Animal Hospital Class Tier List
Complete rankings for all classes — S-Tier to D-Tier • June 2026
🏥 How Classes Work
Free vs Premium
Intern (free) and Nurse (10 coins) are F2P friendly. Surgeon (2500 coins) is the best F2P class. Head Nurse & Secret Agent require Robux.
Shift Bands
Intern works best for Shifts 1-3. Unlock Surgeon by Shift 4. Surgeon + Doctor core from Shift 7+. Add Security by Shift 10.
Four-Stack
Best late-game comp: Surgeon + Doctor + Security + Secret Agent (premium). F2P alternative: Surgeon + Doctor + Security + Paramedic.
Surgeon
Top F2P choice. Grants sanity and movement speed boost upon healing. Essential for long shifts.
Passive
Sanity + speed on heal
Best For
Long shifts, Co-op healing
Doctor
Reliable Sanity recovery on every heal. Essential for sustained gameplay.
Passive
+1 Sanity per heal
Best For
Sustain gameplay, Team healing
Head Nurse
Premium Robux support pick with inventory expansion and strong support passives.
Passive
Inventory expansion + support
Best For
Premium players, Support role
Paramedic
Ideal for event speed and ambulance runners. Speed Cola gives edge in critical moments.
Passive
Starts with Speed Cola (6 uses)
Best For
Events, Ambulance nights
Secret Agent
Highest DPS vs Skinwalkers. Gun handles anomalies efficiently with minimal Sanity cost.
Passive
Starts with Gun
Best For
Combat, Skinwalker defense
Security
Ranged Skinwalker control with lower Sanity cost. Effective anomaly defense.
Passive
Starts with Taser
Best For
Anomaly defense, Beginner combat
Intern
Best free early-game class. +10 Sanity prevents early wipe from first care.
Passive
+10 starting Sanity
Best For
New players, Free-to-play
Nurse
Extra inventory slot for carrying more items. Situational utility.
Passive
+1 max inventory slot
Best For
Item hoarders, Late game
Secretary
Sanity recovery on check-in. Generally outclassed in later shifts.
Passive
+1 Sanity on check-in
Best For
Early shifts, Desk work
Psychologist
Doubles all Sanity effects (positive and negative). High-risk for expert players only.
Passive
2x all Sanity effects
Best For
Expert players, Experimental builds
Disclaimer: Tier rankings reflect the June 2026 meta. The Surgeon is the best F2P class for sustained play. Premium classes (Head Nurse, Secret Agent) provide measurable advantages but are not required for Shift 10+ clears.