Animal Hospital Anomaly Class Tier List (2026)

The strongest combat class in the game. Starts with a gun whose ammo regenerates over time, and the Scanner lights up red on any patient carrying anomaly symptoms.

Cost:

790 Robux (regional pricing varies)

Starter:

Gun (20 uses) and Scanner

Best for:

Players who want to hunt anomalies instead of only avoiding them

• Bonus sanity and cash for killing anomalies
• Highest Utility stat, so tasks, check-ins, and treatments complete much faster
• Scanner reveals stacked anomalies that other detection methods miss

Premium Robux class. Very strong, but you can clear most content with coin classes first.

The most balanced class overall. Good at managing sanity and completing tasks, with speed and sanity boosts earned by healing patients.

Cost:

Animal Coins (Class Shop)

Starter:

Standard kit

Best for:

Experienced players who want an all-rounder

• Speed and sanity boosts when you heal patients
• Balanced Sanity, Utility, and Starter Money
• Strong once you know the treatment flow

Requires coin grinding; best unlocked after you are comfortable with treatments.

The best class for players who focus on healing patients. Extra inventory capacity means fewer trips around the hospital.

Cost:

Robux pass

Starter:

High starting money

Best for:

Team players who want to handle treatment duty

• Increased inventory capacity
• High starting money for early shop purchases
• Efficient patient-focused play

Premium Robux class. Pick it if you mainly heal rather than fight.

Has the highest Sanity stat in the game and doubles every sanity effect - including the bad ones. Coffee gives 30 sanity instead of 15, but a wrong tase costs 30 instead of 15.

Cost:

Animal Coins (Class Shop)

Starter:

Standard kit

Best for:

Experienced players who rarely make mistakes

• Doubles all sanity gains and losses
• Highest maximum sanity pool
• Never run out of sanity once your calls are reliable

Warning: the double penalty punishes wrong tases and missed anomalies heavily.

Recovers sanity steadily by healing patients - 1 sanity per patient healed. Decent Utility stat, but low starting money.

Cost:

Animal Coins (Class Shop)

Starter:

Standard kit

Best for:

Players who treat a lot of patients each shift

• +1 sanity per patient healed
• Decent task speed
• Low starting money, so early purchases are tight

Pair with the Head Nurse or a coffee routine for long runs.

Starts with an X-Taser so you can deal with anomalies from the very first shift. Level 2 adds a Deployable Camera for checking patients remotely.

Cost:

1,250 Animal Coins

Starter:

X-Taser (5 uses)

Best for:

The best first paid class for most players

• Starts with an X-Taser (5 uses)
• Level 2: Deployable Camera for remote checks
• Strong early-game anomaly control

Best value coin class - saves you from relying only on the free Shift 4 taser.

Added in the Hazmat Team update. Carries a personal Fire Extinguisher that recharges automatically and becomes fully immune to fire sanity drain at max level.

Cost:

1,100 Animal Coins

Starter:

Fire Extinguisher

Best for:

Surviving fire-heavy shifts and the slime event

• Level 1: Start with a Fire Extinguisher and +1 inventory capacity
• Level 2: Recover 1 sanity whenever you put out a fire
• Level 3: Immune to sanity drain from fires and +10 maximum sanity

Situational, but excellent during the Hazmat event and late shifts with frequent fires.

A cheap, beginner-friendly class that boosts speed and carrying. Great for ambulance rushes where you need to move fast between patients.

Cost:

250 Animal Coins

Starter:

Large Speed Cola (6 uses)

Best for:

New players who want a low-cost upgrade from Intern

• Starts with Large Speed Cola (6 uses)
• Speed and carrying bonuses
• Cheap upgrade path from Intern

One of the best first purchases - only 250 Animal Coins.

Gains 1 sanity per check-in, rewarding you for working the front desk. The best beginner class for learning the check-in loop.

Cost:

Animal Coins (Class Shop)

Starter:

Standard kit

Best for:

Beginners learning to spot anomalies

• +1 sanity per patient check-in
• Rewards careful window and camera work
• Simple, forgiving play style

A natural step up from Intern before moving to Psychologist.

A general-purpose class with no standout perk. Playable, but most players are better off saving coins for Security or Paramedic.

Cost:

Animal Coins (Class Shop)

Starter:

Standard kit

Best for:

Nothing in particular - a placeholder upgrade

• Decent all-rounder stats
• No major weaknesses
• No major strengths either

Usually skippable. Go for Security or Paramedic instead.

The starter class everyone gets. Starts with higher sanity than most classes, which buys you room to make mistakes during the first shifts.

Cost:

Free

Starter:

Standard kit

Best for:

The first 1-8 shifts while you learn the game

• Higher starting sanity than most classes
• Free - no unlock cost
• Good for the tutorial shifts

Upgrade to Secretary or Paramedic as soon as you can afford it.