Sanatorium Secrets

Sanatorium Secrets paytable and rules

Recorded from Sanatorium Secrets's own information screens while the game ran in demo mode at a licensed casino, 7 September 2026. Symbol values appear exactly as the game prints them, which below means cash amounts at a $2.00 spin. A casino can run a different build of a slot, so check the game's own info screen where you play.

How Sanatorium Secrets's special symbols work

dark-haired woman

high-paying symbol

blonde woman

high-paying symbol

older man

high-paying symbol

man in green scrubs

high-paying symbol

A

low-paying symbol

K

low-paying symbol

Q

low-paying symbol

J

low-paying symbol

10

low-paying symbol

9

low-paying symbol

Sanatorium Secrets features

Free Spins / Super Free Spins / Puzzle Feature

Hit 3 or more SCATTER symbols to trigger the FREE SPINS feature. Hit 3 SCATTER symbols and 1 SUPER SCATTER symbol to trigger the SUPER FREE SPINS feature. Before the round starts, the PUZZLE feature is played. In the PUZZLE feature the high-paying symbols can transform into WILD symbols when the reel associated with the symbol above is completed vertically with puzzle pieces. They substitute for all symbols in the subsequent round. During the subsequent round, they can appear on reels 2, 3, 4 and 5. The PUZZLE feature starts with 3 respins. Whenever a PUZZLE piece hits on the screen, an additional respin is awarded, and +1 free spin will be awarded for the subsequent round. During the feature, 1 or 2 HOOK symbols can randomly hit on reels 1 or 6. Any HOOK symbol that hits, will also appear in the subsequent FREE SPINS feature for the whole duration of the round in a random position at every spin. If the round was triggered with SUPER SCATTER symbol, 2 HOOK symbols are guaranteed to hit in the PUZZLE feature and be awarded for the subsequent SUPER FREE SPINS feature. During the PUZZLE feature, a multiplier of +1x can appear on reel 1 or 6. Each increases the minimum multiplier the 1x4 WILD symbols can hit with, during the subsequent round. The round ends when there are no more respins left or when puzzle pieces fully cover the reels 2, 3, 4 and 5. If puzzle pieces fully cover the reels 2, 3, 4 and 5, the maximum win is awarded and the feature ends. The FREE SPINS or SUPER FREE SPINS round starts with 6 free spins plus an additional 2 for each SCATTER beyond the third that triggered the feature. For each puzzle piece that hit during the previous PUZZLE feature, an additional free spin is awarded. During the feature, new WILD symbols transformed in the PUZZLE feature may appear on reels 2, 3, 4, and 5. Whenever a HOOK symbol passes over a high-paying symbol transformed into WILD, it transforms it back to a 1x1 WILD and doubles its current multiplier. Special reels are in play during the feature.

ANTE BET

The player has the option to select the bet multiplier. Depending on the selected bet, the game behaves differently. The possible values are: ANTE BET - Bet multiplier 40x - The chance to trigger the FREE SPINS feature is 4 times higher. Bet multiplier 20x - Normal play.