Class
Secretary
Updated:
Recovers sanity every time you check in a patient — the lobby-grinder class.
- Unlock cost
- 120 Credits
- Currency
- Animal Coins
- Starting items
- —
- Special ability
- Restores a chunk of sanity each time you complete a patient check-in at the admission window.
- Best for
- Best for lobby-focused players who handle intake more often than treatment. Pairs well with the Extra Check-In Window shop upgrade.
The lobby-grinder class
Secretary's passive — sanity restored per successful check-in — makes it the per-patient income class. If your playstyle keeps you at the front desk processing intake more than running treatment rooms, the per-check-in sanity adds up faster than any other class's passive.
The 120-coin unlock cost is the second-cheapest Animal Coin class after Nurse.
The shop-upgrade synergy that defines the build
Secretary's passive scales linearly with intake volume. Two shop upgrades multiply that volume:
- Extra Check-In Window — opens a second admission slot. Doubles potential intake throughput.
- Fast Check-In Upgrade — reduces per-patient admission time. More patients per shift-minute.
Stacking both with Secretary turns the front desk into a sanity faucet. This is the closest the game has to a "sustainable indefinite shift" build.
The trade-off no one mentions
Secretary's income depends on successful check-ins. Missed-anomaly admits don't proc the passive — they convert to Skinwalker (per the uniform anomaly rule). And the Skinwalker conversion is more likely on Secretary specifically because the high-volume intake creates more opportunities for missed cues.
The discipline is keeping your reject-rate accurate even when throughput is maximised. Speed without precision burns the passive.
When Secretary isn't the right pick
If your runs lean heavily on the treatment floor — Room 6/7/8 minigames, fire-emergency handling, Bed Monster patrols — Secretary's lobby-bound passive doesn't fire often enough to justify the class. Surgeon or Doctor is the better pick for treatment-heavy builds.
Sources: Pro Game Guides tier list, animalhospital.wiki classes.