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The best classes in Animal Hospital can give you that much-needed boost to progress further in a run both solo and in a team. There’s classes that are great for beginners and then the strongest end-game classes to farm for. I’ll cover them all in my Animal Hospital class tier list and guide.

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Animal Hospital Best Classes

animal hospital class tier list
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Below you’ll find a list of individual ranking reasons for each class as well as their abilities. Note that you level a class by playing it and getting EXP, thus unlocking its bonus abilities and bonuses. Here are the tier ranking breakdowns:

  • S-Tier: The best classes in the game.
  • A-Tier: Second-best classes that either slightly less flexibile or slightly less powerful.
  • B-Tier: Niche-use classes or beginner ones.
  • C-Tier: Weaker classes.

Check out our Animal Hospital Walkthrough for a bunch of useful tips and info

S-Tier Classes

ClassRanking BreakdownAbility

Surgeon
• Combines the best of Doctor for sanity regen and Paramedic for speed which helps deal with emergencies
• The best free-to-play class in the game
Level 1: Get sanity and a short speed boost after healing a patient
Level 2: The speed boost is longer (8s)
Level 3: Doubles the sanity gain and gain +10 bonus sanity

Secret Agent
• Makes dealing with enemies and anomalies incredibly easy
• Plus you get better sanity and starter money than almost all classes
• The only downside is that it’s a Robux class and it’s expensive
Starts with a Gun

Level 1: Gun has 20 uses
Level 2: Gun has 30 uses and you get +10 bonus sanity
Level 3: Regenerate 1 Gun use each round and you get +20 bonus sanity

A-Tier Classes

ClassRanking BreakdownAbility

Doctor
• The best class to rush after beginner classes and the class you’ll use to farm Surgeon
• Massive sanity and sanity regen for long runs
Level 1: Recover 1 sanity when healing patients and you get +10 bonus sanity
Level 2: Increase sanity recovery when healing patients and you get +15 bonus sanity
Level 3: Increase sanity recovery when healing patients and you get +20 bonus sanity

Psychologist
• The best beginner class in the game
• Once you learn all the anomalies and other sanity loss events via our guide linked above you’ll drastically lessen the downside
• Then you’re just a class that doubles all sanity increases which is really strong if you get access to constant coffee and food items
• Even if you make a mistake and trigger a sanity loss the 15% will save you 1 in 6-7 times on average (Don’t make that joke)
Level 1: All sanity increases and decreases are doubled
Level 2: 7.5% chance to ignore sanity loss
Level 3: 15% chance to ignore sanity loss

Paramedic
• An amazing beginner class for dealing with emergency events like rituals, patients on fire, the ambulance event, etc.Starts with Large Run/Speed Cola

Level 1: Cola has 6 uses
Level 2: Cola has 9 uses
Level 3: Get +1 Cola use each round

Head Nurse
• A Robux class that isn’t a must-have but is quite strong on Level 3
• The Level 3 makes you really flexibile but the first two levels aren’t that good
• Still you have great sanity and starting money to carry you through 2 levels as you farm
Level 1: +3 max inventory capacity
Level 2: +10 bonus sanity
Level 3: Start each round with all items

B-Tier Classes

ClassRanking BreakdownAbility

Security
• A situationally powerful class since the Taser is weaker than the Agent’s Gun
• That said, Security is F2P and you get some nice starting cash
• That said, if you’re playing solo you don’t really need Security
Starts with Taser

Level 1: Taser has 5 uses
Level 2: Taser has 6 uses
Level 3: Get +1 Taser use each round

Secretary
• Quite a decent starting class to use and farm for the class you like
• The sanity regen is really nice, especially if you’re playing solo
• If you’re playing in a team make sure to work the check-in desk
Level 1: Recover 1 Sanity when checking in patients
Level 2: +5 bonus sanity
Level 3: +10 bonus sanity

C-Tier Classes

ClassRanking BreakdownAbility

Nurse
• The ability isn’t that useful and you have no sanity increase nor starter money boost
• Still, it’s not useless if you’re the one dealing with patients or playing solo
Level 1: +1 Max inventory slot
Level 2: +2 Max inventory slot
Level 3: +3 Max inventory slot

Intern
• Your starting class that’s fine to use to farm a beginner class like Secretary or PsychologistLevel 1: +10 bonus sanity
Level 2: +15 bonus sanity
Level 3: +20 bonus sanity

That’s it for my Animal Hospital class tier list and guide. Check out our Animal Hospital walkthrough for more guides.

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