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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

(Pebberley Island) Pebberley Island Region

(Pebberley Island) New Illnesses

First Appears In...Appears Around Hospital Level....Illness NameIn-Game DescriptionTreated byOther Notes
Pebberly ReefLevel 6-9Beach WailMost commonly caused by falling asleep on the sand only to have a nightmare. The sufferer hears, and sometimes mimics,a throaty, warbling melodyPsychiatryIllness Difficulty:
40%
Pebberly ReefLevel 2Blank Look
The sufferer's facial features have receded out of existence and must be coaxed back with subtle, hydraulic machinery. Unfortunately common amongst people-pleasures, yes-men, and crowd-enthusiastsIndentificationIllness Difficulty:
45%
Pebberly ReefLevel 2-5Sandy CrackParts of the body, so dried out by sand, have begun to crack, crumble and disintegrate entirely. Sufferers need to be chemically rehydrated with...water, mostly.PharmacyIllness Difficulty:
25%
Pebberly ReefLevel 6-8Heat WaveExcessive time in the fine weather has caused the individual to become unreasonably and deliriously friendly. They must be sent for treatment before they faint, overheat or make more friendships than they can sustain.PharmacyIllness Difficulty:
50%
Pebberly ReefLevel 10OozmosisThe outermost membrane has become less selective. Early signs include: surface moisture, minor dripping and puddle formations. Needs to be corrected before all of their innards move outwards.Injection RoomIllness Difficulty:
30%
Pebberly ReefLevel 12LimpetteSufferers exhibit a minorly impaired gait after being slightly hobbled by slipping on a mollusc.Fracture WardIllness Difficulty:
30%
Pebberly ReefLevel 3HermitismAn obsessive fondness for their beach towel ahs taken a dark turn, and they now seek other, larger beach towels in which to engulf themselves. Competition for towels amongst sufferers can be fierce, so those without a towel might be found in reclusive solitude, often in lighthouses.WardIllness Difficulty:
40%
Pebberly ReefLevel 5-9Vested InsectsTiny, smartly-dressed bugs, believed to be the classy relatives of the common flea, are throwing a microscopic soirée on, or within, the body of the afflicted.WardIllness Difficulty:
50%
Pebberly ReefLevel 14Loose JowelsThe neck and lower-face have become loose and need to be pharmaceutically re-tightened before they fall off. Caused by talking nonsense, chewing on prunes or a gasp-heavy daily routine.PharmacyIllness Difficulty:
70%
Pebberly Reef Football Crazy
Recognition for increasingly peripheral aspects of football have turned a passion for the game into an obsession. Sufferers exhibit, above everything else, a heightened appreciation or set-piece efficacy, and must be sent to therapy before all their faculties are overrun by sporting minutia.PharmacyIllness Difficulty:
60%
Pebberly ReefLevel 4Tooth MutinyPoor dental hygiene has led to revolting teeth with a tendency to revolt.PharmacyIllness Difficulty:
40%
Pebberly ReefLevel 5-11Wild SporeAn airborne affliction contracted from one of the island's more intoxicating plants. Sufferers may seem a little...off, behaving reckless or, at worse, acting totally feral.Injection RoomIllness Difficulty:
50%
Pebberly Reef Knobbly KneeThe exposed knees have begun to succumb to the elements, turning pointy and misshapen. Caused by excessive shorts-wearing.Fracture WardIllness Difficulty:
50%
Pebberly ReefLevel 14Jet LegThe fact often remains hidden for years, but an individual with this condition is actually part plane. It will likely make a great deal of sense in retrospect, as they recall being unusually fast children. Should be treated to avoid dealing with engine failure or oil issues in later life.DNA LabIllness Difficulty:
60%
Pebberly ReefLevel 14-17DessertedSufferers are filled, to capacity, with pudding. They must be treated before their insides burst. A condition particularly rife in the area, due to the island's excellent ice cream. Holidaymakers, given an afternoon to their own devices, will seek comfort in frozen custard.SurgeryIllness Difficulty:
40%
Pebberly ReefLevel 16PainappleYou're not really supposed to eat the really spikey part of the fruit, or of anything really, that should be self-explanatory. When you do, this is what happens to you. The tiny shards of organic shrapnel combine with the fruit's characteristic tartness to create significant discomfort.SurgeryIllness Difficulty:
50%
Pebberly ReefLevel 16Placid RefluxOverwhelmed by how calm life can be away from the mainland, the body has been sent into a state of shock and total chemical imbalance. Sufferers must be stabilised before they shut down.Injection RoomIllness Difficulty:
70%
Pebberly Reef False Tan
A mutation characterised by a lurid tinging of the skin. Caused by malevolent practices, archaic rituals, or potent cosmetic sprays. The body needs to be purged of this deceptive abnormality before the heart shrivels and darkens to a roasted, orange hue.DNA LabIllness Difficulty:
40%
Pebberly ReefLevel 9Fool's MouldA fungal infection often contracted from fake jewellery and magic beans. Treatments designed to solely fight the fungus have given way, in recent times, to blends that also stimulate the body's common sense facilities.Injection RoomIllness Difficulty:
40%
Pebberly Reef Brain FartsRepressed thoughts and stifled 'wind' have led to the build-up of a mind-numbing gas, causing clumsy mistakes, face flatulence and erroneous comments. The gas must be re-routed through the body before the pressure becomes too much and the head explodes.SurgeryIllness Difficulty:
30%
Pebberly ReefLevel 7-11TrumidityAn onset of panic, caused by high levels of atmospheric moisture, have caused the sufferer to confess all of their darkest secrets. A psychiatrist must convince them to shut up, and cool down, before they ruin their life.PsychiatryIllness Difficulty:
50%
Pebberly ReefLevel 16Cauliflower Ears
Caused by a microscopic fungus found in the island's soil, the sufferer's ears have crusted over with plant matter. They need to be given a particular, human-friendly, form of weed killer to recover auditory and aesthetic normalcy.Injection RoomIllness Difficulty:
60%
Pebberly ReefLevel 16BuccanearSufferers are haunted by 'the call of the ocean', despite no previous experience of, nor association with, life at sea. Caused by listening to shells and second-hand earrings.DNA LabIllness Difficulty:
70%
Pebberly Reef Lemon SoulA high-citrus diet has begun to cure the body's more enigmatic components. Oh, and that's cure as in 'cook', not 'fix'. Just to be clear: this is an illness, not a good thing.DNA LabIllness Difficulty:
50%
Pebberly ReefLevel 14Logic ProblemA condition caused by poorly worded questions and misheard TV quizzes. The sufferer is unable to make sense of basic cause and effect, therefore they need treatment. Like that...they wouldn't have understood that.WardIllness Difficulty: 60%
OvergrowthLevel 3Budgie Struggler
A regionally specific form of avian-turmoil. Sufferers start by dressing flamboyantly, moving on to clothes laced with feathers, and eventually, to fully-fledged bird suits. Requires treatment before they attempt to fly from a great height or sit on someone's eggsPharmacyIllness Difficulty:
60%
Overgrowth Camel ToeThe sufferer's toes have fused into two distinct sections, well-suited for movement across the dunes, but un-ideal for essentially every other way. Contracted from camel-infested sand.Fracture WardIllness Difficulty:
60%
OvergrowthLevel 18Limb EmpathyA phenomenon that can occur when climbing in one of the island's many fruit trees. If a branch breaks, sometimes an individual breaks one or multiple limbs out of sheer compassion for the tree, or it might happen when they hit the ground. Medical science is yet to reach a consensus.Fracture WardIllness Difficulty:
80%
OvergrowthLevel 8Neurological Imbalance


A crippling lack of direction has led to a deranged, costumed, desire to be told what to do by a supreme authority figure. Once they've been convinced that they're not from an ancient civilisation, sufferers need to be helped with pressures of modern life.PsychiatryIllness Difficulty: 70%
OvergrowthLevel 7Wanderust


Prolonged feelings of sameness have led to dull, tedious pain and a craving for adventure. The sufferer's tendency to search for relief in highly precarious, unimaginative, activities mean that they pose a great risk to themselves and others until they experience some kind of pay off.Escape RoomIllness Difficulty:
50%
Topless MountainLevel 5Crispy SkinThe sufferer's exterior has become crunchy, in places. Caused by using marinade instead of sun cream.WardIllness Difficulty: 30%
Topless MountainLevel 18Jellied FeelsHighly affecting stimuli have caused the sufferer's feelings to congeal, blocking the body's sensory circulation. Mood swings, from severe numbness to sensitivity, will persist, until the deposits of solid sentiment are removed from the system.SurgeryIllness Difficulty: 80%
Topless Mountain Screwball
Recurrent bafflement has caused a build-up of extremely dense negative feelings. The heavy head must be removed, and a lighter, less tormented replacement attached, whilst the sufferer can still carry its weight.Correcting PoolIllness Difficulty: 50%
Topless Mountain Shadow Boxer
Caused by feelings of paranoia and general distrust. Sufferers are wary of their own silhouette, responding to sudden movements and changes in light with dextrous footwork and skittish violence. Common in athletes in the lead up on a 'big fight'. Treatment can be aided by lying them down in a bed, thereby disconnecting their feet from the 'feet of their shadow'. Really, it helps.WardIllness Difficulty: 70%