Co-op survival horror · by Animal Anomaly
Survive the night shift.
Detect every anomaly.
Animal Hospital is live on Roblox — Animal Anomaly's intense co-op horror simulation. Spot disguised paranormal entities, master all 11 playable classes, and survive all 10 night shifts.
By Animal Hospital Guide · Site Maintainer: CT
Last updated:
Now live · 10 Shifts Active ·
LATEST UPDATE: Sep 19-21, 2026
New Content + X2 COINS (Ended)
Official telemetry verified via Roblox API · Sep 22, 2026
- Developer
- Animal Anomaly
- Genre
- Co-op Survival Horror
- Players
- Solo or up to 4 Squad
- Platforms
- PC · Mobile · Console
- Shifts
- 10 Shifts Active
- Access
- Free to Play (Roblox)
New Content + X2 COINS — Latest Update Now Live
X2 COINS + New Content - dated 2026-09-19; full patch notes on the Updates page.
Spot Anomalies & Master Night Shifts
Inspect patient visual signs, photos, and CCTV cameras. Use our interactive anomaly detection tools, class tier rankings, and quest walkthroughs to survive every shift.
Shift Clean Clear
+50 Animal Coins per Shift
Patient Treatment
+10 Coins per cured patient
Anomaly Rejection
+15 Coins per shutter shutdown
S-Tier Class Rankings
Top-rated playable roles for surviving Shift 1 to Shift 10.
Surgeon Class
Best free-to-play class in Animal Hospital. Recovers team sanity, grants burst speed movement when healing, and handles high-threat anomalies.
Secret Agent Class
Equipped with handgun and high-frequency anomaly scanner. Can shoot hostile entities directly and reveal disguised Skinwalker patients.
Head Nurse Class
Provides extra inventory capacity, free starting Medkits, and faster check-in inspection times for the entire party.
2.33B+
Total Visits
3.03M+
Favorites
27K+
Active CCU
94%
Like Ratio
🎬 Featured Video Guide
Watch the ultimate night shift walkthrough and beginner tutorial by top creators.
Animal Hospital Roblox FULL Beginner Guide
Cocajola
Explore the Hospital
Everything you need to survive the night shift.
Active Codes
Latest working codes for free rewards and items
Class Tier List
All classes ranked from S to D tier with perks and costs
Anomalies Guide
Every anomaly detection method and how to counter each threat
Shifts Guide
How many shifts in Animal Hospital, rewards, and tier breakdown
Classes Overview
Detailed breakdown of all 11 playable classes
Surgeon Guide
The best F2P class — healing mechanics, speed boosts, and leveling
Secret Agent Guide
Is 320 Robux worth it? Gun + Scanner loadout breakdown
Key Cards Guide
Every Key Card location, which doors they open, and how to get them
Hospital Map
Floor-by-floor room locations, key card doors, safe zones, and loot spots
Emergency Events Guide
Death Ritual, Bed Monster, and Room Fires survival guide
Animal Coins Farming
How to farm coins fast, payout table & sub-2 min Shift 1 speedrun
Equipment Counter Table
Tool matching matrix: Taser, Maple Syrup, Extinguisher & Scanner
Black Bunny Guide
Survive the smiling rabbit — eye contact drains Sanity, weapons don't work
Accessibility Guide
Reduced flashing lights, 2D icons & low Sanity visual effects
Journal Checklist
Complete list of badges, secret achievements & coin payouts
Doctor's Key Quest
Room 5 puzzle, Ratthew, and how to unlock the basement
Sanity Guide
Every Sanity drain, recovery item, and class synergy explained
Sanity Calculator
Free interactive tool to plan your net Sanity before each shift
Room 8 Surgery
How the surgery room works, when to send patients, and risks
When to Reject a Patient
Shutter rules: reject the moment any check layer fails
When to Admit a Patient
Admit only after visual, photo, and CCTV all clear
When to Trust the Photo
Use the polaroid as the tie-breaker against shaky visuals
Desk → Photo → CCTV Order
The fixed intake scan order and why skipping loses patients
Reject Rules
One failed layer is already enough — full auto-reject tell list
How to Use CCTV
Camera controls, cycling, and cursed-feed Sanity protection
Best CCTV Camera
Which feed matters most and how to pair it with the photo
Can You AFK Farm?
Honest answer on idle farming and the better active coin route
Taser vs Gun
Cost, reuse, and which enemies are weapon-immune
Coffee vs Chocolate
Steady top-up vs burst recovery — when to use each
Doctor vs Surgeon
900 vs 2,500 coins — which healer fits your run
Secret Agent vs Surgeon
Robux gun control vs free-to-play healing
Patient States Guide
Fainted, burning, critical, and suspicious — timers & first moves
Patient Rescue Guide
Triage by timer: who to stabilize first each shift
Best Hospital Route
Desk → Office → rooms loop that avoids backtracking
Where to Go After Desk
Route admitted patients straight to the right room
Office or Coffee First
Low Sanity or shaky intake? Decide your first stop
NPC Guide
Staff, side characters, and why Barney is the threat
Latest Updates
Recent patch notes and changes.
New Content + X2 COINS
X2 COINS + New Content - dated 2026-09-19; full patch notes on the Updates page.
Second Floor Expansion
The headline drop of September: a whole new hospital floor, the SEWERS area, and the DNA-powered Laboratory.
Even More Lore! Update
A lore-first patch - one new location to discover, quality-of-life fixes, and extra class skins.
Dr. Harlow Event & Rain Shift Update
Dr. Harlow's event plus the Rain Shift weather mode; the window closed but the content stayed in game.
The Hazmat Team Arrives
The containment-breach event that brought Sam, the Slimebert anomaly, the Firefighter class and the Journal.
Small Redesign Update
A cosmetic pass over the class models - fur, antlers, ears and a recoloured bandage sprite.
Harlow's Favorite Update
One of the biggest drops of the year: Liz, a Dr. Harlow rework, new items and the Stalker disguise.
Ghost Spawn Rule (Mini Patch)
Small but important: Ghosts now spawn only after a patient dies during your shift.
Class Update Pt.2 + More
Follow-up to the class overhaul - a Skins tab, controller support and extra check-in anomaly tells.
Class Update Pt.1
The class rework that added three upgrade levels per class and a reworked perks UI.
Ambulance Update
Introduced the Ambulance emergency event, which can now trigger from Shift 4 onward.
New Upgrades
The earliest dated follow-up after launch: a balance and upgrades pass that set the game's faster pace.
Animal Hospital Official Launch
Where it began - the May 2026 launch build with five shifts and six core classes.
New Guides
Recently added content.
Oingit — The Previous Employee
Rain Shift Guide
Journal Collection System Guide
Sam NPC Hire Guide
Secret Agent Class Guide
Security Class Guide
Surgeon Class Guide
Head Nurse Guide
Basement Guide
Room 5 Puzzle Guide
Liz NPC Guide
Liz's House Guide
Coffee Guide
Achievements & Badges Guide
Multiplayer Guide
Controls Guide
Door Codes Guide
Ron from Accounting
Officer Duckman
Barney the Janitor
Shopkeeper Nurse
Lore & True Story
Sanity Guide
Sanity Calculator Tool
Room 8 Surgery Guide
When to Reject a Patient
When to Admit a Patient
When to Trust the Photo
Desk → Photo → CCTV Order
Reject Rules
How to Use CCTV
Best CCTV Camera
Can You AFK Farm?
Taser vs Gun
Coffee vs Chocolate
Doctor vs Surgeon
Secret Agent vs Surgeon
Patient States Guide
Patient Rescue Guide
Best Hospital Route
Where to Go After Desk
Office or Coffee First
NPC Guide
Popular Guides
Most-read guides this week.
Class Tier List (S to D Tier)
14.2K reads
How to Detect All Anomalies
12.8K reads
Animal Hospital Codes (2026)
11.5K reads
Beginner Survival Guide
9.4K reads
Shifts Guide (All 10 Shifts)
8.7K reads
Ending Guide & Final Shift
6.2K reads
Surgeon Class Guide
8.1K reads
Secret Agent Class Guide
7.9K reads
Key Cards Guide
7.2K reads
Doctor's Key & Room 5
6.8K reads
Ghost Entity Guide
6.5K reads
Basement Guide
5.9K reads
Dr. Harlow NPC Guide
5.4K reads
How to Get Medkits
5.1K reads
Lockers Guide
4.8K reads
Art Style & Visual Design
4.5K reads
Frequently Asked Questions
Common questions about Animal Hospital mechanics, classes, and survival.
What is Animal Hospital (Anomaly)?
How do I get Animal Hospital codes?
What is the best class in Animal Hospital?
How do I spot anomalies at the reception window?
What happens if I let an anomaly inside?
How do I earn Animal Coins?
What is the best team composition?
How do I unlock more classes?
What is the Journal System in Animal Hospital?
How do I hire Sam NPC in Animal Hospital?
Is the Animal Hospital game on Roblox free to play?
What kind of Animal Hospital Roblox game is it?
🛠️ Interactive Tools & Hospital Lore
Discover interactive anomaly tools, hospital NPC characters, and voting guides.