But before packing in advertising for a job at Belfast's central heating company Heat, which tops the list, there is hope.
You could join the love-in at Iris Marketing, ranked seventh, with the best results in personal growth, people caring for each other, and being excited about the direction of the company. Sickbag anyone? Or perhaps Bartle Bogle Hegarty, whose "treat 'em mean, keep 'em keen" work ethic has not only earned it the nickname GBH, but also 77th place on the list.
Or there's MediaCom, where the mantra "people first, better results" has led to 72nd place in the table and a borderline obsession with its staff's wellbeing.
So, to get in on the act next year, agencies need to either start spoiling their staff or take the "GBH" approach and hire staff with sadomasochistic tendencies.