Secretary Class in Animal Hospital: Worth 120 Coins?

The tired-looking sheep with the eyebags and the oversized glasses is, ironically, the class that keeps your mental health topped up. The Secretary costs 120 Animal Coins and converts the most routine task in Animal Hospital, checking in patients, into a steady stream of Sanity.

Perk Breakdown

At level 1, the Secretary recovers 1 Sanity for every patient checked in. Levels 2 and 3 keep that perk and stack bonus starting Sanity on top.

The class also starts with $20 in-game cash, useful for grabbing an early item from the Supplies Shop.

Unlock Details

Pick it up for 120 Animal Coins at the class shop in the lobby, reached via the Classes button on the left of your screen or the large yellow circle beside the ambulance, left of the spawn point. At 2 coins per treated patient and 0.5 per rejected anomaly, expect to afford it after a handful of decent shifts. Class levels cost 200 EXP for level 2 and another 850 EXP for level 3.

Playing the Front Desk

• Claim the reception office and stay there. Every completed check-in heals you 1 Sanity, and the heal triggers on the final Talk prompt of the process, so finish conversations properly.
• Visitors count too. All visitors, including quest NPCs, register as check-ins. Once every hospital bed is full during the check-in phase, new arrivals spawn as regular visitors who leave on their own after a while, which effectively creates an endless queue you can farm for Sanity.
• Buy the check-in upgrades. Supplies Shop upgrades like Faster check in, Visitors check in faster, 25% Faster Printers, and the Extra check in window all mean more check-ins per shift, which means more healing for you.
• Leave the coffee for teammates. Coffee restores 15 Sanity and chocolate restores 60, but your perk usually keeps you comfortable without them. Classes with no self-healing need those items more, so a considerate Secretary is a team-wide Sanity subsidy. More on the health economy in our sanity guide.
• You still need to spot anomalies at the desk, so keep the anomaly tells fresh in your mind before you wave anyone through.

Final Word

The Secretary earns its A-tier placement on the tier list by solving the game’s central resource problem for pocket change. Where the Doctor heals 1 Sanity per patient treated, treatments are slower and riskier than check-ins, and the Secretary’s farm-friendly perk plus bonus starting Sanity at level 3 makes it the stronger sustain pick at a fraction of the Doctor’s 900-coin price. Only the 500-coin Psychologist and the premium classes clearly outshine it.

If you main the reception role in a group, or you solo and want a forgiving health engine, buy the Secretary as your first serious class and you will not regret it. It is the rare budget option that stays relevant deep into the class roster, as our full classes overview makes clear.