Burnout among health sciences students has reached epidemic proportions, with prevalence rates of 45–71% reported across disciplines; however, the process by which burnout develops and how students navigate these experiences within institutional contexts remains poorly understood. The objective of this study was to develop a substantive theory explaining how health sciences students experience and respond to burnout during their training. Using a constructivist grounded theory methodology, 847 posts and comments from public online forums (Reddit r/medicalschool, r/nursing, and Student Doctor Network) posted between January 2022 and December 2023 were analyzed. Data collection and analysis occurred iteratively through constant comparative analysis. Analysis involved three phases of coding: initial open coding (291 codes), focused coding (12 categories), and theoretical coding to identify relationships and develop the core category. The core category that emerged was “Mechanical Persistence Through Authenticity Suppression,” a collective adaptive process in which students, trapped by institutional capture (debt and time investment) within contexts of unsustainable demands and toxic professional culture, progressively suppress authentic emotional, cognitive, and moral experience in favor of automatic, depersonalized functioning to maintain required performance. Students explicitly described becoming “empty husks,” functioning on “auto-pilot,” and feeling “dead inside” while maintaining performances of competence and enthusiasm. This mechanization was collectively normalized as a necessary “survival mechanism” rather than pathology. Burnout among health sciences students, therefore, represents not simply individual stress but a systemic process of institutional dehumanization, in which students adopt mechanical functioning through authenticity suppression because structural entrapment (financial debt and sunk costs) prevents exit despite recognition of harm, indicating that interventions focused on individual resilience are insufficient and that systemic transformation is required.