Animal Hospital Tier List

The clearest top-tier class if you want treatment sustain plus speed during high-pressure shifts.

Team note: Pair with support or security-minded teammates.

Source check: Destructoid's June 23 tier list, TechWiser's June 26 class table, and Pocket Gamer's July 1 best-class guide all keep Surgeon near the top of the treatment discussion.

Strong support pick for safer team shifts, especially if your group values inventory control over raw threat tools.

Team note: Works well when another player handles threat control.

Source check: Pocket Gamer's July 1 guide and TechWiser's June 26 class table both keep Head Nurse relevant for support and inventory value, though the exact ceiling is still editorial.

One of the strongest late-shift control picks, but the Robux cost keeps it just below Surgeon in this role-first ranking.

Team note: Better after your group knows the room and emergency flow.

Source check: Current July 2026 patch-note coverage and class guides treat Secret Agent as a premium threat-control class, now often paired with Scanner item talk, and esports.gg's July 20 tier list moves it to S+ as the best combat class; this site records that competitor movement but keeps Secret Agent just below Surgeon here because of role fit and Robux cost.

A practical class while learning treatment routing and emergency timing.

Team note: Good bridge before saving for stronger support classes.

Source check: TechWiser's June 26 class table confirms Nurse as an early inventory support class; the mid-tier placement stays editorial.

Better for groups that need someone focused on danger, halls, and hostile events.

Team note: Keep one teammate on patient routing while Security watches threats.

Source check: Current July 2026 patch-note coverage now ties Security to Deployable Camera utility, but broader class tables still keep it below the main late-shift meta picks.

The cleanest pick for Hazmat slime shifts and fire-heavy runs, but still narrower than the main all-purpose meta classes outside that update loop.

Team note: Strongest when one player is dedicated to extinguishers, slime pressure, or cleanup support.

Source check: GosuGamers' July 26 Hazmat breakdown, TechWiser's July 27 special-shift guide, current Fandom class coverage, and fresh class-ranking videos all confirm Firefighter as the new live class, while its full meta ceiling outside Hazmat stays editorial.

Useful as a learning class, but not currently the strongest role-first recommendation.

Team note: Use when you still need to learn room routing.

Source check: Destructoid's June 23 tier list and TechWiser's June 26 class table both keep Doctor relevant, but not above the main meta picks.

Potentially useful for sanity-minded play, but exact values are not verified.

Team note: Treat as a situational support pick until perk numbers are checked.

Source check: TechWiser reports the doubled-sanity identity, while Destructoid treats Psychologist as a useful but situational class.

A lower-priority utility class until stronger role evidence is verified.

Team note: Not the first class to save for unless you prefer utility roles.

Source check: TechWiser's June 26 class table and Destructoid's June 23 tier list both support Secretary as a utility-first class.

Use only if it fits your unlock path; stronger support classes are prioritized.

Team note: Move toward Nurse or Head Nurse when possible.

Source check: Destructoid still values Paramedic for emergency speed, but TechWiser's class table keeps it as an early-path class rather than a top meta lock.

Good for first-shift learning, but not a long-term meta pick.

Team note: Use it to learn before spending Animal Coins.

Source check: Fandom and current editorial class tables both keep Intern as the baseline starter class.