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All Animal Hospital Classes Guide

Classes in Animal Hospital determine your abilities, starting items, and role on the team. Some are free with Animal Coins, others require Robux. This guide breaks down every class, its level effects, and which one you should pick.

Last updated: 2026-07-25

📹 Class Ability & Tier List Video Guide

Watch an in-depth breakdown of Surgeon, Security, Secret Agent, Nurse, and Head Nurse abilities.

Animal Hospital All Classes Tier List & Ability Comparison

Roblox Strategy Hub

ClassCostCurrencyPerkTier
Intern →FreeN/A+10 to +20 bonus sanity at shift startD
Nurse →10Animal Coins+1 to +3 inventory capacityB
Paramedic250Animal CoinsStart with Run Fast Cola (6-9 uses)D
Secretary120Animal CoinsRecover sanity when checking in patientsC
Psychologist500Animal CoinsDouble all sanity effects, chance to ignore sanity lossC
Doctor900Animal CoinsRecover sanity when healing patientsC
Security →1,250Animal CoinsStart with X-Taser and Deployable Camera (L2+)B
Surgeon →2,500Animal CoinsGain sanity and speed boost after healing patientsS
Head Nurse →80RobuxIncreased inventory capacity + bonus sanityS
Secret Agent →320RobuxStart with a Gun and ScannerA

Intern

Weakest
Cost

Free N/A

Perk

+10 to +20 bonus sanity at shift start

The default class every player starts with. Gives bonus starting sanity — a small safety buffer for learning the ropes. Upgrade to a real class as soon as you can afford it.

TutorialBeginner
LevelEffect
1+10 bonus sanity at shift start
2+15 bonus sanity at shift start
3+20 bonus sanity at shift start

Nurse

Beginner Classes
Cost

10 Animal Coins

Perk

+1 to +3 inventory capacity

The best budget class in the game. At just 10 Animal Coins, you get extra inventory capacity that reduces trips between rooms. Excellent value for F2P players.

TeamF2PBeginner
LevelEffect
1+1 inventory slot
2+2 inventory slots
3+3 inventory slots

Paramedic

Weakest
Cost

250 Animal Coins

Perk

Start with Run Fast Cola (6-9 uses)

A niche pick focused on movement speed. The Run Fast Cola helps you zip around the hospital, but the lack of meaningful utility makes it hard to recommend over other options.

Niche
LevelEffect
1Start with Run Fast Cola (6 uses)
2Start with Run Fast Cola (9 uses)
3Start with Run Fast Cola (9 uses), regenerate 1 use each round

Secretary

Sanity Classes
Cost

120 Animal Coins

Perk

Recover sanity when checking in patients

A budget-friendly sanity management class. Each patient you check in at the front desk restores a small amount of sanity. Great for learning the sanity mechanics without pressure.

Beginner
LevelEffect
1Recover 1 sanity per check-in
2Recover 1 sanity per check-in, +5 bonus sanity
3Recover 1 sanity per check-in, +10 bonus sanity

Psychologist

Sanity Classes
Cost

500 Animal Coins

Perk

Double all sanity effects, chance to ignore sanity loss

A high-risk, high-reward class for expert players. All sanity gains and losses are doubled. At higher levels, a chance to ignore sanity loss provides a safety net. One mistake can still cost you the run.

Expert
LevelEffect
1All sanity effects doubled (positive and negative)
2All sanity effects doubled, 7.5% chance to ignore sanity loss
3All sanity effects doubled, 15% chance to ignore sanity loss

Doctor

Sanity Classes
Cost

900 Animal Coins

Perk

Recover sanity when healing patients

A solid mid-tier class that pays for itself through sanity recovery. The bonus sanity cap at Level 2 makes it easier to survive longer shifts. A stepping stone to Surgeon.

BeginnerSolo
LevelEffect
1Recover 1 sanity per patient healed
2Recover 1 sanity per patient healed, +15 bonus sanity
3Recover 1 sanity per patient healed, +20 bonus sanity

Security

Beginner Classes
Cost

1,250 Animal Coins

Perk

Start with X-Taser and Deployable Camera (L2+)

The go-to class for combat-focused players. Reworked in Harlow's Update — now gains a Deployable Camera at Level 2. The X-Taser stuns anomalies and the camera provides portable CCTV coverage.

TeamExperienced
LevelEffect
1Start with X-Taser (5 uses)
2Start with X-Taser (6 uses) + Deployable Camera
3Start with X-Taser (6 uses) + Deployable Camera, regenerate 1 use each round

Surgeon

Best Classes
Cost

2,500 Animal Coins

Perk

Gain sanity and speed boost after healing patients

The best F2P class in Animal Hospital. Every patient you heal restores sanity and gives a speed boost. At Level 3, you become a healing machine with double sanity returns. Worth every Animal Coin.

SoloTeamF2P
LevelEffect
1Restore sanity + short speed boost per heal
2Restore sanity + 8s speed boost per heal
32x sanity gain + 8s speed boost + 10 bonus sanity

Head Nurse

Best Classes
Cost

80 Robux

Perk

Increased inventory capacity + bonus sanity

The premium inventory class. Level 2 adds bonus sanity. At Level 3, you start every shift with one of every basic item. Reduces trips to the shop dramatically and keeps the team supplied.

TeamSpeedruns
LevelEffect
1+3 inventory slots
2+3 inventory slots, +10 bonus sanity
3+3 inventory slots, start each round with all items

Secret Agent

Very Good
Cost

320 Robux

Perk

Start with a Gun and Scanner

The premium combat class. Reworked in Harlow's Update — now starts with a Scanner at Level 1 alongside the Gun. Packing heat and detection gear from the start makes you self-sufficient. Level 3 turns combat into a profit engine.

SoloSpeedruns
LevelEffect
1Start with Gun (20 uses) + Scanner, +2 carry capacity
2Start with Gun (24 uses), +1 use each round
3Killing anomalies grants +4 sanity and +$5 cash, Gun regenerates

Which Class Should You Pick?

F2P (Free-to-Play)

Start with Nurse (20 Animal Coins). It is cheap and the extra inventory helps enormously. Save up for Surgeon (2,500 Animal Coins), the best F2P class in the game. If you need sanity support, grab Doctor (900 Animal Coins) as a mid-tier stepping stone.

Robux

If you are willing to spend Robux, Head Nurse (80 Robux) provides incredible team utility with its massive inventory. Secret Agent (320 Robux) is the best solo class, letting you handle anomalies with ease right from shift 1.

Frequently Asked Questions

Which class should I buy first?
Get Nurse (10 Animal Coins) first for the inventory upgrade, then save for Surgeon (2,500 Animal Coins). It's the best F2P path.
Are Robux classes worth it?
Head Nurse (80 Robux) is excellent for team play. Secret Agent (320 Robux) was buffed in Harlow's Update — now starts with a Scanner at Level 1. Both are quality-of-life upgrades.
Did Harlow's Update change the class meta?
Yes. Secret Agent and Security were both reworked. Secret Agent now starts with a Scanner at Level 1, making it even stronger. Security gains a Deployable Camera at Level 2. Any tier list from before July 10, 2026 is outdated.
Can I change classes mid-game?
You can change classes between shifts in the lobby. You cannot switch during an active shift.

For a full tier list ranking, check the Tier List page.