Role reference · May 2026
By Jim Liu · Last updated 2026-05-17 · 13 roles tested across 40+ hours in May 2026
All 13 Maple Hospital roles side-by-side: unlock level, XP rate, difficulty, and tier rating. Use this table to pick the right role for your level and server activity.
Sorted by unlock level. XP rates are relative estimates based on 40+ hours of live testing in May 2026 — exact values depend on server patient load.
| Role | Unlock Level | XP Rate | Difficulty | Tier | Notes |
|---|---|---|---|---|---|
| NurseFREE | Free / 0 | Good | Easy | S | Free to start |
| ReceptionistFREE | Free / 0 | Low | Easy | C | Free to start |
| CleanerFREE | Free / 0 | Low | Easy | D | Free to start |
| Doctor | Lv 10 | High | Medium | S | Consistent XP |
| Paramedic | Lv 15 | Medium | Medium | B | Consistent XP |
| Surgeon | Lv 25 | High | Hard | A | Server-dependent XP |
| Veterinarian | Lv 30 | Medium | Medium | B | Consistent XP |
| Pharmacist | Lv 35 | Medium | Easy | B | Consistent XP |
| Radiologist | Lv 40 | Medium | Medium | B | Consistent XP |
| Anesthesiologist | Lv 50 | High | Hard | A | Server-dependent XP |
| Specialist | Lv 60 | High | Hard | A | Server-dependent XP |
| Head Nurse | Lv 65 | Good | Medium | A | Consistent XP |
| Chief of Medicine | Lv 75 | Excellent | Expert | S | Server-dependent XP |
XP rate estimates from 40+ hours of live testing, May 2026. Quiet servers reduce Hard/Expert role output.
Nurse is the only role with a 6-stage specialization tree. This is why it stays S-tier even at Level 0 — the unlock path rewards continued investment.
| Unlock Level | Specialization | Effect |
|---|---|---|
| Lv 0 | Nurse (base) | Full patient cycle access. Free starter role. |
| Lv 5 | Pediatric Nurse | Specialized in child patients. Faster pediatric ward XP. |
| Lv 15 | Charge Nurse | Oversees a ward section. Minor XP coordination bonus. |
| Lv 25 | ICU Nurse | Critical care access. ICU cases reward double base XP. |
| Lv 40 | OR Nurse | Surgical assistance. Bonus XP when Surgeon is active. |
| Lv 60 | Cardiac Nurse | Heart care specialist. Highest per-case XP in the tree. |
| Lv 90 | ICU Specialist | Mastery tier. Unlocks the ICU management interface. |
Each role was played for a minimum of 2 hours on a live server in May 2026. XP rate estimates reflect consistent patient flow — quiet servers produce lower output for Hard/Expert roles that depend on other players. Tier ratings factor in XP efficiency, server-activity dependency, and long-session fun factor. The Veterinarian role was tested after the March 2026 Vet Clinic update.
Last reviewed: 2026-05-17. Corrections with evidence: contact page.
Doctor (Level 10) has the highest XP rate among early paid roles. For late-game players, Chief of Medicine (Level 75) has the best XP multiplier. Nurse (Level 0, free) is the best starting pick because of its full 6-stage specialization tree.
Maple Hospital has 13 playable roles as of May 2026: Nurse, Receptionist, Cleaner (all free), Doctor, Paramedic, Surgeon, Veterinarian, Pharmacist, Radiologist, Anesthesiologist, Specialist, Head Nurse, and Chief of Medicine.
Surgeon unlocks at Level 25. It offers high XP but is rated A-tier (not S) because time-sensitive procedures depend on an active server. On quiet servers, Doctor at Level 10 often produces more consistent XP.
Veterinarian is B-tier — worthwhile if you enjoy the Vet Clinic loop added in March 2026, but XP efficiency is lower than Doctor or Surgeon. Not a priority pick for fast level progression.
Chief of Medicine unlocks at Level 75. It provides hospital-wide management tools and the best XP multiplier in the game, but has an Expert difficulty rating.
Yes. Once a role is unlocked, you can switch from the role selection menu at any time without losing progress on unlocked roles.
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