If there is a more appropriate way to bug report please let me know. 

I Started the game up just this morning, played normally through beginning, until i climbed the ladder before gilbert. I got to the top wasn't paying attention to my camera angle and walked off since i was still holding forward. i respawned at the Iosefka clinic lantern. I went to the exit and after the loading screen i spawned not in the courtyard but in the next game zone. Except it was very dark. I realised i actually was in the right zone just loaded in at the exit to the next zone. i walked into the load trigger and it placed me where it should (the third area with the human enemies and the ladder to gilbert) climbed up the ladder talked to gilbert he opened the gate. i walked through the next loading screen and spawned in a void and fell to my death. Tried it two more times and same thing. Went back to the loading screen to the courtyard figuring  if I reload the area from else where it might fix the problem. Same problem. Ultimately I reloaded the game and that fixed the issue.