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by CityBuilderAK47

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FAQ/Strategy Guide by CityBuilderAK47

Version: 1.11 | Updated: 09/19/19

Table of Contents

  1. Intro
    1. Theme Hospital vs. Two Point Hospital
    2. Additional Resources
    3. Where Your Save Files Are Stored
    4. Updates / Additional Content
  2. Before You Build: What Makes An Effective Layout?
    1. 11 Tips for Hospital Success
    2. The Patient Process
    3. Patient Happiness
    4. The 9 General Rules of Hospital Layout
    5. Kudosh & Recommend Items
  3. Before You Build: Staffing
    1. Staff Happiness & Staff Threats
    2. Doctor Skills
    3. Nurse Skills
    4. Assistant Skills
    5. Janitor Skills
    6. Common Skills
    7. Staff Traits
    8. Staff Attire
  4. Countryside Region
    1. Level 1: Hogsport
    2. Level 2: Lower Bullocks
    3. Level 3: Flottering
  5. Cold Region
    1. Level 4: Mitton University
    2. Level 5: Tumble
    3. Level 6: Flemington
    4. Level 6: Flemington - Case Study - 2 Stars to 3 Stars
    5. Level 6: Flemington - 3-Star Winning Layout
  6. Industrial Region
    1. Level 7: Smogley
    2. Level 7: Smogley - Case Study - From Failing 1 Star to Succesful 3 Star
    3. Level 7: Smogley - 3 Star Winning Layout
    4. Level 8: Melt Downs
    5. Level 8: Melt Downs - 3-Star Winning Layout
    6. Level 9: Duckworth-Upon-Bilge
    7. Level 9: Duckworth-upon-Bilge - 3-Star Winning Layout
  7. Tropical Region
    1. Level 10: Sweaty Palms
    2. Level 10: Sweaty Palms - Case Study - A Failing Hospital (When to Give Up)
    3. Level 10: Sweaty Palms - 3-Star Winning Layout
    4. Level 11: Grockle Bay
    5. Level 11: Grockle Bay - 3-Star Winning Layout
    6. Level 12: Blighton
    7. Level 12: Blighton - 3-Star Winning Layout
  8. Urban Region
    1. Level 13: Rotting Hill
    2. Level 13: Rotting Hill - 3-Star Winning Layout
    3. Level 14: Pelican Wharf
    4. Level 14: Pelican Wharf - 3-Star Winning Layout
    5. Level 15: Croquembouche
    6. Level 15: Croquembouche - 3-Star Winning Layout
  9. Sandbox
  10. Interior Designer
  11. (Snowfall) Pointy Mountain Region
    1. (Snowfall) Level 16: Underlook Hotel
    2. (Snowfall) Level 17: Swelbard
    3. (Snowfall) Level 18: Roquefort Castle
    4. (Snowfall) Level 18: Roquefort Castle - 3-Star Layout
    5. (Snowfall) New Items
    6. (Snowfall) New Rooms
    7. (Snowfall) New Illnesses
    8. (Snowfall) Other New Things
  12. (Pebberley Island) Pebberley Island Region
    1. (Pebberley Island) Level 19: Pebberley Reef
    2. (Pebberley Island) Level 19: Pebberley Reef - 3-Star Winning Layout
    3. (Pebberley Island) Level 20: Overgrowth
    4. (Pebberley Island) Level 21: Topless Mountain
    5. (Pebberley Island) Level 21: Topless Mountain - Case Study - Working Successfully with Waves
    6. (Pebberley Island) New Items
    7. (Pebberley Island) New Rooms
    8. (Pebberley Island) New Illnesses
  13. (Close Encounters) Desert Region
    1. (Close Encounters) - Level 22: Goldpan
    2. (Close Encounters) - Level 23: Camouflage Falls
    3. (Close Encounters) - Level 23: Camouflage Falls - Anatomy of a 3-Star Wave-Smashing Hospital
    4. (Close Encounters) - Level 24: Chasm 24
    5. (Close Encounters) - New Items
    6. (Close Encounters) - New Rooms
    7. (Close Encounters) - New Illnesses
  14. (Superbug Initiative) - The Superbug Initiative
    1. (Superbug Initiative) - Research Projects
    2. (Superbug Initiative) - Project-Unlocked Items
  15. Building a Better Hospital
    1. GP Queues
    2. Hospital Level Snowballing
    3. Expansion Strategy
    4. Examples in Efficiency
    5. Room Prestige
    6. The Great Patient Purge
  16. Training
  17. Marketing
  18. Common 2-Star Challenges
    1. Money Troubles
  19. Common 3-Star Challenges
    1. You want HOW Much in Hospital Value?
    2. Attractiveness Rating
    3. Bump that Cure Rate Up!
    4. Staff Morale? Are You Kidding Me?
  20. Staff Challenges
  21. Illnesses
    1. List of Illnesses
    2. Chance of Cure
    3. Rogue Monobrows
  22. Epidemics
  23. Emergencies
  24. Disasters
  25. Rooms
  26. Item Listing
    1. Kudosh Item Listing
    2. (Special) Item Listing
    3. (Retro Items Pack) DLC Item Listing
  27. Research Projects
  28. VIP Visits
  29. End of Year Awards
  30. Steam Achievement Guide
  31. Two Point Humor
  32. Contact the Author
    1. Legal Bla Bla Bla

Before You Build: Staffing

So now I've told you what's worth knowing about how to build a hospital, but you can't actually run a hospital without staff, right? Well, all staff aren't created equal. Again, coming from the simple Theme Hospital world, there were roughly three levels of staff and three specialties. But now, there's so much more, and as you'll discover through playing, it's much better to use training intelligently to train employees the way you want them rather than just accept the hodge-podge of qualifications that often come your way. You can be easily overpaying by thousands for jack-of-all-trade consultants or senior nurses when an adequately trained doctor or student nurse in the right skill will actually run laps around them, and is usually noticeably cheaper.

Of course, this isn't really discussed until a few levels in, so why bother, right? Well, if you at least understand the basics, it helps you make smarter financial decisions from the get-go so that you avoid over-spending and unnecessary deaths. Here are some basic things to consider with staff:

Job Assignment Screen

As we detailed with Tip #5 in the 11 Tips for Hospital Success section, be sure you periodically come and check this screen, especially with new doctors with little skill. You'll want to keep appropriately trained doctors and nurses to task. For example, keep nurses specialized in Ward Management working your Wards and Fracture Wards - it's where the bonuses come in best after all. Keep your treatment doctors working the treatment rooms, your GPs working in your GP's office, and for the most part, keep your specialists where they belong. There's nothing wrong with a few "float" doctors who have multiple skill-sets just in case.

Temporary Staffing
There may be times where it may be appropriate to take on staff, not intending to keep them forever. Here are a few situations it might work out:

1) Hiring a jack-of-all-trades consultant to train staff in an undiscovered trait - I've already griped enough about wanting specialist staff, but those jack-of-all-trades can be useful. Get the skills you want off of 'em, and then toss 'em when you're done. Now true, you always have the option of using the guest trainers (as discussed in the Training section),but if you consider that those can easily cost upwards of $10,000 per trainee, sometimes it's easier to stomach the ~$3,000/$4,000/month salary for that highly qualified doctor who you can use and then fire. Strategic? Conniving? You be the judge.

2) Need to cure more of a certain type of patient? When you get the Marketing Office (Flemington, Level 6), you'll be able to increase the presence of patients with a certain disease through targeted campaigns, which can be a financially smart move. You might want to take on a few more doctors or nurses with certain capabilities knowing that you're about to launch a big campaign, let them handle the swell of those darn rich patients undergoing expensive treatment, and then fire them off when the campaign is all over. Patients brought in via the Marketing campaign will still need to follow the patient process however, so be sure your hospital can also handle the swell of patients in general.

3) Situations like starting Melt Downs with way too much litter - hire Janitors to help clean up the god awful mess, and then can 'em after a couple of months.

And not that you would particularly feel bad about firing fake staff members, but the lines they give you right before you fire them are hilarious!