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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


Ever so often, the game throws you an emergency - a group of multiple patients (typically between 5-8) who are already diagnosed with a disease, and just need rapid treatment. If you are able to successfully cure at least half, you'll get bonus money and reputation points. If you fail however, you will get a dent in your reputation for your negligence.

They can be tricky for a few reasons:

  • Most machines will break down in the middle of their treatment due to the large number of people rapidly using them
  • Patient logic can create severe frustration -sometimes they'll go to another building for a snack and hold up the entire queue. Make sure your immediate treatment area also has amenities!
  • Staff may become tired and quit halfway into the emergency

Here are some tips and tricks.

  • The surest way to increase the chance of full success is to have multiple rooms with highly trained staff - if you have multiple rooms, the patients will appropriately separate automatically rather than all going straight to one room. This also prevents overloading the machines, which will pretty much guarantee a less than perfect cure in time if even one machine breaks down once.
  • Make sure you have a staff member in the room, ready to go. Use the pick up tool and get a highly qualified staff member there - stat!

The typical rewards are as follows, and most emergencies (with the exception of Surgery emergencies) have a time limit of 90 days:

  • 10 Kudosh
  • +10 Reputation points
  • $10,000

Getting a perfect cure (for example, curing all 7/7 patients in the time alloted), will basically add to your reward and double the cash rewards.

"Perfect! We cured the entire group of patients. This has really helped out reputation and we've been sent a big reward."

  • +15 Reputation Points
  • 15 Kudosh
  • $20,000

Here are some of the in-game texts for certain disasters, again, adding that Two Point humor:

Fracture Emergency
"There's been an outbreak of Fracture Ward-related illnesses after complications from testing Bungle's mind-controlled jetpack. A group of testers are looking for treatment."
We'll be rewarded if we treat this group, should we have them sent here?
Goal: Cure 5 Patients with Humerus Injury
Treatment Room: Fracture Ward
Time Limit: 90 Days
Rewards: 10 REP, K10, $10,000
Seen in: Tumble

Fracture Emergency
"A group of Fracture Ward patients have been stranded after a Bungle Medi-Tech Hospital was relocated out to sea, and are now looking for further treatment.
We'll be rewarded if we treat this group, should we have them sent here?
Seen in: Flemington

Grey Anatomy Emergency
"A group of students have had their colour sapped by strict and unintelligible dress codes for certain classes, and have contracted Grey Anatomy. There's a group of them looking for treatment."
We'll be rewarded if we treat this group, should we have them sent here?
Goal: Cure 7 Patients with Grey Anatomy
Treatment Room: Chromatherapy
Time Limit: 90 Days
Rewards: 10 REP, K10, $10,000
Seen in: Tumble

Barking Mad Emergency (Requires Bigfoot DLC)
"There's been an outbreak of Barking Mad in the area after some of the local population responded to a cutlery shortage by eating with their faces, and found that they liked it. There's a group, in need of a napkin, looking for treatment."
We'll be rewarded if we treat this group, should we have them sent here?
Goal: Cure 7 Patients with Barking Mad
Treatment Room: Doghouse
Time Limit: 90 Days
Rewards: 10 REP, K10, $10,000
Seen in: Underlook Hotel,