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 & updatesAnomaly 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.
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.
Guides
Our guides cover Sanity management, co-op roles, Barney choices, Ratthew key quest, accessibility (Reduced Flashing Lights), July 2026 shop items, and console controls.
Beginner Guide
Learn the patient baseline in your first three Shifts.
Spot Anomalies
Master the three-check detection system at the desk.
Sanity Guide
Keep Sanity above 40% with Coffee economy tips.
Co-op Guide
Split desk and camera roles for Shift 7+.
How to Beat
Strategies for surviving Shift 10 and beyond.
Treatment Guide
DNA analysis to medicine — avoid killing patients.
Ratthew Key Quest
Unlock the Room 5 secret — June 2026 lore quest.
Accessibility
Reduced Flashing Lights and low Sanity effects — July 2026.