Night shift operations

Animal Hospital Shift Guide

Run the hospital like a checklist: check in visitors, diagnose the room, match the cure, protect sanity, then use the Shift report to learn from the run.

8Checklist steps
3Death strikes
24Shop wares
11Illnesses

Shift checklist

This is the practical flow to follow once the actual Shift place loads.
1

Queue and start

Join a room from the lobby; party leaders can press START NOW when everyone is ready.

2

Check in visitor

Talk, take photo, register, print badge, take badge and assign a room.

3

Analyze sample

Use Inspect and Analyze Sample at the room equipment.

Process results

Process results

Process the DNA or X-Ray result and read the illness text.

Pick cure

Pick cure

Match the illness to the cure table before applying treatment.

Watch sanity

Watch sanity

Job Stress ticks over time; anomalies can deal larger sanity hits.

Handle anomalies

Handle anomalies

Prioritize survival when cameras, monsters or disguise reveals appear.

Read report

Read report

Use the final report to compare cash, class experience and rating after the run.

Doctor Harlow shift notes

Doctor Harlow points out the tools and habits that keep a shift under control.
Shutters and cameras
Tutorial

Shutters and cameras

Doctor Harlow says the shutters and security cameras are part of your shift toolkit.

Supply shop timing
Limited

Supply shop timing

The supplies shop opens for a limited time each shift, so buy recovery before pressure builds.

!
Warning

Unstable patients

Doctor Harlow warns that some patients may seem unstable, so treat strange behavior as a risk signal.

Photo and taser tools
Defense

Photo and taser tools

The tutorial calls out photos, cameras and the taser as tools for staying alert.

Three deaths
Fail risk

Three deaths

Doctor Harlow warns that 3 hospital deaths can end the run.

Ambulance attacks
Emergency

Ambulance attacks

Ambulance emergencies can follow anomaly attacks, so switch from routine routing to survival mode.

Diagnosis and treatment

When the report prints, use the illness name, not nearby mixed monitor text.

Open Items
IV Drops
DehydrationIV Drops
Herbs
Stomach AcheHerbs
Medicine
Head AcheMedicine
Bandages
BleedingBandages
Thermo
FeverThermo
Maple Syrup
Low SugarMaple Syrup
Maple Syrup
CanadianMaple Syrup
+
FluCough Syrup
Ointment
RashOintment
Eye Drops
Dried EyesEye Drops
Medkit
BruisesMedkit

Shift shop

The shift shop has recovery, movement, machine and defense buys. Grouping them makes it easier to decide what to buy during a run.

Currency

$
Animal Coins$100 · 1-3 Animal Coins.

Check-in

2
Second Check-in$190 · Extra check-in window.
>
Faster Check-Ins$20 · Visitors check in faster.
!
"No Speaking" Sign$250 · Faster check-in after Faster Check-Ins.

Machines

50
Advanced DNA Synth$110 · 50% faster DNA analysis.
16
16GB RAM$110 · 33% faster computers.
25
Better Printers$100 · 25% faster printers.
20
Max Printers$250 · 20% faster printers after Better Printers.
32
32GB RAM$350 · 25% faster computers after 16GB RAM.
25
Expert DNA Synth$250 · 25% faster DNA analysis after Advanced DNA Synth.

Carry and healing

+1
Medicine Pockets$100 · +1 Carry Capacity.
25
Special Formula$110 · Patients recover 25% faster.
>
Special Technique$450 · Give medicine from inventory.
+1
Medical Backpack$250 · +1 Carry Capacity after Medicine Pockets.

Movement

+10
Hospital Shoes$150 · +10% patient movement speed.
+10
Hospital Shoes 2$280 · +10% patient movement speed after Hospital Shoes.
+12
Hospital Shoes 3$500 · +12% patient movement speed after Hospital Shoes 2.
RunCola
RunCola$75 · Speed Boost (30s).

Sanity

60
Choco$120 · Recover 60% Sanity.
Coffee
Coffee$50 · Recover 15% Sanity.

Defense

Taser
Taser$150 · Shock people (1 use).
X-Taser
X-Taser$250 · Shock people (3 uses).
20
Gun$400 · Shoot people (20 bullets).
+
Teddy$1000 · Revive 1 dead player; cannot use on self.

Anomaly watch

Use these warnings to decide when to back off, recover sanity or stop staring at risky clues.

!
Shift risk

Event surprises

Events can appear around check-in, healing, medicine, spawning, leaving and idle moments.

ShadowCamera
-20

ShadowCamera

Camera shadow scares can hit sanity hard.

Tall monster
-10

Tall monster

Back away and break line of sight when the tall monster appears.

?
Skinwalker

Disguise reveals

Some visitors can become disguise-reveal threats, so keep distance from suspicious patients.

>
Rising

Difficulty pressure

Later shifts demand cleaner routing, faster cure matching and better sanity recovery.

Report and rewards

Use the report screen to review your cash, class experience and rating after each run.

Cash

Compare shift cash with your account cash gain to see how well the run paid out.

Class experience

Class experience helps your role grow into stronger level perks.

!

Rating

Use the final rating as feedback for cleaner check-ins, faster treatments and safer sanity control.

Later Shift tip

Once you unlock faster starts, keep the same discipline: finish check-in, read the illness exactly and recover sanity before risky anomaly checks.