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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

Industrial Region

Level 7: Smogley

In-Game Description: A teaching hospital focused on surgery.

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:
There are no disasters in the Smogley map.

Emergencies Seen: Surgery Emergency (Operating Theatre)

Online Challenges Available:
Cures Challenge - Compete against other organisations to cure the most patients (Length: 180 days, Reward: K20)
Training Challenge - Compete against other organisations to train the most staff (Length: 180 days, Reward: K20)
Surgery Challenge - Compete against other organisations to cure the most patients in Surgery (Length: 180 days, Reward: K20)

Unlocks in this level:
Rooms: Head Office (Research Project), Operating Theater
New Illnesses: Turtle Head, Spinal Bap, Floppy Discs, Pipe Organs
Illnesses Seen: Bed Face, Cross Bones, Decision Rash, Floppy Discs, Grey Anatomy, Gurning Loins (unlocked in later levels - can show up here after unlocked), Heart Throb (unlocked in later levels - can show up here after unlocked), Humerus Injury, Hurty Leg, Jazz Hand, Mock Star, Mood Poisoning, Night Fever, Pandemic, Pipe Organs, Portishead, Spinal Bap, Spontaneous Combustion(unlocked in later levels - can show up here after unlocked), Turtle Head
Most Frequently Seen Illnesses: Bed Face, Floppy Discs, Mock Star, Spinal Bap, Pipe Organs, Portishead,
New Levels: Duckworth-Upon-Bilge (co-requisite, must also have at least 1 Star in Melt Downs)

Initial Blurb:
Welcome to Smogley. Based just outside the city, the mayor is keen to help develop this area. Currently this means it receives a generous supply of two things: pollution, and patients requiring surgery.

I'd recommend building up a teaching hospital and training some surgeons. Surgery requires a qualified doctor, and a nurse, but it brings in the big bucks so it's worth it.

Blank Layout:


Lots for Purchase:
Plot 2 (parking lot with trucks, bottom-center in picture) - $50,000 - Days to Build: 16, Plot Size: 1020m2
Plot 3 (industrial building, just southwest of Plot 1) - $35,000 - Days to Build: 16, Plot Size: 696m2
Plot 4 (parking lot with ambulances and taxis, due east of Plot 1) - $35,000 - Days to Build: 16, Plot Size: 680m2
Plot 5 (building site near Helipad) - $35,000 - Days to Build: 16, Plot Size: 648m2
Plot 6 (container lot, due north of Plot 1) - $40,000 - Days to Build: 16, Plot Size: 776m2
Plot 7 (container lot, northeast of Plot 1) - $25,000 - Days to Build: 16, Plot Size: 516m2

My 3-Star Layout (Current Level)

has been moved to its own page

Level Notes

  • This level will require doctors with the Surgery skill - it's the level's main feature. Plan accordingly and make sure by two and three star levels you have multiple well-equipped Operating Theaters with extra equipment (which can be unlocked with Kudosh). This is also a great hospital to drill down and achieve a Surgery V qualified doctor - this unlocks a Steam achievement as well (Cut Above).
  • You'll also get waves of Turtle Head and Surgery emergencies.
  • While the 90% Cure Rate is difficult, it's not impossible - the key is (as always) a combination of upgraded machines and highly trained/competent staff. I was able to achieve it without having to patient purge, it just slowly climbed up naturally by beefing up your hospital.
  • As with Flemington, there's nothing extra unlocked in the 2 and 3 Star Levels aside from extra money and Kudosh, as well as more experience in higher-difficulty layouts.
  • See the following section for a play-by-play of how I turned around an earlier failing 1-Star version of this hospital from debt to success.

Star Goals

1 Star Hospital

  • Train 10 Staff
  • Cure 15 Patients in Surgery
  • Cure 5 Patients with Turtle Head

Additional Rewards: $10,000, 100 Kudosh

2 Star Hospital

  • Train 20 Staff
  • Cure 30 Patients in Surgery
  • Cure Rate of 75%
  • Get Hospital Level to 12

Additional Rewards: $20,000, 150 Kudosh

3 Star Hospital

  • Train 30 Staff
  • Cure 50 Patients in Surgery
  • Cure Rate of 90%
  • Get Hospital Level to 16

Additional Rewards: $20,000, 200 Kudosh