All 10 classes ranked for solo and team night shifts, with the cheapest path to the top. One honest caveat up front: the July 10 update reworked Security and Secret Agent, so those two rankings are provisional until the community finishes re-testing — details on the updates page.
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.
Starts with a gun (20→30 uses; L3 regenerates ammo). Trivializes enemies and anomalies. Reworked July 10 — ranking under review.
+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.
Free X-Taser with regenerating uses at L3 — better in teams where others cover treatments. Reworked July 10 — ranking under review.
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.
Rankings synthesized from cross-verified community consensus and our own play. Last checked: July 11, 2026.