I leveled each of the 9 main roles through Level 10 to compare income, difficulty, and how fun each one is to actually play. Here is the ranking — honest about the tradeoffs.
I am Jim Liu, Sydney-based developer running this site. I built this tier list after spending roughly 35 hours leveling all 9 early-to-mid-game roles through Level 10 to compare them under equivalent conditions.
Each role is scored across five dimensions: hourly income (median across 3+ sessions), unlock difficulty (level requirement + prerequisite complexity), server dependency (how much your income swings based on other players), recommended player level range, and fun factor (my subjective rating after 3+ sessions per role, 1-5 stars). The tier cutoffs — S, A, B, C — reflect whether I would recommend a role as a main, secondary, situational, or to avoid entirely.
One thing this list deliberately does not factor: role-play value. Cleaner and Receptionist have fans who enjoy them for the immersion. From a pure income-and-progression standpoint they are C-tier. If you play for role-play rather than progression, treat this ranking with that caveat.
Grouped by tier, sorted by income within tier. Income values are medians from my logged sessions — your actual numbers vary ±15% by server.
Sortable reference. For a deeper look at any job including testing notes and XP rates alongside income, use the all-jobs interactive filter tool.
| Role | Tier | Unlock | $/hr | Difficulty | Fun | Rec. Level |
|---|---|---|---|---|---|---|
| Veterinarian | S | Lv 30 | ~$800/h | Medium | ★★★★★ | 30+ |
| Doctor | S | Lv 10 | ~$680/h | Medium | ★★★★★ | 10–29 |
| Anesthesiologist | A | Lv 50 | ~$950/h | Hard | ★★★★★ | 50+ (with Surgeon) |
| Surgeon | A | Lv 25 | ~$750/h | Hard | ★★★★★ | 25+ (with OR Nurse) |
| Nurse | A | Free | ~$450/h | Easy | ★★★★★ | 0–9 |
| Pharmacist | B | Lv 35 | ~$610/h | Easy | ★★★★★ | 35+ (secondary) |
| Paramedic | B | Lv 15 | ~$520/h | Medium | ★★★★★ | 15–24 (secondary only) |
| Janitor | C | Free | ~$200/h | Easy | ★★★★★ | Never as main |
| Receptionist | C | Free | ~$160/h | Easy | ★★★★★ | Never as main |
If you're starting fresh and want to follow the same path I took (without my Day 1 mistakes), here's the exact unlock sequence — each step references where it sits in the tier table above:
Total time from Level 0 to Level 30 along this path was about 12-14 hours of active play in my logs — roughly the same week of casual evenings.
Video walkthrough
A creator plays through every role back-to-back and rates them — gives you a real sense of the difficulty gap between S-tier and C-tier that numbers alone don't capture.
Not affiliated with Marizma Games.
The methodology behind this tier list took about 35 hours across two weeks in May 2026. For each of the 9 roles I created a fresh progression run — starting the role at Level 0 or at the unlock milestone, then playing it through Level 10 while logging income per session, server population, and my subjective experience of the task loop.
Income figures come from timed 9-minute sessions (matching the standard shift window) on servers with 8+ active players. I logged the in-game coin counter at session start and end, converted to $/h, and took the median across a minimum of 3 sessions per role. Server-dependent roles (Surgeon, Anesthesiologist, Paramedic) were also tested solo on quiet servers — those floor numbers are noted in the tier descriptions above.
Fun factor (1-5 stars) is pure subjective rating after completing Level 10 on each role. It captures whether I wanted to keep playing after each session, not just whether the income was good. Vet scored 5/5 because the Vet Clinic loop is genuinely different from the main hospital ward. Janitor scored 1/5 because the task loop is functionally the same as Cleaner but pays $70/h more — both feel like filler compared to Nurse.
Doctor (S-tier, Lv 10) for Level 10-29. Veterinarian (S-tier, Lv 30) for Level 30+. Both earn $680-800/h with stable income across server types.
13 as of May 2026. This tier list covers the 9 roles between Level 0 and Level 50. Endgame roles (Specialist, Head Nurse, Chief of Medicine) are listed in the all-jobs tool but not scored here.
Surgeon earns more on peak servers (~$750/h vs Doctor's ~$680/h) but its income drops to $480/h solo. Doctor is more reliable as a main. Use Surgeon as a secondary once you have a consistent OR Nurse pairing.
Nurse — free at Level 0, ~$450/h, no server dependency, 6-stage specialization tree. Run Nurse as main until Level 10, then switch to Doctor.
If you want the full data behind this ranking — XP rates, testing notes, and filter by free/paid — go to the all-jobs interactive filter tool. To calculate how many sessions you need from your current level to reach Doctor or Vet, try the XP level calculator.
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