S Tier

SecurityFront Desk anchorStarts with Taser and Flashlight. 150% sanity retention is the highest of any combat class. The de facto meta pick for front-desk operations.Officer DuckmanTankStarts with Extinguisher + Taser. 200% sanity pool at the cost of 10% movement speed. The late-game tank choice.Head NursePremium supportPassive sanity recovery, movement speed bonus, and +3 inventory slots. The 80 Robux premium tier is mathematically justified for solo players.Ron From AccountingEconomyProvides a passive mathematical buff to the end-of-shift currency payout. Calculator / Clipboard loadout.

A Tier

NurseMobile healerFree baseline medical class with 110% movement speed. Starts with IV Drops — immediate Crazed Patient counter.

B Tier

Secret AgentReconStarts with Photo Camera. 115% movement speed. Useful for assisting the front desk without returning to base.ParamedicRunnerFastest class in the game at 120% speed. Starts with Medical Kit. -10% sanity retention — coffee-heavy playstyle.SurgeonEfficient healerAccelerated healing speed. Reduced treatment timers. Niche pick for high-volume shifts.

C Tier

DoctorStandard utilityStarts with Scalpel / Stethoscope. Standard utility. Useful for the Barney Stage 4 scalpel hand-off.