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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


List of Illnesses

There are many illnesses

First Appears In...Appears Around Hospital Level....Illness NameIn-Game DescriptionTreated byOther Notes
HogsportLevel 1GroutGrout is frequently transmitted in bathrooms, and modern medication is effective, unlike earlier times,
when it had to be dug out painfully with a screwdriver.
Illness Difficulty: 0%
HogsportLevel 1ClampOnce this grips a patient it doesn't let go. Afflicts many living statues and selfie-taking chumpsPharmacy
Illness Difficulty: 10%
HogsportLevel 2Bed FaceA quite alarming contortion of the face, caused by sleeping at a strange angle. Doctors recommend always using a
bed protractor to monitor your sleeping
Ward (Nurse)Illness Difficulty: 20%
HogsportLevel 4Misery GutsChronic grumpiness due to a nihilistic semi-colon.Pharmacy (Nurse)Illness Difficulty: 50%
HogsportLevel 4BogwartsA rather disgusting skin condition caused by filthy toilets. It can be cured with an expensive cocktail or drugs
carefully prepared in the Pharmacy. Or with witchcraft.
Pharmacy (Nurse)Illness Difficulty: 40%
HogsportLevel 4Lightheadedness

Lightheaded patients are notable due to their bulbous headDe-Lux Clinic
Illness Difficulty: 20%
HogsportLevel 4Lightheadedness
Temporary Halloween replacement for Lightheadedness patientsDe-Lux Clinic
Illness Difficulty: 20%
Lower BullocksLevel 9Mock Star

Patients believe themselves to be one of the greatest rockstars the world has ever seen, but are sadly ga ga.Psychiatry
Illness Difficulty:20%
Lower BullocksLevel 2Verbal DiarrhoeaThe disease people can't stop talking about, Verbal Diarrhoea spreads fast and can be heard for milesPharmacy
Illness Difficulty: 25%
Lower BullocksLevel 5Lazy BonesSkeletal fatigue caused by lack of calcium in the diet. Upon diagnois, the patient should be immediately rushed to a ward where they must sleep for several days while being fed milk and cookies by a nurseWard
Illness Difficulty: 50%
Lower Bullocks PortisheadPortishead affects both body and mind. Once thought to be caused by proximity to sea air, it's now known to be chiefly caused by living in PortisheadWard
Illness Difficulty: 40%
Lower BullocksLevel 5Monobrow

Extreme hair growth, caused by excessive consumption of both highbrow and lowbrow entertainment. The monobrow must be carefully removed and placed in a secure container to prevent it from escaping.Ward
Illness Difficulty: 50%
Lower BullocksLevel 7Potty MouthWhen the patient opens their mouth, terrible things happen Caused by drinking water from a toilet sink, or a toiletPharmacy
Illness Difficulty: 60%
Lower BullocksLevel 4
(Later Levels: Level 11)
Freudian LipsA tendency to pout excessively when faced with a camera. Caused by a build up of lewd thoughts in the cerebral cortex. A psychiatrist must use a subconscious tap to drain the excess thoughts into a beaker, after which they can be safely disposed of in an incinerator.Psychiatry
Illness Difficulty: 30%
Lower BullocksLevel 5Pandemic
Involuntary attachment to kitchen utensils, caused by extremely low levels of culinary skill. The pan must be carefully removed with a massive magnet.Pans Lab
Illness Difficulty: 30%
FlotteringLevel 4
(Later Levels: Level 8)
Jest Infection
A personality disorder causing high jinks and general buffoonery. Escaped clowns must have their sense-of-humour completely excised to prevent a future relapse.Clown Clinic
Illness Difficulty: 40%
FlotteringLevel 5Mime Crisis

A psychiatric condition that causes the sufferer to perceive things that don't exist, usually boxes within which they are trapped. Some scientists have speculated that the box may both exist and not exist, leading to the well known thought experiment, Schrodinger's MimePsychiatry
Illness Difficulty: 40%
Mitton UniversityLevel 10LycanthropyOnce thought to be extinct, Lycanthropy is making a comeback in dangerous forests across the land. Sufferers get it from direct exposure to light from the full moon, or possible from door handles. Research is ongoing to discover which.Pharmacy
Illness Difficulty: 70%
Mitton UniversityLevel 6Mucky FeetFeet so grubby that the filth will never come out. Spreads germs like wildfire.Pharmacy (Nurse)Illness Difficulty: 60%
Mitton UniversityLevel 6Grey Anatomy
Existential despair frequently leads to a loss of colour. Requires ChromatherapyChromatherapy
Illness Difficulty: 40%
Mitton UniversityLevel 10

Night Fever

A psychiatric condition leading to spontaneous outbreaks of dancing. Caused by prolonged exposure to mirrorballs.Psychiatry
Illness Difficulty: 50%
Mitton UniversityLevel 7Mood PoisoningA dangerous condition that causes the sufferer's health to deteriorate fast. Caused by paying too much attention to what other people thinkInjection Room (Nurse)Illness Difficulty: 30%
Mitton UniversityLevel 11Inflated EgoA dangerous build up of narcissistic thoughts. If left untreated, parts of the ego begin to protrude from every orifice, which is highly unpleasant for anyone nearby. A psychiatrist must carefully deflate the ego using a massive pin.Psychiatry
Illness Difficulty: 50%
Mitton UniversityLevel 9Rock BottomPetrification of the backside, making it appear weathered and grey. Caused by low quality chairs.Injection Room
Illness Difficulty: 40%
Mitton UniversityLevel 14Decision RashAn unpleasant rash triggered when the sufferer is forced to make a decision too quickly.Injection Room
Illness Difficulty: 60%
Mitton UniversityLevel 11Boggled MindA severe boggling of the mind. Often caused by exposure to new, sometimes paradigm-altering information. Through careful analysis of this condition, scientists have been able to derive the equation. Mind = Blow. Sadly this equation has proven entirely useless.Psychiatry
Illness Difficulty: 60%
Tumble Humerus Injury

Patients are really not amused by this injury of the upper armFracture Ward
Illness Difficulty: 20%
Tumble Hurty Leg
Caused by excessive physical activity. Requires a Fracture WardFracture Ward
Illness Difficulty: 30%
Tumble Jazz HandA hand injury caused by too much enthusiastic thumb clicking, hand waving, and skin burns resulting from prolonged exposure to acid jazzWard
Illness Difficulty: 70%
Tumble Broken FaceA condition that renders the face defective. Notable causes include: daydreaming, faulty radishes and high-velocity cricket balls.Fracture Ward
Illness Difficulty: 50%
Tumble Cross BonesSkeletal rage, sometimes triggered by piracy. Requires a Fracture Ward.Fracture Ward
Illness Difficulty: 60%
Flemington Animal Magnetism
Caused by mutated pheromones and/or cheap deodorantPest Control
Illness Difficulty: 40%
Flemington ShatteredSymptoms include exhaustion, aching, and sometimes all-consuming agony. The cause is unknown, but in 99% of documented cases it occurs shortly after falling off of a cliff.Fracture Ward (Nurse)Illness Difficulty: 80% (one of the most difficult in the whole game)
FlemingtonLevel 12Litter BugA bacterial infection that causes the sufferer to discard items at randomInjection Room (Nurse)Illness Difficulty: 50%
Smogley Turtle Head
Retraction of the head due to an introverted spine. An excessive amount of force must be applied using an anti-turtling device.Head Office
Illness Difficulty: 50%
Spinal Bap

Requires surgery in an Operating Theater.Operating Theater (Doctor with Surgery Qualification, Nurse)Illness Difficulty: 30%
Smogley Floppy DiscsA spinal discombobulation that leaves the sufferer with very limited memory.Operating Theater (Doctor with Surgery Qualification, Nurse)Illness Difficulty: 40%
Smogley Pipe OrgansThe internal organs are arranged in such a way that they create very dramatic music when the sufferer walks. Requires surgery to rearrange the organs.Operating Theater (Doctor with Surgery Qualification, Nurse)Illness Difficulty: 50%
Melt Downs Shock Horror
This is what happens if you simultaneously put a knife in a toaster and a fork in a power socketShock Clinic
Illness Difficulty: 50%
Melt Downs FlumpsA most unfortunate genetic condition. Although the flumps can be removed, they frequently grow back. Genetic recombobulation is usually the only option.DNA Lab (Doctor with Genetics Qualification)Illness Difficulty: 50%
Melt Downs Denim Genes
Skin has the appearance of denim. Causes a great deal of irritation, mainly due to the time it takes to dry after a shower. Believed to be caused by Bungle's genetically-engineered jeans, which have since been recalled.DNA Lab (Doctor with Genetics Qualification)Illness Difficulty: 40%
Melt Downs Jumbo DNAThis condition can be traced back to the DNA Labs of Jumbo Mega Corp. Attempting to create a clone of himself that was twice as big, boss Jumbo McNally inadvertently ended up creating hundreds of people with extra large DNA molecules squeezed into normal-side bodies Illness Difficulty: 70%
Melt Downs Emperor Complex
Patients believe they are clothed. They are in for a nude awakening. Illness Difficulty: 70%
Duckworth-Upon-Bilge 8-bitten
Resolution Lab
Illness Difficulty: 50%
Patient has unique and old-school animations, guaranteed to give you a bit of nostalgia. One of the coolest in the game.
Cheers Two Point Studios!
Sweaty Palms Premature Mummification
The afflicted have been wrapped for the afterlife by their families but were only taking a nap. There are rituals, and the initial stages of embalming, to be undone.Decrypter (Nurse)Illness Difficulty: 50%
Sweaty Palms Spontaneous CombustionThe sufferer has a tendency to, without prior warning or reasonable context, break into fits of rage, causing colleagues, passersby and loved ones to cry and/or soil themselves.Injector Room (Nurse)Illness Difficulty: 80% (one of the most difficult in the whole game)
Grockle Bay Cubism
A common illness in those viewing art galleries, cubism spreads on contact with canvas. Interestingly, Impressionists are believed to be genetically immune to it.Recurvery Room
Illness Difficulty: 50%
Grockle BayLevel 18Pudding Blood
A skin condition caused by dessert escaping into teh blood stream. An anti-pudding gel must be injected into the patient.Injection Room (Nurse)Illness Difficulty: 70%
Grockle Bay Heart ThrobPainfully attractive. Often leads to heart ache. Requires surgery to make the sufferer as repulsive as possible.Operating Theater (Doctor with Surgery Qualification, Nurse)Illness Difficulty: 60%
Grockle Bay Touch of Midas
A genetic condition leading to metallic skin. This mutation has been traced back to the notoriuos Dr Midas of The Orb FoundationDNA Lab (Doctor with Genetics Qualification)Illness Difficulty: 80%
(one of the most difficult in the whole game)
Grockle Bay Gurning LoinsA quite unfortunare condition that has to be seen to be believed. But also cannot be unseen. Just don't look at it. Trust me.Operating Theater (Doctor with Surgery Qualification, Nurse)Illness Difficulty: 80%
(one of the most difficult in the whole game)
Blighton Leopard Skin
A skin abnormality that has become quite fashionable in recent years. This mutation orginated in the labs at Grockle Bay Zoo, after a scientist attempted to create a human-cat hybrid, the same incident that led to the related condition, Lion Head.DNA Lab (Doctor with Genetics Qualification)

Illness Difficulty: 60%
(Special) - Included with TPH: Open Surgery update, mid-March 2019Level 12Headcrabedness
The sufferer's head has been seized by a rare form of parasitic crustacean. Fortunately, a treatment is available that wrenches the creature from the victim, leaving their head healthy and uninfested.De-Lux ClinicIllness Difficulty: 20%

Inspired by Half-Life 2