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

Quick Answer

Coffee (+20 sanity) and Chocolate Bars (+40 sanity) are the main sanity restorers. The Secretary class recovers sanity on check-in, Doctor/Surgeon recover sanity on healing. Avoid looking at Camera Figures and don't pick up Cursed Photos.

Sanity Basics

Sanity is your most important resource. If it reaches zero, your run ends immediately.

Sanity Restorers

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

Always buy Coffee at the start of every shift. It's the cheapest sanity insurance in the game.

Class-Based Sanity Recovery

Different classes handle sanity differently:

  • Intern: +10 bonus starting sanity
  • Secretary: Recovers sanity when checking in patients at reception
  • Doctor: Recovers sanity when successfully healing patients
  • Surgeon: Recovers sanity + temporary speed boost when healing
  • Psychologist: Double sanity effects — coffee heals twice as much, but sanity damage is also doubled

Sanity Dangers to Avoid

ThreatSanity CostHow to Avoid
Camera Figure on CCTVRapid drain while watchingLook away from monitor immediately
Cursed Photo (picked up)-10 instantlyLook at photo on desk first, don't pick up
Ceiling Eyes (Don't Look Up)Continuous while looking upKeep camera pointed down, use Eye Drops
Stalker eye contactRapid drainNever look directly at it, face away
Skinwalker attackHeavy damage per hitUse Taser/Gun, run to safe room
Room fire1/sec while nearbyUse Fire Extinguisher

Sanity Management Strategy

  1. Always start with Coffee — buy one at the start of every shift
  2. Upgrade to Secretary or Doctor — passive sanity recovery reduces item dependency
  3. Monitor CCTV carefully — look away the moment you see a dark figure
  4. Check photos on the desk — never pick up a photo before inspecting it
  5. Keep one emergency coffee — save it for when sanity drops below 30%
  6. Feed the Head Banger — if it blocks your shutters, give it Coffee to make it leave