Sanatorium Secrets
Psychological Horror slot linking Hook Wilds to a puzzle-led bonus sequence
The SlotRanker Score is calculated from the visible data below. It is not affected by affiliate deals, and it cannot be bought.
Why this score
Sparse data (29%) — interpret with cautionFive weighted signals shape the composite. Four context signals refine ties. See how we rate for the full methodology.
Popularity blends real player search demand (~30 markets) with a catalogue-derived proxy; games without measurable search demand use the proxy alone. Not live play telemetry.
SlotRanker Score: 55 — Sanatorium Secrets by Pragmatic Play
https://slotranker.com/pragmatic-play/sanatorium-secrets#scoreSlot Summary
How It Plays
Expanding Wilds can cover multiple positions and carry Multipliers, while Hooks on the outside alter high-paying symbols across a row. Both changes can affect ordinary wins.
The bonus does not move directly from its trigger into Free Spins. A puzzle Respin stage first collects pieces and determines which modifiers enter the following round.
Theme & Atmosphere
Horror supplies the institutional setting and threatening tone, while Mystery is expressed through a puzzle that reveals the strength of the coming bonus conditions.
The two themes remain connected to play: concealed puzzle pieces determine later values, and Hooks turn the setting's menace into a visible row-changing action.
This game is searched most in Brazil, Greece, and Argentina.
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Compare Sanatorium Secrets with other games
 Sanatorium Secrets Score 55This game |  Immortal Romance 2 Score 87 |  Spring Heeled Jack Score 86 |  Monsterville Secrets Score 84 |  After Night Falls 2 Score 83 | |
|---|---|---|---|---|---|
| Identity | |||||
| Studio | Pragmatic Play This provider has been reviewed and approved by the SlotRanker team. What does this mean? | ||||
| Released | — | 5/28/2024 | 10/25/2022 | 10/22/2024 | 3/29/2026 |
| Math | |||||
| RTP | — | 96.3% | 96.01% | 96.04% | 96.06% |
| Volatility | — | High volatility | High volatility | Medium/High | High volatility |
| Max win | — | 15,000× | 15,587× | 12,500× | 12,000× |
| Format | |||||
| Reels | 5 | 5 | 5 | 5 | 5 |
| Layout | 5x3 | 5x3 | 5x3 | 5x3 | 5x3 |
| Paylines | — | 1024 | 243 | 243 | 25 |
| Min bet | — | 0.2 | 0.2 | 0.2 | 0.25 |
| Max bet | — | 20 | 40 | 50 | 30 |
| Features | |||||
| Progressive | — | ✓ | — | — | — |
| Wild symbol | — | ✓ | ✓ | ✓ | ✓ |
| Free spins | — | ✓ | ✓ | ✓ | ✓ |
| Scatter symbol | — | ✓ | ✓ | ✓ | ✓ |
| Multiplier | — | ✓ | ✓ | ✓ | — |
| Bonus game | — | — | — | — | ✓ |
| Respins | — | ✓ | — | — | ✓ |
Every number is shown as a delta against Sanatorium Secrets.
Questions & Answers
Sanatorium Secrets FAQ
Hooks on the outer reels transform high-paying symbols across their row into Wilds, then change themselves into the same paying symbol.
A puzzle Respin stage determines the minimum Multiplier available on later Wilds and can unlock extra Respins, Free Spins, Hooks, and Wilds.
Three Scatter symbols together with a Super Scatter trigger Super Free Spins, guaranteeing two Hooks during both the puzzle stage and the following spins.
A listed configuration of Sanatorium Secrets has 96.47% RTP, medium volatility, and a maximum win of 10,000x the stake.
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