Animal HospitalAnimal Hospital Guide
BeginnerUpdated 2026-07-13 · Version 1.3.0

Quick Answer

Start as an Intern, always buy Coffee at the start of each shift, check every patient for anomaly signs before admitting them, and treat patients in Rooms 1-5 using the DNA Analyzer.

Getting Started

Animal Hospital is a multiplayer horror game where you run a hospital for animals — but some patients are dangerous anomalies in disguise. Up to 4 players work together to treat real patients while identifying and rejecting anomalies.

First Steps

  1. Choose the Intern class — it's free and gives +10 bonus sanity
  2. Grab Coffee immediately at the start of every shift (5 Animal Coins, restores 20 sanity)
  3. Check in patients at the reception desk
  4. Check for anomalies before admitting anyone — this is your most important job

How to Check for Anomalies

Always follow this 3-step check for every patient:

Step 1: In-Person Visual Check

Look directly at the patient in the waiting room. Reject immediately if you see:

  • Three eyes
  • Hollow / black eyes
  • Sharp or realistic teeth
  • Wide creepy grin
  • Twitching limbs or neck
  • Mismatched eyes

Step 2: CCTV Camera Check

Switch to the CCTV monitor. Reject if you see:

  • Black censor bars over eyes
  • Distorted / stretched body
  • Void / completely black body
  • Patient staring directly at camera
  • Camera zooming toward a dark figure (look away fast — drains sanity!)

Step 3: Photo Check

Take a photo of the patient and check for:

  • Photo shows different animal or features than the patient in person
  • Static / grainy photo
  • Cursed photo (bloodshot eyes + grotesque grin) — do NOT pick up (drains 10 sanity)

How to Reject

Press the Shutters button on the left side of your reception desk once you're sure it's an anomaly.

Treating Patients

RoomMachineHow It Works
Rooms 1-5DNA AnalyzerWait ~10 seconds, give the correct item (Herbs, Bandages, or Medicine)
Room 6X-RayMemory mini-game — click flashing squares in order
Room 7Heart MonitorClick white heart icons, avoid skulls, reach 100%
Room 8SurgeryFollow on-screen prompts, never leave mid-surgery

Tip: Check in ALL patients first, then treat them. Recovery happens automatically.

Sanity Management

Your Sanity is your most important resource. If it hits zero, your run ends.

ItemCostEffectUnlock
Coffee5 AC+20 SanityShift 1
Chocolate Bar10 AC+40 SanityShift 2

Sanity Recovery by Class

  • Secretary: Recovers sanity when checking in patients
  • Doctor: Recovers sanity when healing patients
  • Surgeon: Recovers sanity + speed boost when healing
  • Psychologist: Double sanity effects (good AND bad) — high risk!

Playing with a Team

Animal Hospital supports up to 4 players. Divide roles:

  • Receptionist: Checks in patients and screens for anomalies at the front desk
  • Doctor: Treats patients in medical rooms
  • Camera Operator: Monitors CCTV for anomalies and threats
  • Runner: Handles emergencies and delivers items between rooms

Quick Tips

  1. Always buy Coffee at the start of every shift
  2. Play with sound on — Skinwalkers roar when they emerge, Hiders breathe loudly
  3. Check CCTV frequently — some anomalies are camera-only
  4. Always carry Maple Syrup from Shift 3 onward (for Bed Monsters)
  5. The red line above a room number means a patient is waiting inside