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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


Beginning from Tumble onwards, you will occasionally have to deal with natural disasters which will impact your hospital in different ways. Some hospitals even make you deal with multiple ones in quick succession. Pebberley Reef particularly comes to mind. Here is a list of all of them and what they do. I am still polishing the list, so some screenshots are missing, and it's indeed possible you may seem some disasters in other hospitals aside from those listed. This will be added to during future minor updates.

(Picture coming soon)
Seen in: Tumble, Sweaty Palms, Grockle Bay, Blighton, Croquembouche, Chasm 24 (Close Encounters DLC)
These will violently shake your screen and deal a varying amount of damage. They come in three flavors: small, medium, and large. The most common, but straightforward disaster of all: it simply forces janitors to go into overdrive for maintenance.

Electrical Storms

Seen in: Melt Downs, Pebberley Reef (Pebberley Island DLC),Chasm 24 (Close Encounters DLC)

Volcanic Eruptions
(Picture coming soon)
It's a bit of an earthquake in addition to dropping hot gobs of lava on to your hospital floor that have to be extinguished with fire extinguishers.
Seen In: Sweaty Palms, Chasm 24 (Close Encounters DLC)

Hailstorms (Bigfoot DLC)
(Picture coming soon)
It's like an earthquake, but with snow effects.
Seen in: Underlook Hotel, Swelbard, Roquefort Castle

Avalanches (Bigfoot DLC)
(Picture coming soon)
It's like a more intense earthquake, but with snow effects.
Seen in: Underlook Hotel, Swelbard, Roquefort Castle, Chasm 24 (Close Encounters DLC)

Ghost Infestation (Bigfoot DLC)
(Picture coming soon)
A group of 10 ghosts or so will haunt a section of your hospital, causing everyone to, as always, run for their lives
Seen in: Roquefort Castle(Picture coming soon)
It's like an earthquake, but with snow effects.
Seen in: Underlook Hotel, Swelbard, Roquefort Castle, Chasm 24 (Close Encounters DLC)

Solar Storms (Pebberley Island DLC)

During the solar event, concentrated beams of light will fire upon your hospital, leaving scorch marks that need to be extinguished with your precious fire extinguishers. Be sure to leave some in the corridors precisely for this!
Seen in: Melt Downs, Overgrowth, Topless Mountain

Water Tornadoes (Pebberley Island DLC)

These will spawn water tornadoes that move through the hospital and leave a large amount of water puddles in their wake.
Seen In: Pebberley Reef, Chasm 24 (Close Encounters DLC)

Frog Storms (Pebberley Island DLC)
(Picture Coming Soon)
Literally the Biblical plague. A bunch of dizzy frogs will land in your hospital, which not only have to be cleaned up, but cause a chain vomit reaction. Lovely.
Seen In: Pebberley Reef (Pebberley Island DLC), Overgrowth (Pebberley Island DLC), Topless Mountain (Pebberley Island DLC), Camouflage Falls (Close Encounters DLC), Chasm 24 (Close Encounters DLC)

Raccoons (Close Encounters DLC)

This event will literally have cute raccoons rain down from the sky, into your garbage bins, and cause a large amount of litter around the hospital.
Seen in: Goldpan (Close Encounters DLC)

Meteor Showers (Close Encounters DLC):

These are volcano eruptions amped up, which occur in multiple waves, that will rain "great balls of fire" from the sky and crash into your hospital, potentially injuring patients and machines.
Seen in: Camouflage Falls