Miyo is a nurse at the local clinic with a passion for learning about hinamizawa's history and traditions. she keeps track of her observations in journals. sometimes, her narratives are suspenseful and unsettling; it appears she takes pleasure in making others uneasy.
Since her will and manipulations are so strong as to affect the people in the village both directly and indirectly, she infact fakes her death through the first six arcs of the story (the corpse in the barrel being a stolen corpse), and murders Rika in three of the arcs which she uses in line with her "Queen Carrier" theory to execute the Great Hinamizawa Disaster.
In the first six arcs, she consistently disappears on the night of Watanagashi, and an incinerated body thought to be hers is found in the mountains. Later, however, it turns out that she is the mastermind of the events taking place in Hinamizawa who wants to murder Rika so she can prove her grandfather's research.