Skip to content
Animal Hospital cover

Tier List

S-D class ranks by shift role and Animal Coin payoff — not an in-game label.

By Bloxron Editorial Team · Last updated

About the tier list

S–D class ranks by long-night Sanity payoff, desk or hallway coverage, and Animal Coin or Robux cost. Surgeon alone sits in S-tier at 2,500 Animal Coins. Desk Shutters skill still beats any job perk.

S through D are guide rankings by shift role and coin payoff — not an in-game label. Perks, costs, and upgrade levels are on the classes guide; desk tells stay on Anomalies. No class replaces knowing when to hit Shutters.

Ranking method

  • Desk rejection skill matters more than raw perk numbers — classes cannot fix bad Shutters timing.
  • Ranks weigh Sanity sustainability on long shifts, hallway treatment tempo, and missed-reject cleanup.
  • Animal Coin cost and Robux spend factor in — a B-tier job you can afford now beats an S-tier you cannot upgrade.
  • Three class upgrade levels strengthen each perk; rankings assume you invest in the job you equip nightly.

Class tier list table

TierClasses
S
  • SurgeonSurgeon
A
  • SecretarySecretary
  • DoctorDoctor
  • Scientist
  • Head NurseHead Nurse
  • Barista
  • Secret AgentSecret Agent
B
  • ParamedicParamedic
  • FirefighterFirefighter
  • SecuritySecurity
C
  • NurseNurse
  • PsychologistPsychologist
D
  • InternIntern

By tier list

Same S–D rankings with cost and perk notes on each row. Surgeon is 2,500 Animal Coins. Secretary starts at 120, Doctor at 900, Security and Scientist at 1,250, Barista at 2,000, and Secret Agent around 790 Robux regional. Scientist and Barista joined September 19.

S Tier Classes

Best long-term Animal Coin investment for hallway healers who live in treatment rooms.

Surgeon

Surgeon

2,500 Animal Coins

Sanity + speed boost after heal (scales with level)

A Tier Classes

Strong picks for desk, cleanup, or inventory, each shines in a specific shift role.

Secretary

Secretary

120 Animal Coins

+1 Sanity per patient checked in (levels add bonus Sanity)

Doctor

Doctor

900 Animal Coins

+1 Sanity per patient healed (levels add bonus Sanity)

Scientist

1,250 Animal Coins

Starts with Super DNA Sampler for the Lab DNA / serum loop

Head Nurse

Head Nurse

190 Robux

+3 max inventory slots (higher levels add Sanity / Special Technique)

Barista

2,000 Animal Coins

Brew special coffees by holding an ingredient at the machine; hand buffs to teammates

Secret Agent

Secret Agent

790 Robux (regional)

Gun (20 shots) + Scanner at L1; higher levels add ammo and Sanity

B Tier Classes

Solid mid-shift tools: speed bursts or Taser backup when rejects slip through.

Paramedic

Paramedic

250 Animal Coins

Starts with Large Speed Cola (charges scale with level)

Firefighter

Firefighter

1,100 Animal Coins

Starts with class Fire Extinguisher +1 inventory; L2 recovers Sanity on fire clears; L3 fire Sanity immunity +10 starting Sanity, class extinguisher recharges while held

Security

Security

1,250 Animal Coins

X-Taser (charges scale); L2-L3 also starts with Deployable Camera

C Tier Classes

Usable early or for specialists; replace once you can afford A-tier jobs.

Nurse

Nurse

20 Animal Coins

+1 max inventory slot (scales with level)

Psychologist

Psychologist

500 Animal Coins

All Sanity gains and losses doubled (levels add ignore-loss chance; L3 also reads teammates' Sanity)

D Tier Classes

Free starter only, swap out after your first few shifts.

Intern

Intern

Free

+10 starting Sanity (scales with level)

Best class by role list

RolePicks
Reception / deskSecretary. Sanity on every clean intake; Intern only until you save coins.
Hallway treatmentSurgeon: heal Sanity plus short speed per patient; Doctor if Surgeon is still locked.
Missed-reject cleanupSecret Agent. Gun for Skin Walkers; Security if you need a cheaper Taser start.
Fire / slime nightsFirefighter: extinguisher + slot at start; Security still wins if Skin Walkers are the real problem.
Lab / DNA loopScientist (1,250 Animal Coins): Super DNA Sampler start for Second Floor craft nights.
Inventory / co-op supportHead Nurse: extra slots for team meds; Barista for coffee buffs; Nurse as a budget stepping stone.

Animal Coin unlock order list

  1. Intern (free): first shifts only.
  2. Secretary or Nurse. Secretary if you hold the window; Nurse for one extra slot cheaply.
  3. Doctor: steady Sanity while you learn treatment rooms.
  4. Security: when Skin Walkers slip past Shutters more than once per shift.
  5. Firefighter: optional at 1,100 coins if fire and slime nights eat your runs.
  6. Scientist: optional once Second Floor Lab is open and you live upstairs craft nights.
  7. Surgeon: main Animal Coin sink for hallway mains.
  8. Barista: optional co-op support after you can afford Surgeon or when your lobby wants buff coffee.
  9. Paramedic: optional if you sprint between wings more than you heal.
  10. Psychologist: only after you read Threats and can avoid double Sanity losses; L3 teammate Sanity read helps co-op.
  11. Head Nurse / Secret Agent. Robux bundles when co-op inventory or gun starts justify the spend.

FAQ

Are these tiers official?

No. S through D are guide rankings by shift role and coin payoff, not an in-game list. Last revised after New Content + X2 Coins (Sep 19, 2026) added Scientist and Barista.

Why is Surgeon S-tier but Secretary only A?

Surgeon pays off on every healed patient across eight rooms on long nights. Secretary is A-tier because it only shines when you already read Anomalies well, desk skill caps its value.

Is Secret Agent the best class?

Only for interior cleanup. The Gun works on Skin Walkers and similar threats, most map hazards and Tentacle Surgery ignore gunfire. See the Threats guide before buying for combat.

Why is Psychologist C-tier?

It doubles every Sanity gain and loss. Strong players who rarely eat hazard drain can snowball; everyone else loses runs faster than Intern. Level 3 teammate Sanity read helps co-op leads, but it does not remove the double-drain risk.

Where do Scientist and Barista sit?

Both A-tier specialties. Scientist (1,250 Animal Coins) pays off when you already run the Second Floor Lab every night. Barista (2,000) is co-op support coffee, weaker solo. Do not skip Surgeon (2,500) for either on a solo hallway main.

Do class upgrade levels change the ranking?

Higher upgrade tiers strengthen the same perk. Surgeon and Doctor climb with levels, but their relative order stays the same for most accounts.

Intern vs Nurse for early game?

Intern's +10 starting Sanity helps shift one. Nurse's extra slot pays off once you carry multiple hallway items, usually after Secretary or Doctor is online.

Will rankings change after the July–September 2026 updates?

Harlow's Favorite gave Secret Agent a starting Scanner and Security levels 2-3 a Deployable Camera. Hazmat added Firefighter for fire and slime nights, still B-tier next to Security for most lobbies. Second Floor was skins-only for classes. New Content + X2 Coins added Scientist and Barista as A-tier specialties and a Psychologist L3 Sanity-read. Desk tells on Anomalies still beat a new job or skin alone.