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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

(Snowfall) Pointy Mountain Region

(Snowfall) Level 18: Roquefort Castle

In-Game Description: Turn an aristocratic family's spare castle into a hospital for the neighbouring mountain community.

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: Hailstorms, Avalanches, Ghost Hauntings

Emergencies Seen: Metropolism Emergency (Urban Mythology)

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)
Cure Rate Challenge - Compete against other organisations to get the highest cure rate.(Length: 180 days, Reward: K20)

Unlocks in this level:
Rooms: Reanimation Room
New Illnesses:
Displaced Glands, Goobris, Knightmares, Monster Mishmash,
Illnesses Seen:
Anomalitis, Animal Magnetism, Aurora Snorealis, Basic, Bard Flu, Barking Mad, Blaggis, Bloaty Dread, Boneless Thighs, Cheese Bored, Cold Shoulder, Curdled Blood, Dead Arm, Displaced Glands, Eye Candy, Evergreen, Emperor Complex, Goobris, Grey Anatomy, Half Pipe, Inverted 1080, Jest Infection, Lightheadedness, Menace Elbow, Mechanical Metropolism, Monster Mishmash, Pandemic, Paranoyance, Pudding Blood, Rantlers, Reptilian Metropolism, Skull Chutney, Sore Judgement, Sweet Teeth, Tartan Telomeres, Thin Skinned, Tongue Splinters,
Most Frequently Seen Illnesses: Monster Mishmash, Barking Mad, Lightheadedness, Tongue Splinters, Eye Candy
Star Rewards: Monster Mishmash Poster, Luxury Armchair (Staff Room Object), Luxury Sofa (Staff Room Object), Ooze Tank (Reanimation Room Decor)

Initial Blurb:
Welcome to Roquefort Castle, well one of the Roquefort Castles. The aristocratic Roquefort family have kindly loaned us one of their castles to set up a hospital.

The family have also given us some technology that they commissioned to help revitalise party guests after their infamous cheese banquets. The Cryomatic may have been designed for wine-heads, but it's also found to have medical applications in this ghoulish part of the County.

New Game Concepts:
Ghost Hauntings
The building is regularly haunted by batches of 8-10 ghosts that will appear in addition to all the normal ghosts from patient deaths. This can easily create frustrating situations that send your hospital patients and staff running, and the ghosts leave behind a nasty mess too. They will spread out as you build the hospital, but I have found that they were worst and concentrated in the small standalone building not connected to the castle. However, as you expand your hospital, they will spread outward too.

Blank Layout:


Plots Available
Plot 2 (southwest corner of castle) - $40,000 - Days to Build: 1, Size: 1032 m2
Plot 3 (connecting wing in southwest corner of castle, Requires Plot 2, 4, or 18 to connect) - $35,000 - Days to Build: 1, Size: 856 m2
Plot 4 (small connector hallway between Plot 3 and Plot 5, Requires Plot 3 or 5) - $10,000 - Days to Build: 1, Size: 144 m2
Plot 5 (west wing that connects to Plot 6, Requires Plot 4, 6, 11, or 19 to connect) - $35,000 - Days to Build: 1, Size: 936 m2
Plot 6 (large wing at top center part of castle, Requires Plot 5, 13, 14, or 17 to connect) - $70,000 - Days to Build: 1, Size: 856 m2
Plot 7 (central-east building, Requires Plot 8, 13, 14, or 17) - $30,000 - Days to Build: 1, Size: 796 m2
Plot 8 (southeast corner of castle, Requires Plot 7 or 9) - $30,000 - Days to Build: 1, Size: 1088 m2
Plot 9 (small connector hallway between Plot 1 and Plot 8) - $10,000 - Days to Build: 1, Size: 180 m2
Plot 10 (large area in southwest corner of castle, Requires Plot 2 or 3) - $200,000 - Days to Build: 1, Size: 952 m2
Plot 11 (small connector hallway between Plot 5 and Plot 13) - $10,000 - Days to Build: 1, Size: 220 m2
Plot 12 (building on north side of heliport across from Plot 1) - $45,000 - Days to Build: 1, Size: 1024 m2
Plot 13 (large room on left side near north side of castle, Requires Plot 6, 11, or 12) - $40,000 - Days to Build: 1, Size: 736 m2
Plot 14 (large room on right side near north side of castle, Requires Plot 6, 12, or 15) - $40,000 - Days to Build: 1, Size: 736 m2
Plot 15 (small connector hallway between Plot 7 and 14) - $9,000 - Days to Build: 1, Size: 96 m2
Plot 16 (small isolated building in southwest part of castle) - $15,000 - Days to Build: 1, Size: 468 m2
Plot 17 (northeast corner of hospital) - $35,000 - Days to Build: 1, Size: 784 m2
Plot 18 (medium sized area in northwest corner of castle, requires Plot 3 or 19) - $45,000 - Days to Build: 1, Size: 752 m2
Plot 19 (Hallway that Connects Plot 5 and 18) - $15,000 - Days to Build: 1, Size: 140 m2

My 3-Star Layout
is given its own page, here.


Level Notes

  • There are many frustrating features which add up all on top of each other to make this a very robust and challenging level.
  • The level is physically large so you're going to have to work with awkwardly sized corridors and adjoining plots. My first go at the hospital failed because I didn't keep the basic rules in mind and expanded the buildings too quickly. I easily won the level by just buying 4-5 new buildings - you certainly won't need the whole castle to complete all three stars.
  • Janitors will be what save you on this level. The ghost hauntings create two hazards at the same time, by the ghosts leaving a lot of mess behind and then diverting your janitors from maintaining the large array of machines. Fires were much more frequent between the avalanche disasters and ghost invasions. It seemed I could never have enough Janitors!
  • On the same note, you'll want to prioritize training many Janitors in Maintenance - stuff just breaks down quickly and fires were frequent due to low maintenance.
  • The game just progresses fast naturally, and you'll swear that you've got employees asking for a promotion every five seconds at your 2nd and 3rd star levels and it seems like money just keeps coming and going.
  • The game's 3-Star Unlock, the Ooze Tank, is honestly a bit underwhelming - it's just a regular decor object for the Reanimation Room. It's worth playing the level through enough to see the new content for the level, like Knightmares and Monster Mishmash, but honestly, it felt like a grind-fest and the sheer size and weird layout made getting the third star a lot less enjoyable than other levels.

So, some strategies I came up with

  • I was so close to getting all three stars, and my staff salary just bloated to the point I could no longer turn a healthy profit and the Hospital Value tanked. Get staff up to about three qualifications, keep one or two consultants around to train, keep that fifth slot as Emotional Resilience, but once they get to consultant, let em go and train a new cheaper staff member in their place. They'll train themselves so quickly by experience that you'll be fine.
  • The level design is awkward. But still, keep your GPs' Offices in your immediate entry cluster, your diagnosis rooms nearby, and your treatment rooms as reasonably close as possible, even with the large size of the map. Keep like rooms clustered together and don't be afraid to add a "field" GP's office if you must build further away from the main area.
  • Patient bloat is definitely going to be an issue in this level. You'll lose many patients to rage quitting if you can't keep them happy. You must build a large number of vending machines, more than you would normally build. Gift shops and Newsagents with a cheap price will also help. That extra income will also help keep your profit up. Those amenities do indeed make a difference!
  • Always monitor the overall status of queues in your hospital - there were several times I'd have bloat in my GP's Offices, Psychiatry, or Diagnosis rooms.
  • Use the Marketing office to keep a steady stream of high-paying patients coming in.


Star Goals

1 Star Hospital

  • Hospital Attractiveness of 70%
  • Hospital Value of $1,500,000
  • Cure 150 Patients
  • Capture 180 Ghosts

Additional Rewards: $10,000, 100 Kudosh, Monster Mishmash Poster, Luxury Armchair (Staff Room Object)

2 Star Hospital

  • Cure 300 Patients
  • Hospital Value of $3,000,000
  • Cure 25 Patients with Monster Mishmash
  • Capture 300 Ghosts

Additional Rewards: $20,000, 150 Kudosh, Luxury Sofa (Staff Room Object)

3 Star Hospital

  • Cure 600 Patients
  • Hospital Value of $5,000,000
  • Staff Morale of 90%
  • Cure Rate of 90%

Additional Rewards: $30,000, 200 Kudosh, Ooze Tank (Reanimation Room Decor)