All 10 classes ranked for solo and team night shifts, with the cheapest path to the top. The July 10 update reworked Security and Secret Agent — we re-verified both kits on July 16, and the rankings below reflect the current versions. Every class name links to its full breakdown.
Ranking here is about survivability and coin throughput on a real shift, not about which class looks best. A class earns S Tier by keeping you alive deep into the late shifts or by paying for itself quickly; it lands in C Tier when its perk is real but narrow. Prices are included because the cheapest genuinely good option matters more to most players than the theoretical best one.
Sanity + speed boost after every heal; L3 doubles the sanity gain. The best class you can buy with coins — and therefore the best class, period.
Post-rework kit (re-verified July 16): a gun with 20 uses, a multi-use scanner and +2 backpack from level 1; 24 rounds with 1 regenerating per round at level 2; and +4 sanity plus $5 per anomaly kill at level 3 — anomalies become income.
+3 inventory, and at L3 the Special Technique lets you submit treatments from your inventory instantly — a huge action-economy save.
All sanity effects doubled plus a chance to ignore sanity loss entirely — the strongest mid-game coin pick.
Sanity recovery on healing with solid bonus sanity — a comfortable bridge between Psychologist and Surgeon.
Recovers sanity on every patient check-in. Absurd value for 120 coins and the correct first purchase.
Post-rework kit (re-verified July 16): spawns with an X-Taser, gains a free Deployable Camera at level 2 — your own CCTV — and regenerates 1 taser use per shift at level 3. Better in teams where others cover treatments.
Speed Cola sustain is nice but doesn't solve sanity, which is what actually kills you.
Extra inventory slots help early, but every class above does more.
Your starting class. Bonus sanity only — upgrade to Secretary as soon as you have 120 coins.
Secretary (120) → Psychologist (500) → Surgeon (2,500). Secretary keeps your sanity topped up while you learn, Psychologist doubles every sanity effect through the mid-game, and Surgeon is where the path ends. Skip Nurse and Paramedic unless you just want the variety. Full class details on the classes page.
Sources disagree on the current Robux prices for Head Nurse and Secret Agent (they appear to have changed at least once since launch), and the July 10 rework may have shifted Security and Secret Agent's power level — early videos suggest Secret Agent was buffed. We list only what's cross-verified and will update prices and rankings after re-testing rather than guess.
A tier list is only worth reading if you can see the reasoning behind each placement. Below is every class in ranked order with its signature perk and the verdict from its own class page — the same judgement the tiers above are built on. Read it as an argument you are free to disagree with: if you play a role the perk suits better than we assume, move the class up.
| Class | Tier | Signature perk | Why it lands there |
|---|---|---|---|
| Surgeon | S | Sanity + speed boost after every heal | The endgame coin sink — Doctor's sustain and Paramedic's tempo welded into one class, priced accordingly at 2,500 coins. |
| Secret Agent | S | Gun + multi-use scanner + 2 backpack slots from Lv.1 | The dedicated anomaly-killer. The whole kit — gun, scanner, extra slots, kill rewards — points at one job: finding wrong patients and removing them profitably. |
| Head Nurse | A | +3 backpack slots from Lv.1 · 'Special Technique' at Lv.3 | One of the strongest solo picks in the game — the Nurse's utility at triple strength from level 1, capped by a level 3 upgrade that removes most supply pressure entirely. |
| Psychologist | A | Lv.2: 7.5% chance to ignore sanity loss · Lv.3: 15% | High risk, high reward — the strongest sanity economy in the game for players who don't make mistakes, and the most punishing one for players who do. |
| Doctor | A | +1 sanity per patient healed | The sustain pick for players who spend the shift actually treating patients — the Secretary's idea, moved to the cure side of the desk and given bigger starting bonuses. |
| Secretary | A | +1 sanity per patient checked in | A steady-drip class that rewards actually doing the front-desk job. In a team where you own check-in duty, it quietly out-sustains flashier picks. |
| Security | B | X-Taser from Lv.1 · Deployable Camera from Lv.2 | Anti-anomaly insurance without shop trips — and from level 2, the free Deployable Camera quietly covers an entire verification channel on its own. |
| Paramedic | B | Large Run Cola: 6 → 9 uses; Lv.3 regenerates 1 use per round | The mobility pick. Speed is the most flexible stat in the game — it makes events easier, hallway runs shorter, and escapes survivable. |
| Nurse | B | 4 / 5 / 6 backpack slots by level (default 3) | The value pick for treatment-focused players. Twenty coins is pocket change, and doubling your backpack at level 3 means far fewer supply runs mid-shift. |
| Intern | C | Only class with color variants (green, blue, pink) | The best free pick by default — and genuinely fine to keep while you learn. Extra starting sanity is margin for mistakes, which is exactly what a new player needs. |
Two patterns fall out of the table. The classes that rank highest convert something you were doing anyway — checking patients in, curing them, shooting anomalies — into sanity, and sanity is what actually ends runs. The classes that rank lowest have perks that are real but narrow: an extra backpack slot or a speed boost — the B-tier Nurse and Paramedic — helps every shift without ever being the thing that saves it. Full stats, level tables and prices for all ten are on the classes page.
Ranking a class is one thing; affording it is another. Animal Coins come from three actions — curing a patient pays 2, blocking an anomaly pays 0.5, and each visitor handled pays 0.5 — and there is no shortcut, because the game has no code redemption system at all. The full earning breakdown is on the codes page.
Priced in cured patients at 2 coins each, the recommended path costs 60 cures for Secretary, 250 for Psychologist and 1,250 for Surgeon — 3,120 coins and roughly 1,560 cures end to end. Doctor sits at 900 coins (about 450 cures) and Security at 1,250 (about 625) if you want them on the way, while Nurse costs 20 coins — about ten cures, which is a rounding error next to anything else on the ladder.
Only two entries on this list have no coin price at all: Secret Agent in S tier and Head Nurse in A tier are Robux-exclusive. Sources disagree on what they currently cost — see the note above before budgeting for either. Every other class in every tier — including Surgeon, the class we rank highest overall — is reachable by playing.
Surgeon is the consensus best class overall and the best coin-purchasable pick — its sanity regen and speed boost after healing carry both solo and team runs. Among paid classes, Secret Agent is the consensus top pick.
Secretary (120 coins) → Psychologist (500 coins) → Surgeon (2,500 coins). Secretary sustains your sanity early, Psychologist doubles sanity effects mid-game, and Surgeon is the endgame pick.
It changed both reworked kits, and we re-verified them on July 16: Security's level 2 now grants a free Deployable Camera (your own CCTV), and Secret Agent's level 3 pays +4 sanity and +$5 cash per anomaly kill. With the new kits confirmed, Secret Agent holds S tier and Security stays a team-leaning B.
Rankings synthesized from cross-verified community consensus and our own play. Last checked: July 26, 2026.