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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

(Close Encounters) Desert Region

(Close Encounters) - New Illnesses

First Appears In...Appears Around Hospital Level....Illness NameIn-Game DescriptionTreated byOther Notes
GoldpanLevel 2MeteormitesMicroscopic space parasites have claimed the sufferer as their new home. The bugs' development occurs on an advanced time-frame so the sufferer must be treated with medicine that makes their body an unfit host before the mites' civilisation reaches the 'Apocalyptic Age'.PharmacyIllness Difficulty: 25%
GoldpanLevel 3AsterrhoidsSufferers exhibit a sensitive, fluorescent area of inflammation. Caused by crops being contaminated with space dust, making them too volatile for consumption. Requires treatment with anti-inflammatory bum-salve.Injection RoomIllness Difficulty: 30%
GoldpanLevel 4Fanatick
A condition caused by an infestation of airborne space ticks. The host takes on the ticks' love of flying, and can be seen wearing silly propeller hats or jumping, optimistically, from small heights believing that they're "learning to glide".PharmacyIllness Difficulty: 40%
GoldpanLevel 5CosmossThe sufferer has a parasitic space moss growing inside of them. They will experience intermittent moments of cosmic peace, before a painful death. Requires treating with, either, the sap of an ancient moon tree or domestic weed killer.Injection RoomIllness Difficulty: 40%
GoldpanLevel 5Science Friction
The sufferer is trapped in a form-fitting, silver suit and must be treated before they erode from chafing. Caused by an admirable, ill-conceived desire to take fashion into the future - today!WardIllness Difficulty: 40%
GoldpanLevel 6ConfidenturesUnwanted knowledge of classified information has caused alarming levels of teeth gritting and tongue biting. The teeth have become tense and disassociated from the rest of the body and feel like an entirely separate, potentially detachable, entity. The sufferer requires therapy to reacquaint themselves with their own mouth.PsychiatryIllness Difficulty: 40%
GoldpanLevel 6Flack HoleThe sufferer's mouth exhibits signs of abnormal density, producing words at a pathological, extremely irritating, rate. Peace and quiet are out of the question until the condition is treated. Caused by thought provoking mini series and mind-bending space fruits.PharmacyIllness Difficulty: 50%
GoldpanLevel 6Aller-Gs
An allergic reaction to G-force has caused the sufferer to reject their environment. Caused by riding roller coasters during pollen season or sneezing at the wrong moment during re-entryPharmacyIllness Difficulty: 60%
Goldpan Flat-Packed
A condition caused by cramped transport or losing battles with 'easy-build' wardrobes. Sufferers need to be rebuilt from the simplified, condensed state.Self-AssemblyIllness Difficulty: 45%
Goldpan ContinuthumbThe sufferer's thumb has an incredibly range of movement. It's possible that it could come in handy - get it, handy? - but mainly it's just really painful and needs fixing.Fracture WardIllness Difficulty: 30%
Goldpan GruntAlso known as the 'Henchman Phenomenon', a fault in the DNA has caused the sufferer's motivation to become straightforward and one dimensional. They must undergo treatment before someone with the wrong idea takes advantage.DNA LabIllness Difficulty: 40%
Goldpan HorrorscopeAn infection of the eye caused by dirty telescopes, binoculars, or space goggles. Sufferers predict upsetting events and see really off-putting things.PsychiatryIllness Difficulty: 60%
Goldpan SputneckA locking of the neck that shifts with the phases of the moon. Caused by looking directly upwards at stars, planets, or satellites.Fracture WardIllness Difficulty: 50%
Goldpan Bowhine
Sufferers have become unenamoured with being human. Rather than deal with their issues, they hang out in fields and pretend to be cows. Must be treated quickly, before they're abducted by cow-collecting aliens.PsychiatryIllness Difficulty: 50%
Goldpan AstroknotParts of the body's internal structure have intertwined into complex orbital structures and require untying. Caused by gone off space food and trying to understand astrophysics.SurgeryIllness Difficulty: 30%
Goldpan Home SickNausea induced by being a long way from home, or sometimes, an allergic reaction to houses in Two Point County. Sufferers require a treatment that resets their concept of 'home' and accustoms them to drywall and throw pillows.PharmacyIllness Difficulty: 60%
Goldpan Situational GravityA condition that creates a localised microgravity environment within the body. The organs float freely and peacefully around the body: it is incredibly dangerous. The airlock must be broken and the atmosphere reset. Caused by space hiccups and an inability to deal with grave situations.SurgeryIllness Difficulty: 40%
Goldpan Space Caged
An unhealthy enthusiasm for 'sci-fi' has caused the sufferer to trap themselves in a makeshift costume of a, supposedly, popular character. They require treatment before they lose what's left of them and end up looking like that forever. I mean, look at them.PsychiatryIllness Difficulty: 70%
Goldpan NeutrainersBlistering caused by going sockless in new shoes or irregular subatomic activity around the ankles. Unusually common in people adjusting to the footwear conventions of a new solar system.Fracture WardIllness Difficulty: 80%
Goldpan TelemutationParts of the sufferer have been lost during trans-galactic teleportation. The body that remains is a temporary, fail-state, version of the individual pre-travel. They must now undergo DNA recovery so that the original can be extrapolated from what remains.DNA LabIllness Difficulty: 50%
Goldpan H.G. SwellsStands for something. Swelling caused by an unhealthy fear or alien invasion or taking the radio too seriously.WardIllness Difficulty: 30%
Goldpan ExtraterresticalThe body contains a small, surplus, celestial organ. The "terrestical" should be removed to avoid future complications, such an involuntary gravitational collapse.SurgeryIllness Difficulty: 50%
Goldpan Gorm DeficiencyThe sufferer's genetic common-sense has begun to faulter. Newly produced cells now lack the "gorm" gene entirely. They must undergo treatment before becoming irrevocably foolish.DNA LabIllness Difficulty: 60%
Goldpan Planetary RingA point of incredible density has formed a ring inside the body, made of breadcrumbs and space rocks, that's swirling around all over the place. A surgeon must siphon out the density, and give their innards a good vacuuming, before they turn inside-out. Caused by bootlegged jelly beans and indigestion at warp-speed.SurgeryIllness Difficulty: 60%
Camouflage Falls Zodiac Arrest
The body has fallen out of its celestial cadence, or something thus explaining why everything has been going badly. Caused by losing contact with the moon, red meat and inhaling fortune cookies three-abreast.WardIllness Difficulty: 50%
Camouflage Falls Deeply Ill-Suited
Sufferers need to wear protective clothing due to being 'ill-suited' to Two Point County'. With a course of medicinal therapy and a nice lie down, patients can become acclimated. Deeply Ill-Suited patients are sealed in a water-tight environment to keep out the County's atmosphere.WardIllness Difficulty: 70%
Camouflage Falls Frogborne


(before cure) - patients have a "face mask"


(during treatment) - mask comes off


(after cure)
Years ago an alien life-form scanned the universe to find its closest genetic relative and found the frogs of Earth. They planned to visit their relative, and to take on their form, so as not to alarm anyone, but arrived without an escape plan or looking into the social status and engineering capabilites of the common frog. Generations later, these aliens are sick of being stuck here, so they've devised human-style outer shells to transport them to labs and hospitals, so they can be changed back into their true form and then go home.Toad HallIllness Difficulty: 50%
Camouflage Falls Star Struck

Impact with rogue star fragments has resutled in bodily fractures. Most common in those people who tend to know when the next eclipse is going to be.Fracture WardIllness Difficulty: 60%
Camouflage Falls Hero Complex


Sufferers believe, or want to believe, that they can help society on a level above recycling and door-holding. Caused by commercial cinema and the grind of the everyday. Needs to be treated before they, inevitably, lose the fight against crime.PharmacyIllness Difficulty: 70%
Camouflage Falls Highly Ill-Suited


Sufferers need to wear protective clothing due to being 'ill-suited' to Two Point County'. With a course of medicinal therapy and a nice lie down, patients can become acclimated. Highly Ill-Suited patients are sealed in an air-tight environment to keep out the County's atmosphere.WardIllness Difficulty: 70%
Camouflage Falls Anty Matter
Sufferers are chiefly characterised by having a large, ant-like head in place of their own. Should be treated with a mixture of bug repellent and mashed potatoes. Caused by bites from radioactive ants or failure to clear a teleporter before use.Injection RoomIllness Difficulty: 80%
Camouflage Falls IsotropeThe sufferer has begun to become an all-but-identical variation of themselves. Caused by exposure to, and the subsequent absorption of trends and idioms. Needs to be treated befroe they become too irritating or dangerously radioactive.DNA LabIllness Difficulty: 70%
Camouflage Falls HyperrealtyOverexposure to the housing market has left the sufferer with an unhealthy relationship with territory, as well as fixations on water pressure and curtains. Their obsession with fabrics must be removed from the fabric of their being.DNA LabIllness Difficulty: 80%
Camouflage Falls WarpedThe sufferer's insides have curved like wet wood. Caused by faulty space travel and unseasonably wet autums.SurgeryIllness Difficulty: 80%
Chasm 24 Lack of Humanity
Aliens from other planets have heard about Two Point County and don't want to miss out. They've travelled light-years for the things that you and I take for granted. Though not strictly a disease, they need to be treated to live the earthy lives of their inter-galactic dreams.PersonificationIllness Difficulty: 50%