Sanatorium Secrets
Pragmatic Play
Sanatorium Secrets is a 6-reel, 4-row video slot with 4,096 ways to hit the game's max win of 10,000x your bet!
Play this slot game from Pragmatic Play to unlock free symbols, 2x4 wilds, and massive payouts at Stake Casino today.
How to play Sanatorium Secrets
Sanatorium Secrets can be played at Stake.com for as little as 0.20 or as much as 240.00 per spin. Wins are formed with 3 or more matching symbols on more than 4000 ways to win.
Load the Sanatorium Secrets slot in demo mode to test out the features and general gameplay first.
What Sanatorium Secrets offers fans of horror and history games
Sanatorium Secrets is a horror-themed slot game with a historic feel. If you like history-based slots, then this Pragmatic Play game is for you. The symbols include haunted characters and horror-inspired wild symbols, hooks, and scatter symbols.
The design matches the dark feel of the game, featuring a gloomy, old school building between dimly lit pillars. A misty and eerie forest is the backdrop. The reels appear to be set on stone with a spooky lady on the game title headstone above. The ominous soundtrack with crows calling will send shivers down your spine.
What each symbol pays and how to read the game's paytable
Here is a quick overview of how the slot machine symbols pay with the bet value at 1.00 per spin.
| Symbol | Match 2 | Match 3 | Match 4 | Match 5 | Match 6 |
|---|---|---|---|---|---|
| 9 | - | 0.10x | 0.20x | 0.40x | 0.50x |
| 10 | - | 0.10x | 0.20x | 0.40x | 0.50x |
| J | - | 0.10x | 0.30x | 0.60x | 0.80x |
| Q | - | 0.20x | 0.30x | 0.60x | 0.80x |
| K | - | 0.20x | 0.40x | 1.00x | 1.20x |
| A | - | 0.20x | 0.40x | 1.00x | 1.20x |
| Male Nurse | - | 0.30x | 0.50x | 1.20x | 1.50x |
| Doctor | - | 0.30x | 0.60x | 1.50x | 2.50x |
| Sorority Girl | - | 0.40x | 0.70x | 2.50x | 5.00x |
| Spooky Girl | 0.30x | 1.00x | 2.50x | 5.00x | 10.00x |
How the bonus features work in Sanatorium Secrets
Sanatorium Secrets comes with various bonus features, including wild symbols and free spins.
1x4 Wild Symbol
Appears on reels 2, 3, 4, and 5. Substitutes for all other symbols except the scatter and super scatter symbols. When it hits, it carries a multiplier of 4x or 8x, which is applied to winning combinations.
2x4 Wild Symbol
This wild only appears on reels 3 and 4. It substitutes for all symbols except the scatter and super scatter. It carries multipliers of 8x, 16x, 32x or 64x. The multiplier is applied to all winning combinations.
Hook Symbol
The Hook symbol only appears on reels 1 and 6. When it hits, it grabs all high-paying symbols on the same row and transforms itself to match these symbols. It then transforms those high-paying symbols into 1x1 wild symbols. If the hook passes over a wild symbol, it doubles the wild’s multiplier.
1x1 Wild Symbol
This wild only appears on reels 2, 3, 4, and 5. It substitutes for all other symbols except the scatter or super scatter. It only appears through the conversion of high-paying symbols by the hook symbol.
Scatters and Super Scatters
There are 2 scatter symbols. The regular scatter symbol appears only on reels 2, 3, 4, or 5. The super scatter only appears on reel 6.
Puzzle Feature & Free Spins
Land 3 or more scatter symbols to trigger the free spins. Land 3 scatters and 1 super scatter to trigger the super free spins feature. Before the round starts, the puzzle feature is played.
In the puzzle feature, high-paying symbols can transform into wilds. The puzzle feature starts with 3 respins. When a puzzle piece lands, an additional respin is awarded. During the feature, 1 or 2 hook symbols can randomly hit on reels 1 and 6.
If the round was triggered by a super scatter, then 2 hook symbols are guaranteed to hit in the puzzle. During the puzzle feature, a multiplier of +1x can appear on reel 1 or 6. Each increases the minimum multiplier that the 1x4 wild symbol can hit.
The free spins and super free spins start with 6 spins. For each puzzle that hits during the previous puzzle feature, an additional free spin is awarded.
Bonus Buy
Skip the base game and head straight for the bonus rounds with bonus buy. The bonus buy options include:
Ante Bet - Costs 2x your bet
Free Spins - Costs 75x your bet
Super Free Spins - Costs 150x your bet
Play responsibly and check out our Stake Smart guide for more tips on staying in control.
What the RTP, max win, and bet range are for Sanatorium Secrets
Sanatorium Secrets is a medium volatility slot from Pragmatic Play. It has a 96.47% return-to-player (RTP) percentage with a low house edge of 3.53%.
Before you play, you can set your wager between 0.20 and 240.00 per spin. During the base game and bonus rounds, a random number generator (RNG) is used to keep things fair. When playing this slot game, you can trigger maximum payouts of 10,000x your bet.
How to deposit funds to play Sanatorium Secrets online at Stake
Deposit and play Sanatorium Secrets at Stake using any of the local currencies. Choose from options like INR, CAD, TRY, and more. Popular coins like BTC and ETH, along with other supported cryptocurrencies, are also available.
For seamless crypto deposits, use methods like Mesh or Swap Connect. Buy your chosen cryptocurrency via a trusted platform like Moonpay or Swapped.com. Use the Stake Vault to keep your funds safe.
Contact customer support 24/7 for help with any issues. Read the online casino guide for more general info on online betting.
Other popular horror games you can play at Stake
Do you want to explore more Pragmatic Play slots with a horror theme? This software provider has a good selection of high-quality games to try. These slots have clear game rules, fun features, and a range of premium symbols.
Here are a couple of video slot games we recommend you try first:
For the latest online slot game options from top providers, check out our new releases section. You can extend your gameplay with generous bonuses from our casino promotions page.
For more rewards, join the VIP Club for exclusive benefits, including reload bonuses and rakeback rewards.
Game Information
| Title | Sanatorium Secrets |
|---|---|
| Provider | Pragmatic Play |
| Game Type | Video Slot |
| Reels | 6 |
| Rows | 4 |
| Paylines | 4096 |
| RTP | 96.47% |
| House Edge | 3.53% |
| Max Win | 10,000x |
| Volatility | Medium |
| Min Bet | 0.20 |
| Max Bet | 240.00 |
| Release Date | 1 June 2026 |
| Theme | Horror, History |
| Bonus Buy Available? | Yes |
| Permainan | Pengguna | Waktu | Jumlah Taruhan | Pengganda | Pembayaran |
|---|
