Animal Hospital Class Tier List (July 2026)
All 10 classes ranked by shift survival value, sanity economy, team utility, and overall performance. Updated for the current meta.
Last updated: 2026-07-25
Surgeon
Best F2P class. Level 1 restores sanity on heal, Level 2 adds 8s speed boost, Level 3 doubles sanity gain + 10 bonus sanity.
Head Nurse
Premium class that reduces trips between rooms. Level 2 adds +10 bonus sanity. Level 3 starts with all items.
Secret Agent
Premium class buffed in Harlow's Update. Now starts with Scanner at Level 1 for instant anomaly detection. Gun + Scanner = self-sufficient. Level 3 turns kills into sanity and cash.
Nurse
Cheapest class worth buying. Great value for the price — extra inventory helps every role.
Security
Reworked in Harlow's Update. Level 2 now grants a Deployable Camera. Strong in team play.
Doctor
Good beginner pick before Surgeon. Level 2 gives +15 bonus sanity.
Psychologist
Expert-only class. Level 3 gives 15% chance to ignore sanity loss.
Secretary
Budget sanity class. Good for learning sanity management.
Paramedic
Niche speed boost class. Too expensive for what it offers. Save your coins for better classes.
Intern
Free starter class with bonus starting sanity. Decent for learning but upgrade ASAP.
How We Rank
Classes are ranked based on their performance across multiple criteria in both solo and co-op play. The most important factors are shift survival impact, sanity economy contribution, and overall team value.
- Survival Value: How much the class helps you and your team survive longer shifts.
- Sanity Economy: How well the class manages, recovers, or mitigates sanity loss.
- Team Utility: The value the class brings to a group, including healing, combat, and support.
- Cost Efficiency: The return on investment relative to the unlock cost in Animal Coins or Robux.