10 playable classes from free starter to premium endgame. Pick the right job for your playstyle.
The default class every new player starts with. No stat bonuses, no starting items — just you and your training. Everyone begins here.
Bonuses: No bonuses. Basic starting class with no advantages.
Starting items: None
Use only until you can afford your first upgrade. Replace as soon as possible.
The first meaningful upgrade from Intern. Faster treatment speed helps manage patient queues in early shifts. The starting medical supplies save you money on basic items.
Bonuses: Slightly faster treatment speed. Starts with basic medical supplies.
Starting items: Bandages, basic medical kit
Solid first upgrade. Buy as soon as you have enough cash from your first few shifts.
Specializes in the document verification layer. Faster paperwork processing means quicker anomaly confirmation via the document check route.
Bonuses: Improved admin/document speed. Sanity bonus from organized paperwork.
Starting items: None
Good for players who prefer the admin/verification role. Pairs well with CCTV-focused teammates.
The mobility class. Faster movement helps with ambulance response, patient transport, and escaping dangerous situations. The go-to class for handling timed emergencies.
Bonuses: Faster movement speed. Improved ambulance response. Starts with emergency supplies.
Starting items: First aid kit, emergency supplies
Excellent for solo play and event-heavy shifts. The movement speed bonus is valuable throughout all stages of the game.
The sanity management specialist. Takes less sanity damage from all sources and recovers sanity faster. Essential for long shifts where sanity pressure accumulates.
Bonuses: Reduced sanity drain. Sanity recovery bonus. Better resistance to horror effects.
Starting items: None
Strong pick for late-game and endless survival (Shift 7+). The sanity resistance compounds in value the longer you play.
The upgraded medical class. Much faster treatment than Nurse with better patient outcomes. The sanity bonus is smaller than Psychologist but the treatment speed is best-in-class.
Bonuses: Significantly faster treatment speed. Better treatment outcomes. Sanity bonus.
Starting items: Advanced medical kit
The best general-purpose class for mid-game. Treatment speed solves the core gameplay loop — clear patients faster, spot anomalies sooner.
The surveillance specialist. Better CCTV feed quality and faster anomaly recognition on camera. The Taser provides one non-lethal defensive option.
Bonuses: Improved CCTV monitoring. Faster anomaly detection via camera. Starts with defensive items.
Starting items: Taser (1 use)
Ideal for players who want to focus on CCTV monitoring. In multiplayer, one Security player on CCTV dramatically improves team anomaly detection.
The ultimate medical class. Maximum treatment speed and best outcomes. Excels at handling critical patients and complex medical events. The top-tier healer.
Bonuses: Fastest treatment speed. Best patient outcomes. Sanity bonus. Can handle critical patients better.
Starting items: Surgical kit, advanced medical supplies
Best medical class in the game. Save up for this after Doctor — the jump in effectiveness is significant. Essential for high-shift play.
A premium Robux class that combines the best of Nurse and Secretary with additional team-support capabilities. Provides passive buffs to nearby teammates.
Bonuses: Combined treatment + admin bonuses. Largest starting item loadout. Team buffs.
Starting items: Full medical kit, coffee, chocolate, bandages
Strong but costs Robux. Worth it if you play regularly and want to support teams. Not required — Surgeon is nearly as good for free.
A premium Robux class that combines Security surveillance with Paramedic mobility. The only class that starts with a gun — invaluable for Skinwalker encounters.
Bonuses: Combined Security + Paramedic bonuses. Best CCTV. Starts with gun and defensive items.
Starting items: Gun (20 rounds), taser, advanced surveillance gear
The best premium class for solo players. Starting with a gun eliminates the early-game Skinwalker threat entirely. Expensive but powerful.
The optimal progression for new players who want to maximize effectiveness without spending Robux:
For free players: Surgeon (S-tier, best medical class with superior treatment speed) and Psychologist (A-tier, essential for long shifts with passive sanity resistance). For Robux spenders: Secret Agent (starts with a gun, eliminating the need to buy one) and Head Nurse (team-wide buffs that benefit everyone in multiplayer).
You earn Cash by completing shifts and treating patients correctly. Higher shifts reward more Cash. Animal Coins are a separate premium currency earned through gameplay milestones and achievements. Robux classes (Head Nurse, Secret Agent) require real-money purchase — they are quality-of-life upgrades, not pay-to-win necessities.
Start as Intern (free). Save Cash from your first 2-3 shifts, then unlock Nurse as your first upgrade — it provides better treatment speed and higher sanity. From Nurse, the optimal path is: Doctor → Surgeon. Psychologist is a strong alternative unlock around Shift 5+ when sanity management becomes critical.
Secret Agent is the better Robux purchase — starting with a Gun saves you significant Cash that would otherwise go toward the weapon, and the class bonuses are strong. Head Nurse is valuable in multiplayer but less impactful solo. Neither is required to complete all shifts; they are convenience purchases.
You select your class before starting a shift. Once a shift begins, you cannot change classes. Between shifts, you can freely switch to any class you have unlocked. Plan your class choice based on the shift difficulty, whether you are playing solo or multiplayer, and what items you have available.
No class is truly "bad," but Intern becomes obsolete quickly — upgrade to Nurse as soon as you can afford it. Security is considered the weakest mid-tier class because its bonuses are situational and rarely outweigh the medical efficiency of Doctor or the sanity resistance of Psychologist. Skip Security unless you are curious to try it.
