Animal Hospital (Anomaly)

Roblox Survival Guide

Spot anomalies faster, protect your sanity, and plan better shifts.

Animal Hospital (Anomaly) is a high-pressure Roblox survival game built around patient triage, sanity loss, CCTV checks, and dangerous fake patients. This site organizes the live meta into guides, class picks, item priorities, and a simple sanity planner.

Open Sanity PlannerOpen Anomaly Database
Visual checksPhoto checksCCTV checksShift strategy
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Animal Hospital (Anomaly) official Roblox thumbnail
Lobby flow
Lobby flow
Treatment rooms
Treatment rooms
Camera checks
Camera checks

Quick Wiki

Start from the system, not from random pages

Browse all guides

Anomalies

17 known anomaly entries and detection notes.

Classes

Intern to Secret Agent with costs and rankings.

Items

Shop priorities, sanity tools, and upgrade picks.

Events

Ambulance, fire, death ritual, and rescue events.

Enemies

Skinwalker, Head Banger, Hiders, and more.

Treatments

Herbs, Eyedrops, Maple Syrup, and room flow.

Appearance anomalies

Visible at the check-in window or in person without needing a photo or CCTV.

  • • Mismatched Eyes and Sharp Teeth
  • • Three Eyes
  • • Hollow Face
  • • Unnatural Facial Appearance

Photo anomalies

Only visible when you take a photo at the window.

  • • Different Eyes
  • • Incorrect Photo
  • • Static Photo
  • • Cursed Photos

Security camera anomalies

Only visible on CCTV and often easy to miss if you do not cross-check angles.

  • • Black Eyes
  • • Unnatural Body
  • • Staring at Cameras
  • • Void / Black

Best Classes

Surgeon

S Tier

Gain sanity and a short speed boost after healing a patient.

2,500 Animal Coins

Secret Agent

S Tier

Start with a gun with 20 uses.

320 Robux

Doctor

A Tier

Recover 1 sanity when healing patients.

900 Animal Coins

Psychologist

A Tier

All sanity effects are doubled, positive and negative.

500 Animal Coins

Top Item Picks

Gun (20 shots)

S Tier

Ranged answer to anomalies with 20 shots.

$410 or 99 Robux

Chocolate

S Tier

20 sanity per bite, 3 bites total for 60 sanity.

$120 or 29 Robux

50% Faster DNA Analysis

S Tier

Cuts DNA analysis from 9 seconds to 4.5 seconds.

$110

Patients Recover 25% Faster

S Tier

Cuts recovery time from about 35 seconds to around 26 seconds.

$115

Long-Tail Guides

High-intent pages players actually search for

Open full wiki

Sanity Guide

How sanity works, what drains it, and the safest recovery loop.

Items Guide

Best tools, upgrades, and treatment priorities for live runs.

Events Guide

Ambulance, death ritual, fire, and other emergencies explained.

Enemies Guide

Quick counters for Skinwalker, Hiders, Surgery Monster, and more.

Ambulance Event

Begins on Shift 5 and sends six patients into any open rooms.

Fire in Room

Any patient room can randomly catch fire, even if no patient is inside.

Patient Fainted

Checked-in patients can faint at the window or after entering a burning room.