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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

Tropical Region

Level 11: Grockle Bay

In-Game Description: Tourists like to bring all manner of peculiar illnesses to this wonderful sunny town.

Awards Available: Rising Star, Employer of the Year, No Deaths, Best Teaching Hospital, Patients' Choice Award, Most Prestigious Hospital, Best Research Hospital, Hospital of the Year

Disasters Seen: Earthquakes, Epidemics

Emergencies Seen: Surgery Emergency (Operating Theatre), Emperor Complex Emergency (Psychiatry), Ward Emergency (Ward), Pharmacy Emergency (Pharmacy), Shock Horror Emergency (Shock Clinic)

Online Challenges Available:
Cures Challenge - Compete against other organisations to cure the most patients (Length: 180 days, Reward: K20)
Income Challenge - Compete against other organisations to earn the most money (Length: 180 days, Reward: K20)
Diagnosis Challenge - Compete against other organisations to diagnose the most patients. (Length: 180 days, Reward: K20)

Unlocks in this level:
Rooms: Recurvery Room
Illnesses: Cubism, Pudding Blood, Heart Throb
Illnesses Seen: 8-bitten, Broken Face, Cubism, Denim Genes, Emperor Complex, Floppy Discs, Gurning Loins, Heart Throb, Hurty Leg, Inflated Ego, Jazz Hand, Jumbo DNA, Lazy Bones, Leopard Skin, Mime Crisis, Misery Guts, Mucky Feet, Pudding Blood, Rock Bottom, Shattered, Shock Horror, Spontaneous Combustion, Touch of Midas, Turtle Head, Verbal Diarrhoea
Most Frequently Seen Illnesses: Cubism, Floppy Discs, Lazy Bones, Misery Guts, Shock Horror, Verbal Diarrhoea
Star Rewards:
Cubism Anatomy Poster (3 Star)
New Epidemic: Jogger's Ripple

Initial Blurb:
Welcome to Grockle Bay. It's a tourist hotspot. Prepare to be inundated with germ-ridden holiday makers who can't cope with the heat in the south.

I recommend investing in some air-conditioning at the earliest opportunity.

Blank Layout:

Plots to Buy:

Plot 2 (shops and fountain north of Plot 1) - $45,000, Days to Build: 16, Size: 792 m2
Plot 3 (park east of Helipad) - $60,000, Days to Build: 16, Size: 1160 m2
Plot 4 (shops west of Plot 1) - $30,000, Days to Build: 16, Size: 584 m2
Plot 5 (buliding north of helipad) - $25,000, Days to Build: 16, Size: 448 m2
Plot 6 (shops north of Plot 2) - $25,000, Days to Build: 16, Size: 440 m2 - Requires Plot 2 or Plot 7
Plot 7 (out of focus, tall building at northwest of map) - $50,000, Days to Build: 16, Size: 920 m2 - Requires Plot 6 or Plot 8
Plot 8 (grassy lot with shop and umbrellas northwest of Plot 1) - $25,000, Days to Build: 16, Size: 460 m2 - Requires Plot 2 or Plot 4
Plot 9 (out of focus, tall building at northeast of map) - $55,000, Days to Build: 16, Size: 1020 m2 - Requires Plot 2 or Plot 3

My Layout (Current 3-Star Level)
has been moved to its own page

Level Notes

  • Design-wise, this is probably my favorite level. The attention to detail is great, and the ability to walk across multiple buildings over the bridges is well done. I also think Cubism is one of my favorites here, so a proper thumbs up to ya, Two Point Studios.
  • Another level with awkwardly-sized buildings. Don't be afraid to deviate from your normal floorplans.
  • I ended up having to do a full patient purge for this level - it just got choked up. Make sure to stay on top of your GP/Diagnosis room ratio - that's what did me in!
  • You will have a large number of Fracture, Psychiatry, and Shock Horror patients. Be prepared!
  • Pharmacy Emergencies, Shock Horror Emergencies, Psychiatry Emergencies, and DNA Emergencies will occur from time to time.
  • Jogger's Ripple Epidemic at periodic intervals - this one is more annoying to look for because its telltale gate is easy to confuse with patients and doctors in other situations. See Epidemics for more guidance.
  • I had a weird glitch happen in this level where a ghost died on one of the bridges between buildings and was unable to enter any plot, so it got stuck haunting everyone who passed on that bridge. Spooky!


Star Goals

1 Star Hospital

  • Hospital Value of $750,000
  • Hospital Attractiveness of 60%
  • Cure 10 Patients with Cubism

Additional Rewards: $10,000, 100 Kudosh

2 Star Hospital

  • Hospital Value of $2,000,000
  • Hospital Attractiveness of 70%
  • Reputation of 75%
  • Cure Rate of 75%

Additional Rewards: $20,000, 150 Kudosh

3 Star Hospital

  • Hospital Value of $4,000,000
  • Hospital Attractiveness of 80%
  • Reputation of 90%
  • Cure Rate of 90%

Additional Rewards: Cubism Anatomy Poster, $20,000, 150 Kudosh

Is the stupid little poster worth it?
The Cubism Anatomy Poster grants +1% Training Speed - it looks cool, but really only you completionists might want to actually suffer all the way to three stars for it. It has the same effect as adding in the regular Anatomy poster to your training office. Remember you can even get a +2% Training Speed with an Encyclopedic Bookcase I. If you're a completionist go ahead, but if you just want to get to Croquembouche, it's not worth all the extra time for something that you can basically get with other objects in the game. Thanks to user Arnizipal for pointing this out.