Class
Secretary
Updated:
Recovers 1 sanity per checked-in patient — the lobby-grinder class for high-volume intake shifts.
Overview
Secretary is the lobby-station sanity-income class. Priced at 120 Animal Coins from the lobby shop, it grants 1 sanity recovery per patient check-in at the admission window. There's no starting kit and no active ability — the entire value is the per-check-in passive, which means Secretary's effective sanity-per-shift scales directly with intake volume.
Visually, Secretary is a blue rabbit-like creature with downturned ears, business-casual attire (black tie, brown shoes), and oversized round black glasses. The character design is the visual basis for Ron from Accounting (Ron uses the Secretary model with a top-secret suitcase and brown hair added). That visual link matters in lore-driven content but doesn't affect mechanics.
Video Guide
Class Abilities
- All tiers: Recovers 1 sanity for each patient successfully checked in at the admission window
- Synergy: Pairs cleanly with the Extra Check-In Window shop upgrade (doubles passive income rate)
- Cross-reference: Ron from Accounting NPC uses the Secretary base model + suitcase + brown hair
Pros & Cons
Pros
- ✓ Scales linearly with intake volume — busy shifts directly inflate the sanity-income rate
- ✓ Cheap unlock (120 Animal Coins) for a class with passive recovery
- ✓ Pairs naturally with shop upgrades that increase check-in throughput
Cons
- ✗ Sanity income only fires at the check-in window — no value during pure treatment shifts
- ✗ Slow shifts with low intake volume yield almost nothing from the passive
- ✗ Stationary playstyle leaves treatment rooms uncovered unless a teammate fills the role
At a Glance
At a Glance
- Unlock cost
- 120 Credits
- Currency
- Animal Coins
- Starting items
- —
How to Play This Class
Park at the admission window. Secretary's sanity income only fires on completed check-ins, so the optimal playstyle is to stay at the desk and process the intake queue as fast as it arrives. Every cleared check-in is +1 sanity — at a healthy intake rate (say 20-30 check-ins per shift) you're netting more passive sanity than any other class.
Upgrade priority: invest in the Extra Check-In Window shop upgrade as soon as Animal Coin income permits. The second window doubles your potential intake rate during busy shifts, which directly doubles your sanity income from the class passive. The combination is the optimal Secretary configuration.
Diagnosis discipline matters more for Secretary than for treatment classes. You're processing volume at the front, so every misadmitted anomaly cascades into a treatment-room problem downstream. Use the check-in slow-down only when you're unsure of a patient's tells; don't try to race the queue if your accuracy is dropping.
Team role: in coordinated lobbies, Secretary is the stationary income engine. Pair with a roving treatment class (Surgeon, Doctor) who relies on Secretary to keep the patient queue moving. Solo Secretary is viable but loses the treatment-side coverage — only do it on shifts where the patient pool is the bottleneck.
When Secretary underperforms: emergency-heavy shifts where intake is slow because patients are evacuating or being triaged elsewhere. The class passive doesn't fire on emergencies. For those shifts, consider a class with active mechanics (Doctor's per-heal, Paramedic's speed, Security's combat) instead.
Patch History
Class System rework on 2026-06-19 added the upgrade tier structure but the per-check-in sanity rate has remained stable. No class skin is currently documented for Secretary.
Anomalies This Class Excels At
Frequently Asked Questions
- Recovers 1 sanity for each patient successfully checked in at the admission window. The income scales linearly with intake volume.
- 120 Animal Coins from the lobby's class shop. Cheap enough to unlock within a handful of shifts.
- Viable but suboptimal. Solo Secretary means you're not covering treatment rooms while parked at the desk. The class shines most in team play where someone else handles treatment.
- Extra Check-In Window. It potentially doubles your intake rate, which directly doubles your sanity income from the class passive.
- No — only on completed regular check-ins. Emergency events that bypass check-in (evacuations, triage events) don't generate Secretary income.
- Ron's NPC model is based on the Secretary class model with a top-secret suitcase and brown hair added. It's a deliberate visual link in the lore.
- Not documented in the 2026-06-26 skin patch. Six classes have skins; Secretary is not currently one of them.
- Nurse (inventory) or Surgeon (treatment buffs) in team play. The combination of stable Secretary income at the desk plus treatment throughput in the rooms is the strongest standard pairing.
What's Secretary's main ability?
How much does Secretary cost?
Is Secretary worth it for solo play?
What's the best shop upgrade for Secretary?
Does Secretary's sanity income work on emergency events?
Why does Ron from Accounting look like Secretary?
Does Secretary have a skin?
What's the best class to combo with Secretary?
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.