suggests that he turns toward the nearest survivor regardless (by detecting their body heat?), and they gain brain damage (through his psychic emanations?)
i don't have the cards to hand but I remember that is how I interpreted it.
i don't remember the targeting list saying facing/line of sight/etc, just nearest survivor.