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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

Urban Region

Level 15: Croquembouche

In-Game Description: Build a hospital in the busiest part of the city centre. Prepare for an onslaught. Good luck!

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: Earthquake, Epidemics

Emergencies Seen: Shock Horror Emergency (Shock Clinic), Circus Incident OR Clown Complex (Clown Clinic), Pharmacy Emergency (Pharmacy), Turtle Head Emergency (Head Office)

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:
Illnesses Seen: ALL ILLNESSES
8-bitten, Animal Magnetism, Bed Face, Bogwarts, Broken Face, Cubism, Denim Genes, Floppy Discs, Flumps, Freudian Lips, Grey Anatomy, Humerus Injury, Hurty Leg, Jest Infection, Lazy Bones, Leopard Skin, Lightheadedness, Litter Bug, Mime Crisis, Misery Guts, Mock Star, Mood Poisoning, Night Fever, Pandemic, Pipe Organs, Portishead, Potty Mouth, Premature Mummification, Pudding Blood, Rock Bottom, Shock Horror, Spinal Bap, Turtle Head, Verbal Diarrhoea
Most Frequently Seen Illnesses:
Animal Magnetism, Bed Face, Mock Star, Lazy Bones, Jest Infection, Verbal Diarrhoea

Initial Blurb:
Welcome to the heart of the city. This is it, our toughest challenge yet. Thousands of people flood through Croquembouche every day. At least half of them are sick, in my opinion. The tower of Jumbo Mega Corporation looms in the distance. Jumbo Healthcare have dominated for too long. If we can build a successful hospital here, we will cement our position as one of the top organisations in the county.

Blank Layout:


Plots for Sale:
Plot 2 - (Hedge maze corner - northeast in this orientation) -$130,000, Days to Build: 16, Size: 1300 m2
Plot 3 - (Basketball court next to Plot 2) -$95,000, Days to Build: 16, Size: 936 m2
Plot 4 - (Tennis court next to Plot 2) -$85,000, Days to Build: 16, Size: 832 m2
Plot 5 - (Park plot - south of Plot 1 in this orientation) -$130,000, Days to Build: 16, Size: 1300 m2
Plot 6 - (Construction area next to Plot 5) -$105,000, Days to Build: 16, Size: 1040 m2
Plot 7 - (Tennis court next to Plot 5) -$105,000, Days to Build: 16, Size: 1040 m2
Plot 8 - (Park plot - north of Plot 1 in this orientation) -$130,000, Days to Build: 16, Size: 1300 m2
Plot 9 - (Construction area next to Plot 8) -$105,000, Days to Build: 16, Size: 880 m2
Plot 10 - (Construction area with crane next to Plot 8) -$105,000, Days to Build: 16, Size: 1040 m2
Plot 11 - (Park plot - west of Plot 1 in this orientation) -$130,000, Days to Build: 16, Size: 1300 m2
Plot 12 - (Basketball court next to Plot 11) -$105,000, Days to Build: 16, Size: 1040 m2
Plot 13 - (Construction area next to Plot 11) -$105,000, Days to Build: 16, Size: 1040 m2

My Layout (1 Star Level)



Queues are just going to be a thing at this stage of the game. The best you can do is just try to stay on top of them as best as you can.



My main building evolved from having everything at first, to now just pretty much GP's Offices and training. As the game progresses, I will probably move training rooms further away,but it seems like just as fast as I build a new room and train up an employee for it, the game needs something else! But look, I'm sitting at almost a cool two million and I'm still only at Star 1! That's some money!!!



Here is another treatment area. I was getting a lot of Jest Infection patients which warranted a second Clown Clinic in an adjacent building, and I see my fracture patients are increasing also. So, my next move will probably be to move some of the treatment rooms to a new building and expand my fracture ward.



By this stage in the game, you need to be prepared for dual-purpose rooms like Psychiatry and the DNA Lab. Make sure you build at least twice as you would normally, and that seems to help with overall patient balance and queues. With patients in so many places in this level, it seems like you can never have enough GP's Offices.



However, with all the level bloat, it's created situations like this where I have a large amount of crowded patient corridors, and several of them being quite unhappy. Take a look at the final and 3-star winning layout here.

Level Notes

  • This level definitely required a few restarts - it can be unforgiving because the patient count just keeps going up!
  • Part of what helped me was staying on top of queues and building additional rooms when the queues hit 6.
  • You'll still need to be training your staff - I went with two staff rooms instead of one to start. It will be a constant ping-pong battle of hiring new staff and training your current ones.
  • Don't at all be afraid to take out multiple loans - there will definitely be enough of a patient count to support any new rooms you invest in. Just make sure you've got more than one patient coming in with that condition before you build it. You also have to consider that this level has the most expensive plots for more land in the whole game.

Star Goals

1 Star Hospital

  • Cure 250 Patients
  • Cure Rate of 70%
  • Reputation of 70%
  • Hospital Value of $2,500,000

Additional Rewards: $10,000, 100 Kudosh

2 Star Hospital

  • Cure 500 Patients
  • Cure Rate of 80%
  • Reputation of 80%
  • Hospital Value of $5,000,000

Additional Rewards: $20,000, 150 Kudosh

3 Star Hospital

  • Cure 1,000 Patients
  • Cure Rate of 90%
  • Reputation of 90%
  • Hospital Value of $10,000,000

Additional Rewards: $30,000, 150 Kudosh

What do you get when you win?

You technically "win" the game at one star. A simple letter, the credits, and a big fat thank you. As of writing, I'm still in the process of getting to the 3rd star (it really does just take a long time, that's all!), but when I do, you will know what else awaits. Fun game, no?