Classes
Jobs change how you regain Sanity, move faster, or fight back — buy and equip in the lobby Class Shop.
By Bloxron Editorial Team · Last updated
Classes swap how you recover Sanity, move, or fight — they do not replace knowing the desk check. Buy or equip jobs on the class selection screen in the lobby before you queue a shift. Each job has three upgrade levels and its own starting cash on the shop card. Animal Coin jobs are cheaper to unlock over time; Robux jobs bundle inventory or weapons. Fixed story NPCs are on Characters. For S–D rankings and unlock order, see the tier list.
Psychologist note
Doubles every Sanity change — buffs hit harder, but anomaly scares and hazard drain hurt twice as much. Only pick this if you already know Threats well.
Role fit
| If you… | Consider |
|---|---|
| Hold the reception window | Secretary (Sanity on intake) |
| Run hallway treatments | Doctor / Surgeon (Sanity on heal; Surgeon adds speed) |
| Need quick speed boost | Paramedic (Cola charges) or Run Faster from Supplies Shop ($75) |
| Cover missed rejects | Security (Taser; L2+ adds Deployable Camera) or Secret Agent (Gun + Scanner at L1) |
| Main fires and slime cleanup | Firefighter (extinguisher start); Security still better when Skin Walkers slip past |
| Want wider pockets | Nurse / Head Nurse (inventory slots) |
All classes
| Icon | Class | Cost | Perk |
|---|---|---|---|
 | Intern | Free | +10 starting Sanity (scales with level) |
 | Nurse | 20 Animal Coins | +1 max inventory slot (scales with level) |
 | Secretary | 120 Animal Coins | +1 Sanity per patient checked in (levels add bonus Sanity) |
 | Paramedic | 250 Animal Coins | Starts with Large Speed Cola (charges scale with level) |
 | Psychologist | 500 Animal Coins | All Sanity gains and losses doubled (levels add ignore-loss chance) |
 | Doctor | 900 Animal Coins | +1 Sanity per patient healed (levels add bonus Sanity) |
 | Firefighter | 1,100 Animal Coins | Starts with Fire Extinguisher +1 inventory; higher levels soften fire Sanity drain — confirm on Class Shop card |
 | Security | 1,250 Animal Coins | X-Taser (charges scale); L2–L3 also starts with Deployable Camera |
 | Head Nurse | 190 Robux | +3 max inventory slots (higher levels add Sanity / Special Technique) |
 | Surgeon | 2,500 Animal Coins | Sanity + speed boost after heal (scales with level) |
 | Secret Agent | 790 Robux (regional) | Gun (20 shots) + Scanner at L1; higher levels add ammo and Sanity |
Paramedic starts with Large Speed Cola (6 uses) for short speed bursts. Run Faster from the Supplies Shop does something similar if you skip the 250-coin unlock. Secret Agent's gun is for Skin Walkers and similar interior threats — most map hazards ignore gunfire (see Threats).
Upgrade levels
Perk text by level — re-open the Class Shop before spending coins; starting-cash bars on each card are the live numbers. Secret Agent L2–L3 ammo figures can drift after patches — trust the in-game card over older clips.
| Class | Levels |
|---|---|
| Intern |
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| Nurse |
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| Secretary |
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| Paramedic |
|
| Psychologist |
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| Doctor |
|
| Firefighter |
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| Security |
|
| Head Nurse |
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| Surgeon |
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| Secret Agent |
|
Class skins
Cosmetic skins live in the Class Shop Skins tab — they do not change perks or desk checks.
| Class | Skin name |
|---|---|
| Intern | Rascal |
| Intern | Banana Intern |
| Nurse | Assistant Nurse |
| Psychologist | Psycho |
| Security | Hospital Cop |
| Head Nurse | Supervisor |
| Secret Agent | Agent Rattu |
| Secret Agent | Agent Blueberry |
- Open the Class Shop in the lobby, then switch to the Skins tab at the top — cosmetic only; class perks and upgrade levels stay the same.
- Harlow's Favorite refreshed default class models — check Classic skin entries if you want the pre-remodel look.
- Hazmat added limited looks such as Banana Intern and Agent Blueberry; Nurse and Head Nurse also got new skins — check the Class Shop Skins tab for live names. Psycho and Rascal got visual reworks if you already owned them.
- Doctor, Surgeon, Paramedic, and Secretary only had their default look in the June 2026 named-skin wave; they still got Harlow remodeled defaults.
Equip steps
- Lobby → classes zone (left side, near the ambulance area).
- Open Class Shop.
- Buy with Animal Coins or Robux if needed.
- Upgrade class levels in the same shop when you have the currency.
- Equip before starting a shift.
- Each class has three upgrade levels — see the level table below. Starting-cash bars on the shop card still apply when you equip.
- Harlow's Favorite (Jul 2026): Security L2–L3 open with Deployable Camera; Secret Agent L1 opens with Scanner + Gun (20 shots).
- Hazmat (Jul 2026): Firefighter unlocks for 1,100 Animal Coins — trust the Class Shop card if the number drifts. Lobby Journal (under Classes) pays Animal Coins for filled anomaly, character, and achievement entries.
- Secret Agent Robux price is regional — Class Shop may show amounts other than 790 depending on your account region. Confirm on the live card before buying.
- Harlow also remodeled every class except Intern's default slot. Old remodeled looks remain buyable as Classic skins where listed in the Skins tab.
- Species refresh: Secretary is a sheep model; Surgeon is a moose model (Classic skins keep the older looks). Jul 13–14 polish tweaked Surgeon, Secretary, Paramedic, and Doctor cosmetics only.
- Your equipped class model shows in-game; class name appears in the lobby and near your Sanity meter.