Sanatorium Secrets Slot

Sanatorium Secrets uses reels 1–6 and 4096 ways to win: matching symbols on adjacent reels from the leftmost reel form wins. Its 1x4 Wilds appear on reels 2–5 and can carry 4x or 8x multipliers, while 2x4 Wilds on reels 3–4 can carry 8x, 16x, 32x or 64x. Hooks on reels 1 and 6 grab high-paying symbols on their row, turn themselves into matching high-paying symbols or clusters, convert those symbols into 1x1 Wilds, and double any Wild multiplier they pass over.

Demo Game

Demo Mode

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RTP: 96.47%

VOLATILITY: MEDIUM

BET: 0.2 / 480

Sanatorium Secrets Gameplay

Like this provider’s standard slot format, it presents a reel grid with letter and character symbols, feature-buy artwork, and minimal spin presentation.

Sanatorium Secrets slot gameplay screenshot 1 — Gameplay screenshot 1

Gameplay screenshot 2

Gameplay screenshot 3

Slot Attributes

ProviderPragmatic Play

VolatilityMedium

Reels6provider

RTP96.47%in-game

Min/Max Bet$0.2 / $480in-game

Ways to Win4,096in-game

Win Potential10,000Xin-game

Release Date6/1/2026

Specifications read inside the game on 20 August 2026.

Mechanic:

Special symbols:

Theme:

Bonus features:

Symbol Transformations

Available Markets

Explore 4 premium markets where this slot is available

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Bonus Features & Mechanics

Bonus features center around Free Spins triggered by Scatter symbols, alongside several Wild types that carry multipliers ranging up to 64x. The HOOK symbol plays a strategic role by converting high-paying symbols into Wilds and enhancing multipliers. These elements combine to create layered opportunities similar to those found in Sticky Bandits Unchained, which also utilizes Wild Symbols effectively.

Leverage Multiple Wild Types

Sanatorium Secrets features several Wild symbols including 1x4 and 2x4 Wilds with multipliers up to 64x. These Wilds substitute for most symbols and their multipliers add together, significantly boosting your winning potential.

Utilize the HOOK Symbol for Transformations

The HOOK symbol appears on the first and last reels, transforming high-paying symbols into 1x1 Wilds and doubling multipliers on any Wilds it passes over. This can create powerful winning clusters and enhance payouts.

Understand the 4096 Ways to Win

With 6 reels and 4096 ways to win, all wins are formed by adjacent matching symbols from left to right. This structure increases your chances of hitting winning combinations on every spin.

Sanatorium Secrets in play

Spin 1 — This spin paid nothing. A line win must use matching symbols on adjacent reels from left to right, beginning with the leftmost reel. — Spin 1
This spin paid nothing. A line win must use matching symbols on adjacent reels from left to right, beginning with the leftmost reel.

Spin 2 — This spin paid nothing. The 1x4 WILD can substitute for symbols other than SCATTER and SUPER SCATTER, and may carry a 4x or 8x multiplier. — Spin 2
This spin paid nothing. The 1x4 WILD can substitute for symbols other than SCATTER and SUPER SCATTER, and may carry a 4x or 8x multiplier.

Spin 3 — This spin paid nothing. When the HOOK lands, it grabs high-paying symbols on the same row, transforms into a matching symbol or cluster, and turns those symbols into 1x1 WILDs. — Spin 3
This spin paid nothing. When the HOOK lands, it grabs high-paying symbols on the same row, transforms into a matching symbol or cluster, and turns those symbols into 1x1 WILDs.

Sanatorium Secrets Paytable & Rules

Every figure below was read from the game's own information screens, one section at a time, as Pragmatic Play shows it.

4096 ways to win

Paylines

A win must begin on the leftmost reel and continue through matching symbols on neighbouring reels. Reels cannot be skipped.

High-paying symbols

Symbol payouts

This section contains no symbol details.

6×
$20.00
5×
$10.00
4×
$5.00
3×
$2.00
2×
$0.60
6×
$10.00
5×
$5.00
4×
$1.40
3×
$0.80
6×
$5.00
5×
$3.00
4×
$1.20
3×
$0.60
6×
$3.00
5×
$2.40
4×
$1.00
3×
$0.60

High-paying symbols
6 in a row	5 in a row	4 in a row	3 in a row	2 in a row
$20.00	$10.00	$5.00	$2.00	$0.60
$10.00	$5.00	$1.40	$0.80	—
$5.00	$3.00	$1.20	$0.60	—
$3.00	$2.40	$1.00	$0.60	—

Low-paying symbols

Symbol payouts

This section contains no symbol details.

6×
$2.40
5×
$2.00
4×
$0.80
3×
$0.40
6×
$2.40
5×
$2.00
4×
$0.80
3×
$0.40
6×
$1.60
5×
$1.20
4×
$0.60
3×
$0.40
6×
$1.60
5×
$1.20
4×
$0.60
3×
$0.20
6×
$1.00
5×
$0.80
4×
$0.40
3×
$0.20
6×
$1.00
5×
$0.80
4×
$0.40
3×
$0.20

Low-paying symbols
6 in a row	5 in a row	4 in a row	3 in a row
$2.40	$2.00	$0.80	$0.40
$2.40	$2.00	$0.80	$0.40
$1.60	$1.20	$0.60	$0.40
$1.60	$1.20	$0.60	$0.20
$1.00	$0.80	$0.40	$0.20
$1.00	$0.80	$0.40	$0.20

Wild symbols

Symbol payouts

The 1x4 Wild appears only on reels 2, 3, 4 and 5. It substitutes for every symbol except Scatter and Super Scatter, and can carry a 4x or 8x multiplier.

Hook symbol

Symbol payouts

The Hook can land only on reels 1 and 6.

When it lands, it draws high-paying symbols from its row and changes into the matching symbol or a matching group. The collected symbols become 1x1 Wild symbols.

A Wild crossed by the Hook has its multiplier doubled.