Reels and portraits
The ways diagram shows six reels of four rows and 4096 ways to win. Wins run left to right from the leftmost reel. The four high-paying symbols are portraits: a pale woman with long dark hair, a blonde woman, a grey-haired man in a blue shirt and a man with glasses in green scrubs. The dark-haired woman also pays for two, RM0.60 at a total bet of RM2.00. Worn A to 9 tiles are the low symbols.
Three kinds of Wild
All Wilds replace every symbol except the Scatter and the Super Scatter. The 1x4 Wild lands on reels 2 to 5 and can carry 4x or 8x. The fiery 2x4 Wild lands only on reels 3 and 4 and can carry 8x, 16x, 32x or 64x. A multiplier applies to every win passing through it, and several multipliers in one win add together. The 1x1 Wild, a green hand print, comes only from the Hook.
The Hook
The Hook, a rusty hook on chains, lands only on reels 1 and 6. It grabs all high-paying symbols on its row and turns them into 1x1 Wilds; the page also says it transforms itself into a matching high-paying symbol or a cluster of them, without explaining more. If the Hook passes over a Wild, it doubles that Wild's multiplier.
The PUZZLE feature
Three or more Scatters on reels 2 to 5 start free spins; three plus the Super Scatter on reel 6 trigger Super Free Spins. The PUZZLE feature comes first. It starts with 3 respins, and each puzzle piece adds a respin and 1 free spin. When a portrait's reel is filled top to bottom with pieces, that portrait becomes a Wild for the free spins.
One or two Hooks can land on reels 1 or 6 and stay for the free spins; with the Super Scatter, two Hooks are guaranteed. A +1x on reel 1 or 6 raises the minimum multiplier of the 1x4 Wild for the next round. If pieces cover reels 2 to 5 completely, the maximum win is awarded.
Free spins, buying and limits
Free spins and Super Free Spins start with 6 spins, plus 2 for each Scatter beyond the third and 1 for each puzzle piece. A Hook passing over a portrait Wild turns it back into a 1x1 Wild and doubles its multiplier. The Buy Feature costs 75x the base bet for a random choice of the two rounds, or 150x for Super Free Spins. The Ante Bet uses a 40x bet multiplier instead of the normal 20x. The maximum win is 10,000x bet, and bets run from RM0.20 to RM960.00.
A steady visit
With so many moving parts, stay at a small bet until the rules feel familiar. Fix a budget and take breaks; buying and the Ante Bet are optional.
Sanatorium Secrets paytable
RM amounts the rules page shows for 6 / 5 / 4 / 3 / 2 symbols on adjacent reels at a total bet of RM2.00; they change with your bet.
| Symbol | 6 | 5 | 4 | 3 | 2 |
|---|---|---|---|---|---|
| Pale woman with long dark hair | 20.00 | 10.00 | 5.00 | 2.00 | 0.60 |
| Blonde woman | 10.00 | 5.00 | 1.40 | 0.80 | – |
| Grey-haired man in a blue shirt | 5.00 | 3.00 | 1.20 | 0.60 | – |
| Man with glasses in green scrubs | 3.00 | 2.40 | 1.00 | 0.60 | – |
| A | 2.40 | 2.00 | 0.80 | 0.40 | – |
| K | 2.40 | 2.00 | 0.80 | 0.40 | – |
| Q | 1.60 | 1.20 | 0.60 | 0.40 | – |
| J | 1.60 | 1.20 | 0.60 | 0.20 | – |
| 10 | 1.00 | 0.80 | 0.40 | 0.20 | – |
| 9 | 1.00 | 0.80 | 0.40 | 0.20 | – |
WILD symbols
| WILD | Reels | Multiplier |
|---|---|---|
| 1x4 WILD | 2, 3, 4, 5 | 4x or 8x |
| 2x4 WILD | 3, 4 | 8x, 16x, 32x or 64x |
| 1x1 WILD | 2, 3, 4, 5 | only from the HOOK |
Buy Feature options (x current base bet)
| Price | Result |
|---|---|
| 75x | FREE SPINS or SUPER FREE SPINS, randomly |
| 150x | SUPER FREE SPINS, guaranteed |
Rules and paytable taken from the in-game help pages in October 2026.