-1 / 50s
Job Stress
Slow pressure builds during the shift. Recover before it stacks with scare hits.
Sanity monitor
Animal Hospital Sanity
Sanity is the pressure gauge of the night shift. Watch slow job stress, avoid big anomaly hits and keep recovery tools ready.
100Sanity cap
-1 / 50sJob Stress
-20ShadowCamera
3Death strikes
Use this as a quick shift check: yellow is slow pressure, red is danger and green is recovery.
-20
ShadowCamera
A big camera scare can wipe out a chunk of sanity. Back off when sanity is low.
-10
Stalker camera
A smaller camera scare still matters when it follows another hit.
-10
Tall monster
Break line of sight when the tall monster appears.
15%
Coffee
Coffee is a quick sanity recovery tool during a shift.
60%
Choco
Choco is the stronger sanity recovery option when you can afford it.
3
Death strikes
Treat the third strike as the danger line and stop taking risky checks.
Doctor Harlow and visitor lines point toward the same priorities: protect sanity, respect the death strikes and keep recovery ready.
Tutorial
Sanity matters
Doctor Harlow directly warns that sanity is important during the shift.
Hard risk
3 deaths warning
Doctor Harlow warns that 3 hospital deaths can end the run.
Recovery and story
Coffee branch
Coffee appears both as a recovery/shop item and as part of a visitor request chain.
Ron hint
Do not stare
Ron hints that staring at certain watchers is dangerous, so break line of sight when something feels wrong.
Class modifiers
Some classes change how safely you can play around sanity loss and healing.
Intern
Level 1/2/3 give 10/15/20 bonus sanity.
Secretary
Recovers sanity when checking in patients.
Psychologist
Doubles positive and negative sanity effects and uses a very high Shift bonus sanity value.
Doctor
Recovers sanity when healing patients and starts with bonus sanity.
Surgeon
Healing grants sanity and a 1.2x speed boost for 4 seconds.
The visible death strike display defaults to 3 strikes. Treat the third strike as the danger line.
What to watch
The strike display tracks how many times a player has gone down, with 3 strikes as the visible default.
How to play it
Recover, slow down and avoid risky anomaly checks before the final strike becomes a run-ending problem.
Do not gamble on low sanity
Sanity can snowball fast once anomaly hits stack with the slow job stress tick. Recover before checking risky cameras or chasing strange movement.