Animal Hospital: Sanity & Animal Coins Explained

Animal Hospital runs on two meters you have to manage — Sanity (your health) and two separate currencies. Here's how each works.

Sanity (your survival meter)

You start each run with about 61–65% Sanity (higher as an Intern or with upgrades). It passively drains 1 point every ~50 seconds from job stress. Drop below 35% and the world reacts — music slows, colours desaturate, posters distort. Hit 0% and you die.

Gain Sanity by:

• Drinking coffee (+15, or +30 as a Psychologist)
• Eating chocolate (+60)
• Tasing anomalies (+2)
• Completing surgeries (+1)

Lose Sanity by: tasing or shooting innocent patients or teammates, viewing cursed photos (−10), and enemy attacks.

The two currencies

Animal Hospital has two kinds of money, and they do different things:

• Money — in-run cash. You start at $0 and get paid at the end of each shift (Shift 1 always pays $63), plus bonuses after ambulance events. Spend it at the Supplies Shop on items. It resets every run.
• Animal Coins — the persistent premium currency. Earned across runs: +2 per patient treated, +0.5 per anomaly prevented, +0.5 per visitor admitted, plus shift payouts. Spent only on Classes and Skins, and you can gift them to friends.

Bottom line: Money keeps you alive this run; Animal Coins unlock the Classes that make every future run easier.