Two Point Hospital is a 2018 business simulation game developed by Two Point Studios and published by Sega for Linux, macOS, and Windows. Console versions for the Nintendo Switch, PlayStation 4, and Xbox One were released in February 2020. A version for Amazon Luna was made available in November 2020. A spiritual successor to Bullfrog Productions' 1997 game Theme Hospital, players are tasked with constructing and operating an empire of hospitals in the fictional Two Point County, with the goal of curing patients of fictitious, comical ailments. Since visiting real hospitals is often unpleasant, the emphasis on humour to lighten the mood was deemed important by the developers. The game was designed and developed by some of the creators of Theme Hospital, including Mark Webley and Gary Carr. Within weeks of release, Two Point Hospital was the second most downloaded game in the sales charts for Europe, Middle East, Africa, and Australia. The game was received positively by critics, garnering acclaim for its style, humour and its faithfulness to Theme Hospital's aesthetics, but criticised for its repetitiveness and room design. The game received seven major updates as downloadable content after its release which added regions and illnesses to cure, as well as four item packs. Successors of this game are Two Point Campus, released in 2022, and Two Point Museum in March 2025. A port for Nintendo Switch 2, PlayStation 5 and Xbox Series X/S which includes all of the downloadable content, titled Two Point Hospital: Full Health Collection, is scheduled to release in September 2026.
Gameplay
Two Point Hospital features a similar style of gameplay to that of Theme Hospital. Players take on the role of a hospital administrator charged with constructing and maintaining a hospital. Tasks include building rooms and amenities that satisfy the needs (such as hunger and thirst) of patients and staff (such as toilets, staff rooms, reception desks, cafés, seating, and vending machines), expanding the hospital into new plots, the hiring and management of doctors, nurses, janitors, and assistants to maintain the hospital; and dealing with a variety of comical illnesses. The player can manage several hospitals, each with their own layout objectives. Two Point Hospital features unique, comical conditions such as "Light-Headedness" (having a light bulb for a head), "Pandemic" (having a pan on one's head), "Mock Star" (patients are Freddie Mercury impersonators), and "Animal Magnetism" (having animals stuck to the patient's body). When patients die, they sometimes become ghosts, which disrupt the hospital by terrorising patients and staff. Only janitors with the Ghost Capture skill can remove them. The process of diagnosing patients begins in a GP's Office before they are sent for further diagnosis in other rooms, and eventually treatment. From time to time, an influx of patients with a specific disease can occur. On later levels, players can experience epidemics, during which an infectious disease spreads throughout the hospital. Players are issued with a certain number of vaccines to inoculate patients, and there is a reward if all infected patients are immunised. Otherwise, the player's reputation (a performance rating that affects the chances of new patients coming) is tarnished. Every game year, there is an awards ceremony in which the player is given performance-based rewards. Examples of objectives include: making the hospital attractive enough, and finding cures for certain diseases, though the general goal is curing as many patients as possible. The completion of challenges and other tasks awards "Kudosh", a currency that can be used to unlock items that can be placed within rooms and corridors. Players can research rooms and machine upgrades in the Research room. Newly introduced elements include star ratings, hospital levels, and room prestige. The achievement of a one-star rating allows players to progress to the next hospital, though they may continue building up their current hospital by completing additional objectives to increase the rating to two or three stars. If the player moves on, they can return to the hospital at any time. Hospital levels are determined by the number of rooms and staff members a hospital has – increasing the level attracts more patients and skilled staff. A room's prestige is affected by its size and ornamentation, and the higher a room's prestige level, the happier staff are inside it (if staff become unhappy, they may quit). Staff training is more complex than in Theme Hospital; all staff, not just doctors, can learn and receive qualifications that grant them skills or improve their ability in a certain department. For example, the General Practitioner skill improves a doctor's skill in the GP's Office. Additionally, staff have personalities and specialisations which affect their job performance. Assistants can run marketing programmes to attract patients with a certain illness or staff with certain skills. The game features online leaderboards, along with co-operative and competitive multiplayer modes. An update released in October 2018 added a sandbox mode. Steam Workshop support was added in February 2019, giving players the ability to customise the pictures, walls, and floors of the hospital, either by using image files from the player's computer, or by downloading other players' items. In April 2019, the "Superbug Initiative" update added co-operative community challenges, featuring numerous goals along progression system. The community completing these goals works together towards unique in-game content as a reward for. The update added the ability to customise the game's soundtrack.
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