upgrade$115Upgrade item
DNA Analysis Upgrade
This upgrade improves the speed of the DNA Analysis station used during patient checks.
Effect: Increases DNA Analysis speed by 50% and reduces the completion time by 4.5 seconds.
Animal Hospital All Items & Shop
Full list of all 31 Animal Hospital items, including upgrades, tools, treatment supplies, effects, and prices.
Quick answer: protect sanity first, then buy the item that solves your next pressure point. For the Gun's persistence and Skinwalker use, read the Gun guide.
Two Currencies
- Cash — earned by completing shifts and treating patients. Used for most items and free classes.
- Animal Coins — premium currency earned through gameplay milestones. Used for special items and cosmetics.
Shop Mechanics
- Unlocks after your first few shifts
- Inventory refreshes between shifts
- You can reroll for a fee if the item you need is not in stock
- Not all items are available every shift — buy priority items when they appear
Upgrade Items
Upgrade Items improve hospital equipment, patient recovery, and the speed of your check-in workflow.
upgrade$105Upgrade item
Printer Upgrade
This upgrade makes the hospital Printer process its work faster.
Effect: Increases Printer speed by 25%.
upgrade$115Upgrade item
Patient Recovery Speed
This upgrade shortens the time patients need to recover after treatment.
Effect: Increases the recovery speed of patients by 25%.
upgrade$20Upgrade item
Patient Check-in Upgrade
This upgrade removes the initial pause in the patient check-in process.
Effect: Speeds up patient check-in by removing the initial ellipsis dialogue.
upgrade$210Upgrade item
Check-in Window Upgrade
This upgrade expands the lobby check-in station with an additional window.
Effect: Adds another check-in window so two patients can be processed at the same time.
Tools
Tools help you manage emergencies, defend the hospital, restore sanity, and verify dangerous patients.
consumable$55 Cash from Shift 3High — keep at least one available.
Coffee
Coffee is renewable through the machine in the Reception Office and can also appear in the Supplies Shop. It has three sips, and offering it to a Head Banger is the correct response without risking sanity.
Effect: Restores 5% sanity per sip, up to 15% total. Can also safely extinguish Death Ritual candles and calm Head Bangers.
consumable$120 Cash or 29 RobuxMedium — use for heavy sanity damage.
Chocolate Bar
Chocolate Bar provides much stronger sanity recovery than Coffee, but it is not renewable through the hospital. Each bar has three bites before it is consumed.
Effect: Restores 20% sanity per bite, up to 60% total.
consumable$75 Cash or 19 RobuxMedium — useful for ambulance events and dangerous routes.
Run Fast Cola
Run Fast Cola becomes available from Shift 3. It can be bought at the Supplies Shop or vending machine, and the item can be stacked. Paramedic receives one automatically.
Effect: Increases movement speed for up to 30 seconds without changing interaction speed.
toolFree from Shift 3High — take it before fire and Slime events.
Fire Extinguisher
The regular Fire Extinguisher is found beside the Supplies Shop from Shift 3. It is the fastest way to clear fires and can also defeat Hiders or temporarily reveal the Ghost.
Effect: Puts out room fires, burning patients, and Slime quickly.
toolFirefighter class starter itemHigh for Firefighter — use it to handle repeated fire events.
Special Fire Extinguisher
The Firefighter class starts with this version. Unlike the regular extinguisher, it recharges in the player's hand instead of needing a return to the recharge station.
Effect: Works like the Fire Extinguisher and regenerates its charge while held.
tool$1010 CashMedium — valuable for team recovery.
Teddy Bear
The Teddy Bear becomes available when the Supplies Shop opens. Save it for a teammate recovery because it cannot be used on the player carrying it.
Effect: Revives one dead teammate, but cannot revive the Teddy Bear's owner.
weapon$400 Cash, 99 Robux, or Secret Agent starter itemCritical — buy as soon as Skinwalkers start appearing. Only shoot Skinwalkers.
Gun (20 rounds)
The most important weapon in the game. This is the ONLY tool that can kill a Skinwalker — no other item or action works. Comes with 20 rounds. Do NOT waste shots on other enemies — most are immune or multiply when shot.
Effect: Lethal weapon for attacking anomalies and the only reliable way to eliminate a Skinwalker.
weaponFree unlock from Shift 4; $150 Cash in the shopHigh — excellent defensive tool, pairs well with gun for different threat types.
Taser
The Taser unlocks free in the Shift 4 progression and can later be bought from the Supplies Shop. It creates distance from enemies but does not eliminate Skinwalkers. Security can receive a regenerating X-Taser at level 3.
Effect: Non-lethal stun that instantly incapacitates most enemies for a short time.
consumable$100 CashHigh for long shifts — use before sanity pressure becomes critical.
Mint Tea
Mint Tea is sold in the Supplies Shop and slowly restores sanity after use. It can also be given to Dr. Harlow for a Journal achievement.
Effect: Restores sanity gradually over time.
consumableParamedic class exclusiveHigh for Paramedic — save it for long emergency routes.
Large Run Cola
Large Run Cola is the Paramedic's stronger cola variant. It looks like a blue Run Fast Cola, lasts 120 seconds, and cannot be stacked, while normal Run Fast Cola can be stacked.
Effect: Provides six uses of the Run Fast Cola speed boost, lasting up to 120 seconds; Paramedic level 2 increases it to nine uses.
tool$600 Cash or Security class Level 2High in teams — place it where nobody can watch continuously.
Deployable Camera
Use it to cover a check-in lane, hallway, or blind corner outside the fixed CCTV network. The Scanner cannot be fired through its camera feed, so treat it as information rather than a remote diagnosis tool.
Effect: Adds a movable camera feed that can be placed, viewed, picked up, and repositioned.
toolSecret Agent starting tool; shop version is single-useHigh for verification — use as a second opinion, not a replacement for visual, photo, CCTV, and document checks.
Scanner
The Secret Agent version is reusable after a cooldown, while the shop version is consumed after one scan. Aim at one patient at a time: overlapping targets and camera-feed scans are not reliable.
Effect: Checks one target and returns a green or red reading.
Treatment Items
Treatment Items are free supplies used to relieve specific symptoms or complete Surgery mini-games.
treatmentFreeSurgery item
Scalpel
Use the Scalpel when the active surgery prompt calls for it.
Effect: Used on patients during the Surgery mini-game.
treatmentFreeSurgery item
Scissors
Use the Scissors when the active surgery prompt calls for it.
Effect: Used on patients during the Surgery mini-game.
treatmentFreeSurgery item
Organ
Use the Organ during the matching step of the Surgery mini-game.
Effect: Used on patients during the Surgery mini-game.
treatmentFreeSurgery item
Transplant
Use the Transplant during the matching step of the Surgery mini-game.
Effect: Used on patients during the Surgery mini-game.
treatmentFreeTreatment item
Herbs
Use Herbs on a patient whose symptom is a headache.
Effect: Cures headaches.
treatmentFreeTreatment item
Medicine
Use Medicine on a patient whose symptom is a stomach ache.
Effect: Cures stomach aches.
treatmentFreeTreatment item
Thermometer
Use the Thermometer on a patient with a fever.
Effect: Cures fever.
treatmentFreeTreatment item
Medkit
Use the Medkit on a patient with bruises.
Effect: Cures bruises.
treatmentFreeTreatment item
Ointment
Use Ointment on a patient with burns or a rash.
Effect: Cures burns and rashes.
treatmentFreeTreatment item
Bandage
Use a Bandage on a patient who is bleeding.
Effect: Cures bleeding.
treatmentFreeTreatment item
Cough Syrup
Use Cough Syrup on a patient with the flu.
Effect: Cures the flu.
treatmentFreeTreatment item
Maple Syrup
Use Maple Syrup for the low Sugar or Canadian patient prompt.
Effect: Cures low Sugar and being Canadian.
treatmentFreeTreatment item
Eye Drops
Use Eye Drops on a patient with dry eyes.
Effect: Cures dry eyes.
treatmentFreeTreatment item
IV Drops
Use IV Drops on a patient with dehydration.
Effect: Cures dehydration.
Sanity System Explained
Sanity is your mental health meter. It drains continuously under pressure and drops sharply from traumatic events. Low sanity impairs your vision, judgment, and reaction time — making it harder to spot anomalies when you need to most.
What drains sanity:
- Witnessing deaths
- Failed events
- Prolonged anomaly exposure
- Staring at Mass of Eyes
- Skinwalker encounters
What restores sanity:
- Coffee (light restore)
- Chocolate Bar (strong restore)
- Mint Tea (gradual restore over time)
- Completing shifts successfully
- Psychologist class passive bonus
Beginner Shopping Priority
1Coffee — Always keep at least one. Sanity recovery + Head Banger neutralizer in one cheap item.
2Gun (20 rounds) — Save for this as soon as Skinwalkers appear (Shift 3+). The only way to kill them.
3Taser — Non-lethal defense for Stalkers and roaming threats. Do not waste on Skinwalkers.
4Chocolate Bar — Supplementary sanity recovery for long shifts. Buy when Coffee alone is not enough.
5Large Run Cola — Paramedic mobility tool for long emergency routes; it cannot be stacked.
6Scanner / Deployable Camera — Information tools for later shifts. Scanner verifies one target; the camera covers an unattended route.
Summary Comparison
| Purchase route | What to buy around it | Best stage | Why it works |
|---|---|---|---|
| Beginner route | Coffee, then Gun | Early and first dangerous unlocks | Protect sanity and prepare for Skinwalkers |
| Solo route | Coffee plus reliable automation | Mid solo progression | You need fewer rushed actions, not flashy purchases |
| Late-shift route | Recovery plus core defense tools | Long or endless runs | Pressure lasts longer and mistakes compound faster |
Buy by Failure Risk
| Problem | Best tools | What the purchase solves | Decision rule |
|---|---|---|---|
| Sanity pressure | Coffee, Chocolate Bar, Mint Tea | Use Coffee for repeatable light recovery and the specific Head Banger response | Keep one recovery item before buying convenience tools |
| Confirmed Skinwalker | Gun | The focused lethal counter with 20 rounds | Do not spend rounds on unrelated enemies |
| Roaming threat | Taser | Create distance without using lethal ammunition | Unlock from Shift 4, then buy it when the team needs defense |
| Fire or Slime | Fire Extinguisher | Clear the room and create an escape window | Carry it before the event starts |
| Team recovery | Teddy Bear | Revive one teammate, not its carrier | Buy only when team recovery is worth the inventory slot |
| Remote coverage | Deployable Camera | Watch a blind route outside fixed CCTV | Place it where no player can watch continuously |
Final recommendation
The shop is strongest when it removes your most expensive mistakes. Buy recovery before comfort, buy the Gun before optional tools, and treat automation as a way to free attention for anomaly checks rather than a luxury purchase.
Item FAQ
What should I buy first as a beginner?
Coffee is the highest-priority item — it restores sanity and neutralizes Head Bangers at the admission window. After Coffee, save for the Gun, then choose recovery or defense tools that match the next shift. Chocolate Bar is a good backup sanity item if Coffee is not in stock.
How does the Sanity system work?
Sanity drains from witnessing disturbing events, making wrong treatment decisions, prolonged exposure to anomalies and enemies, and failing events. When sanity drops below half, your vision distorts and your judgment becomes impaired — making further mistakes more likely. Coffee and Chocolate Bar restore sanity. The Psychologist class provides passive sanity resistance.
When does the shop unlock?
The Supplies Shop unlocks after your first few shifts (typically after Shift 2). It refreshes its inventory between shifts and you can reroll the available items for a fee. Not all items are available every shift — if a high-priority item like the Gun appears, buy it immediately rather than waiting.
Gun vs Taser — which is better?
The Gun is the higher priority because Skinwalkers (Shift 3+) must be shot to eliminate — a Taser will not kill them. The Taser is situationally useful for stunning roaming enemies to create distance, but it does not kill. Buy the Gun first, then consider the Taser as a secondary tool for higher shifts.
Is the Teddy Bear worth buying?
The Teddy Bear costs $1010 and revives one dead teammate. It cannot revive the player carrying it, so it is a team-recovery purchase rather than a sanity item.
How much Cash do items cost?
Prices scale roughly by priority: Coffee is cheapest, Chocolate Bar and Run Fast Cola are mid-range, and the Gun and Taser are more expensive. Save aggressively for the tool that solves your current shift pressure.
What is the difference between the Secret Agent Scanner and the shop Scanner?
Secret Agent starts with a reusable Scanner that returns after a cooldown. The shop Scanner is consumed after one use. Both should be aimed at one target at a time and neither replaces the normal visual, photo, CCTV, and document checks.
What does Mint Tea do?
Mint Tea restores sanity gradually over time. It is useful for long-shift recovery, but Coffee remains necessary when you need the specific Head Banger response.
What can the Fire Extinguisher handle?
Use it on room fires, burning patients, and Slime. It can also handle Hiders and briefly reveal the Ghost, so keep it accessible before emergency shifts.