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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 9: Duckworth-Upon-Bilge

In-Game Description: Assist the Two Point Health Service with a public hospital

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

Disasters Seen:
There are no disasters in the Duckworth-Upon-Bilge map.

Emergencies Seen:
Shock Horror Emergency (DNA Lab), Epidemics

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

Unlocks in this level:
Resolution Lab (Research Project)
Illnesses Seen:
8-Bitten, Animal Magnetism, Bogwarts, Denim Genes, Floppy Discs, Flumps, Grey Anatomy, Gurning Loins, Heart Throb, Jazz Hand, Jest Infection, Jumbo DNA, Lazy Bones, Leopard Skin, Lightheadedness, Misery Guts, Monobrow, Mood Poisoning, Mucky Feet, Night Fever, Pandemic, Pipe Organs, Shattered, Shock Horror, Spinal Bap, Touch of Midas, Turtle Head
Most Frequently Seen Illnesses:
8-bitten, Jest Infection, Misery Guts, Night Fever, Lazy Bones, Animal Magnetism
New Levels:
Sweaty Palms, Grockle Bay (1 Star)

Initial Blurb:

Health Minister Tarquin Foxbridge has requested our assistance. The county's public health system, the TPHS, is struggling to cope. Duckworth Hospital, one of the few remaining public hospitals, has lost its administrator. Lord Foxbridge has proposed that we help run this public hospital. Could be good for us. Nudge nudge, wink wink.

If we can meet the Ministry's targets we'll receive some of the County's healthcare budget, but we won't receive income for any diagnosis, treatment, or retail. This could be interesting...

Blank Layout:

Plots available:
Plot 2 (parking lot due east of Plot 1) - $40,000 - Days to Build: 16, Size: 832 m2
Plot 3 (group of buildings in top left corner) - $45,000 - Days to Build: 16, Size: 900 m2
Plot 4 (single-story building across from Plot 5) - $35,000 - Days to Build: 16, Size: 676 m2
Plot 5 (taxi lot, bottom right corner) - $30,000 - Days to Build: 16, Size: 580 m2
Plot 6 (small power substation between parking lots) - $25,000 - Days to Build: 16, Size: 468 m2
Plot 7 (two story building east of Plot 3) - $30,000 - Days to Build: 16, Size: 616 m2
Plot 8 (other parking lot at bottom right of map) - $40,000 - Days to Build: 16, Size: 816 m2
Plot 9 (out of focus, Cement yard with construction materials, top right corner) - $20,000 - Days to Build: 16, Size: 560 m2

My 3-Star Layout
Has been moved to its own page.

Level Notes
This level is winnable! Among all the levels of Two Point Hospital, this is known as being one of the most difficult. This is precisely because it requires putting most of what you've figured out about a profitable hospital behind and requires a totally different approach to running your hospital. Your main source of income will be the periodic targets you are issued, and on top of that, you still have to balance all the normal tasks of running a hospital.

- You still get income through ways outside of diagnosis, treatment, and vending machines. Emergencies, VIP visits, and curing Abominable Curse epidemics will provide occasional boosts (provided you see them through) . Research for money is a guaranteed way to get occasional spurts of $20,000.

  • I always recommend building the marketing room, and this level is no exception. A large amount of your targets will simply be running campaigns. The room will also be invaluable in helping raise your reputation and giving you a larger pool of staff to pick from. Also, you just need to launch the campaign to get the money, not complete it. You're totally OK to do this in rapid succession (assuming you have the money).

- Massive profits are NOT the goal in this level, and honestly, you shouldn't really be too worried about running out of money. There will be enough variety of tasks that you'll be OK to figure it out, especially when you start getting 2 or 3 at a time. Just follow the targets as best as you can. The amount of money you get from completing them does increase as the level goes on. Some of the tasks, like Diagnose 5 Patients, you will already do anyway! If you really get stuck on a target, just X it out and wait for a new one to replace it.

- You can always take out a loan to do something very quickly, and usually the influx of money gained will be enough to immediately pay it all back.

- As you will often get the "Promote a Staff Member" target, and especially because staff promotions/salaries are the biggest chunk of your budget, make sure you hit "Not Now" when you get multiple promotions in a row, and save them instead for right when you get that specific target to make quick and easy cash. There is only a minor subtraction of happiness from lack of training, and a bit more from promotion. However, in this level, it made sense for me to think of the staff as more disposable than usual.

- Not that this makes things much better, but you have quite a cushion before you become bankrupt. It's OK to be down in debt or utilize loans as necessary to help you get by and meet goals. When you will run into problems is when, just like other hospitals, you aren't able to reach goals at all month after month and you can't dig yourself out. The new way this level works almost encourages you to just focus on short-term goals rather than long-term growth.

- A good method is to routinely pause the game. This will go so counter-intuitive to some players, but it really does make a difference. With time passing so quickly, sometimes a quick pause and think can help you figure out a solution.

- Your janitors are actually among the most important staff members in this whole level - they will be responsible for a large number of targets. These include watering plants, unblocking toilets, restocking vending machines, and getting the hospital's Attractiveness to a certain level. As such, you'll want to train them in stamina and efficiency! They're also cheaper staff to hire, objectively speaking.

- You don't need to wait for your plants to die, vending machines to go empty, or toilets to go completely blocked to complete the task. Once they're used at least once, they can be fixed or filled or watered appropriately.

- You will most likely be stuck on staff morale as your last goal holding you back. Even though it sounds impossible (you want 90% staff happiness with this stupid payment model?!?!), it's fairly easy. Make sure all of your staff are paid at least above average, make sure go to through the whole list and send anyone whose mood is low on a break, and promote/train your staff (it will negate their mood if they aren't). Make sure you go through and do this for each category of staff. Also, remember to invest extra in your rooms. A well-decorated room only gives you additional buffs.

Level "Targets"

Here is a list of many of the tasks that will be required to make money:

  • Water 8 Plants
  • Restock 8 Vending Machines
  • Unblock 8 Toilets
  • Generate 200 Research Points
  • Promote a Staff Member
  • Train 3 Staff
  • Cure 2 Patients of (Illness)
  • Launch a Marketing Campaign
  • Train a Nurse
  • Train a Doctor
  • Train a Janitor
  • Train an Assistant
  • Get a Level 4 (Room)
  • Capture 1 Ghost
  • Diagnose 5 Patients
  • Cure 3 Patients
  • Hospital Attractiveness of 70% - Just check your environment score, find messy brown areas, and put a couple of janitors on them and you'll have this up in no time

Star Goals

1 Star Hospital

  • Get Hospital Level to 8
  • Staff Morale of 60%
  • Reputation of 60%
  • Cure 5 Patients with 8-bitten

Additional Rewards: $50,000, 100 Kudosh

2 Star Hospital

  • Get Hospital Level to 12
  • Staff Morale of 75%
  • Reputation of 75%
  • Cure 100 Patients

Additional Rewards: $50,000, 150 Kudosh

3 Star Hospital

  • Get Hospital Level to 16
  • Staff Morale of 90%
  • Reputation of 90%
  • Cure 200 Patients

Additional Rewards: $50,000, 200 Kudosh