All 11 Animal Hospital classes ranked by run value: sanity economy, anomaly handling and coin cost. Prices and perks verified against the community wiki on August 27, 2026.
S Tier
Name
Role
Why
Secret Agent
Robux · Gun + Scanner
20-use gun deletes anomalies on demand plus a multi-use scanner and 2 extra slots; level 3 pays 4 sanity and $5 per anomaly shot. Strongest kit in the game — if you pay.
Psychologist
500 coins · Sanity engine
Starts at 100% sanity and doubles every sanity gain (coffee heals 30, not 15). Doubled losses are the tax — level 2-3 can ignore negatives. Best coin-priced class.
A Tier
Name
Role
Why
Surgeon
2,500 coins · Tempo
Sanity plus a speed boost every treated patient, and $35 starter money. The most expensive coin class — earns its price in long runs.
Secretary
120 coins · Desk value
+1 sanity per check-in adds up fast if you hold the desk; cheap enough to be most players' second buy.
Head Nurse
Robux · Inventory
+3 inventory slots from level 1, +10% starting sanity at level 2, and the level 3 Special Technique treats a patient with everything in your bag at once.
B Tier
Name
Role
Why
Doctor
900 coins · Healer sustain
+1 sanity per patient healed with big starting-sanity bumps at levels 2-3. Solid, but Psychologist does the sanity job for less.
Security
1,250 coins · X-Taser
Starts with a 5-use X-Taser (tases also pay 2 sanity) and adds a Deployable Camera at level 2. Good utility, pricey for what it does.
Nurse
20 coins · Budget slots
+1 inventory slot per level for 20 coins — the best first purchase, it just stops scaling later.
Paramedic
250 coins · Speed
Large Run Fast Cola with 6 uses (9 at level 2, regenerating at level 3). Movement is nice; other perks matter more.
C Tier
Name
Role
Why
Intern
Free · Starter
10/15/20 bonus starting sanity. Fine for learning the game — replace it as soon as you can afford anything.
Firefighter
Situational · Fires
Self-recharging Special Fire Extinguisher (added July 25, 2026). Great in fire events, does little the rest of the shift.
Tier list revised:
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