Animal Hospital Wiki

Complete guide to Animal Hospital on Roblox — anomalies, codes, shifts, tier list, and survival strategies.

14+

Anomaly Types

10+

Shifts

May 2026

Release

1.2M+

Peak CCU

Animal Hospital is a co-op survival horror game on Roblox by studio Animal Anomaly. You work the night shift at a veterinary clinic, admitting real animal patients and rejecting anomalies disguised as patients before they enter the hospital. Since its May 2026 release, the game has reached tens of thousands of concurrent players with a stellar approval rating.

Each round is structured as a Shift. You stand at the reception desk, inspect incoming patients for visual signs like extra eyes, hollow sockets, sharp teeth, and unnatural grins, photograph them, verify appointment paperwork, and decide whether to admit or reject using the Shutter button. Reject anomalies correctly to earn cash and protect your Sanity. Let a Skinwalker slip through and your run can collapse within minutes.

This wiki covers every mechanic you need to survive: anomaly detection, Ghost entity, Ratthew and Ratina lore, Harlow's Favorite Update items (Mint Tea $100, Scanner $150, Deployable Camera $600), Liz journalist quests Shifts 10–18, Security and Secret Agent class reworks, class skins, console support, and honest codes status. Wiki updated July 13, 2026 after post-Harlow verification.

Harlow Update — July 2026

Harlow's Favorite Update added Mint Tea, Scanner, Deployable Camera, Liz NPC, and class reworks. Still no code system — see release page for full patch notes.

Release & updates

Anomaly Detection

Anomalies are the core threat at check-in. Run the five-point system: visual scan, photo, CCTV, paperwork, and audio. The late-June update also added the Ghost — a corridor entity that drains Sanity; counter with Taser or Gun.

Animal Hospital anomaly detection flowchart

Shift Progression

Early Shifts teach the baseline. Shifts 4–6 add photo and paperwork checks. Shifts 7–9 introduce environmental hazards and the Stalker. Shift 10+ demands co-op role splits and weapon readiness.

Animal Hospital shift difficulty timeline

Shop Priority

ItemPriority
Coffee1 — Sanity
Medkit2 — After attacks
Camera Upgrade3 — Shift 7+
Mint Tea4 — July 2026
Read more

Tier List

ClassTier
SurgeonS — F2P
Head NurseS — Robux
Secret AgentA — Gun + Scanner
SecurityB — Camera + Taser
View all

Hospital Map

Animal Hospital clinic layout map Read more

Frequently asked questions

What is Animal Hospital on Roblox?
Animal Hospital is a multiplayer co-op horror game where you manage a veterinary clinic night shift, treat real patients, and reject anomalies before they become Skinwalkers inside the hospital.
Are there any working Animal Hospital codes?
As of July 2026, there is no code redemption system. Check our codes page for verified status when the developer adds codes.
How do you spot anomalies in Animal Hospital?
Check visual signs at the desk, compare photos after taking them, review CCTV cameras, verify appointment paperwork, and listen for distorted audio. Close the Shutter immediately when any check fails.
How does Sanity work?
Sanity drops from jumpscares, enemies, cursed photos, and mistakes. Keep it above 40% by buying Coffee from the shop. At zero Sanity, your run ends.
Is co-op recommended?
Solo is fine for Shifts 1–6. From Shift 7 onward, split duties between a desk operator and a camera monitor for best results.
Is there an official Trello for Animal Hospital?
No. Animal Anomaly has not published an official Trello board. Use this wiki for verified guides instead of third-party Trello links that may be outdated or fake.
What are the best classes?
Surgeon is the top F2P pick for Sanity recovery when healing. Secret Agent starts with a Gun but costs Robux. See our tier list for full rankings.
Who is Ratthew?
Ratthew is a lore NPC from the June 2026 update. Talk to him across Shifts to unlock the Room 5 key quest and Ratina backstory — see our Ratthew and Ratina character guides.
When is the next Animal Hospital update?
Harlow's Favorite Update shipped July 10–12, 2026. Bookmark our release page for future patch summaries.
Who is Liz in Animal Hospital?
Liz is a journalist NPC added in the July 2026 update. She can appear from Shift 10 with a short quest and reward.