
The number of hospitals in a city-based RPG can vary depending on the game's scope and setting. Some RPGs may feature a single hospital as a focal point, while others might include multiple hospitals as part of a larger healthcare system within the game world. The type and number of hospitals can also depend on the genre and theme of the RPG. For example, a fantasy or historical RPG might have a lower number of hospitals, reflecting the medical knowledge and infrastructure available during those times. On the other hand, a modern or futuristic RPG could have a wide range of hospitals specialising in different fields, from emergency care to research facilities. Ultimately, the number of hospitals in a city RPG is a design choice that contributes to the game's overall narrative and gameplay experience.
| Characteristics | Values |
|---|---|
| Map | Can be as simple as a single room or as complex as a vast underground dungeon |
| Setting | Fantasy, historical, sci-fi, or cyberpunk |
| Gameplay | Freeform silliness, card-based, or surgery simulation |
| Story | Drama, mystery, or horror |
| Game Type | Tabletop or video game |
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What You'll Learn
- Battle maps: a simple hand-drawn map or an extravagant artistic map of a single room or a complex underground dungeon
- The number of hospitals: players can choose to build anything from small clinics to huge multi-storey hospitals
- Medical situations: players can act as doctors, performing examinations, laboratory tests, and using equipment to solve diagnostic puzzles
- Hospital staff: players can choose to play the role of doctors, janitors, or managers
- Hospital drama: players can act out a hospital drama TV show, with over-the-top romance and drama

Battle maps: a simple hand-drawn map or an extravagant artistic map of a single room or a complex underground dungeon
Battle maps are an essential part of tabletop RPGs. They can be simple or extravagant, ranging from a single room to a complex underground dungeon. When creating a hospital-themed battle map, consider the following:
Map Size and Complexity
Decide on the scale and complexity of your map. A hospital can be as small as a single room or as large as a multi-wing facility. Consider the number of players and the length of the desired gameplay when determining the size. A larger, more intricate map will allow for more exploration and longer playtime.
Map Details and Features
Include various rooms and areas typically found in a hospital, such as emergency rooms, intensive care units, operating theatres, patient wards, laboratories, and administrative offices. Don't forget to add smaller details like beds, medical equipment, and supply closets. These elements will provide opportunities for different types of encounters and challenges.
Player Objectives and Storyline
Think about the objectives and quests that players need to complete within the hospital setting. For example, players might need to retrieve important medical supplies, rescue a patient, or uncover information hidden within hospital records. Create maps that support these objectives, with relevant rooms and areas that players can explore and interact with.
Map Aesthetics and Art Style
Decide on the artistic style of your map. A hand-drawn map can have a simple, sketch-like quality, while an extravagant artistic map might include detailed illustrations and colour. Consider the tone and atmosphere you want to create. For a hospital, a clean, clinical look with lots of white and sterile blues might be appropriate, or you could go for a more eerie, run-down aesthetic.
Map Functionality and Gameplay
Ensure your map is functional and supports the gameplay experience. Clearly mark entrances, exits, and potential obstacles. Consider line of sight and areas of cover for strategic gameplay. Think about how players will navigate the map and the different paths they can take. For example, will they need to sneak through vents or find their way through a maze of hospital corridors?
By following these guidelines, you can create immersive and engaging battle maps for your hospital-themed RPG, whether it's a simple hand-drawn map or an extravagant work of art.
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The number of hospitals: players can choose to build anything from small clinics to huge multi-storey hospitals
The number of hospitals in a city-based RPG game can vary depending on the size and needs of the city. Players can choose to build anything from small clinics to large multi-storey hospitals to cater to the healthcare needs of the population.
A small clinic might be sufficient for a city with a low population, offering basic healthcare services and first aid. On the other hand, a bustling metropolis might require several multi-storey hospitals with various departments, specialized units, and advanced medical equipment to meet the diverse medical needs of its citizens.
Players can decide on the number and scale of hospitals based on factors such as the city's population, the prevalence of certain health conditions, the availability of medical staff, and the level of technology and resources in the game world. For example, a city with a high population density might require multiple hospitals strategically placed in different districts to ensure easy access to emergency care. Alternatively, a city with a large elderly population might benefit from a hospital specializing in geriatric care.
The players can also get creative with the types of hospitals they build. Besides general hospitals, they can establish mental health facilities, rehabilitation centers, or long-term care hospitals for chronic illnesses. They can even incorporate unique features, such as a hospital with a rooftop garden for patient recovery or a mobile hospital with vehicles equipped to reach patients in remote areas.
Ultimately, the number and variety of hospitals in the RPG city can be tailored to the players' preferences and the specific narrative they wish to create. The healthcare infrastructure becomes an integral part of world-building, influencing the gameplay and the overall experience of the characters within the game world.
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Medical situations: players can act as doctors, performing examinations, laboratory tests, and using equipment to solve diagnostic puzzles
RPGs can be a great way to explore medical situations and simulate the experience of being a doctor. Players can take on the role of medical professionals, treating patients, performing examinations, and using their knowledge and skills to solve diagnostic puzzles.
When designing medical scenarios for an RPG, it's important to consider the various elements that make up a patient's case. This includes their medical history, current symptoms, and any relevant laboratory tests or examination findings. By piecing together the different aspects of the puzzle, players can emulate the experience of diagnosing and treating patients.
For example, players might encounter a patient with an unusual presentation. A 26-year-old man, usually healthy and with no reason to visit a doctor, might be brought to the clinic by his concerned girlfriend. Upon examination, the player might notice that his heart rate seems abnormal in the context of his other vital signs, and his gait is unsteady. These disparate pieces of information form a medical puzzle that the player must solve to reach a diagnosis.
To add complexity to these scenarios, players could be given access to laboratory tests and medical equipment. For instance, in the case of the 26-year-old man, further tests reveal that there are no signs of infection, anemia, or liver or kidney disease. Despite this, his condition remains a diagnostic challenge. It is only when the player suggests that he visit the emergency room that the puzzle is finally solved—he is diagnosed with sepsis and promptly admitted for treatment.
By incorporating medical examinations, laboratory tests, and equipment, RPGs can offer players a stimulating and engaging way to explore diagnostic puzzles. These scenarios not only test players' knowledge and critical thinking skills but also provide a glimpse into the challenging and rewarding world of medicine.
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Hospital staff: players can choose to play the role of doctors, janitors, or managers
RPGs offer players the opportunity to step into a variety of roles and careers, including those found in a hospital setting. While medical-themed RPGs are not as common as fantasy or sci-fi settings, there are a few notable examples that allow players to take on the roles of hospital staff, including doctors, janitors, and managers.
One such game is Project Hospital, a simulation game that puts players in the role of a doctor, architect, and manager. Players can design their own hospital, hire staff, and manage the day-to-day operations, including hiring janitors and ensuring patient satisfaction. The game also includes tutorial levels that guide players through treating patients and running hospitals, offering a comprehensive hospital management experience.
For those seeking a more dramatic take on hospital life, The Ward is a tabletop RPG set in a hospital drama TV show. Players can expect over-the-top romance and drama, similar to a telenovela, but with the added challenge of managing a hospital and treating patients. While it may not include fantasy elements, it offers a unique twist on the traditional hospital RPG.
MASHED is another RPG option, set in a Korean War field hospital. This game gamifies surgery and medical procedures, offering a unique perspective on the challenges faced by medical personnel during wartime. While it may not have the same management focus as Project Hospital, it provides a deep dive into the medical aspects of hospital life.
In addition to these dedicated hospital RPGs, some players have created custom worlds and settings within existing RPG systems, such as D&D, to simulate medical situations and patient diagnosis. These custom scenarios allow for a more open-ended approach to the hospital theme, where players can define the specific roles and challenges they wish to include, such as playing as doctors, janitors, or managers.
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Hospital drama: players can act out a hospital drama TV show, with over-the-top romance and drama
If you're looking to create a hospital drama RPG with over-the-top romance and drama, there are a few options and ideas you can consider.
Firstly, you could use an existing RPG system as a base and modify it to fit your hospital setting. One option is to use the PbtA system, specifically the game "Mashed", which is set in a Korean War field hospital and includes rules for surgery and drama. You could adapt this setting to a hospital drama and add your own rules for romance. Alternatively, you could use a system like Fate Accelerated, which is great for freeform silliness and could be adapted to a hospital setting with over-the-top romance. Another option is to use the Basic Roleplaying system, which is highly modifiable and easy to use, allowing you to create your own rules for hospital administration, radiology, and romance.
If you're looking for a game specifically designed for medical drama, you might want to consider "Fae's Anatomy", which focuses on one patient at a time and tries to gamify medical dramas. "The Ward" is another PbtA game designed for medical drama, although it's not completely finished yet. It might be a good fit if you're looking for over-the-top drama rather than fantasy elements.
To create a truly immersive hospital drama RPG, you can incorporate realistic hospital department brochures, posters, signs, and reading materials into your setup. This will help players learn new medical vocabulary and understand the world of medicine. You can also encourage players to take on roles and remain in character, adding depth to the drama and romance storylines.
In terms of specific drama and romance storylines, you can include elements such as wrong initial diagnoses, weird treatment methods, and advice from a team of eccentric doctors. There can be a head of the hospital who creates meta-plot drama and over-the-top romantic entanglements between doctors and patients. Players can navigate the highs and lows of hospital life, with each room presenting a new opportunity for crazy patient cases and unexpected romance.
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Frequently asked questions
This depends on your play style and the diseases present in the game. As a rule of thumb, for diseases other than Smallpox and Plague, you should have 5-6 hospitals spread across the town for every 700 citizens. For Smallpox or Plague, divide your population by 32 (the typical capacity of a hospital) and build that many hospitals.
If you have 500 people and only 25% are infected with Smallpox, you would need 125 beds, which equates to approximately four hospitals (32 x 4 = 128).
If an infection starts at the far end of the city, the nearest hospital will fill up quickly. This will cause further infections as people run across town to other hospitals, potentially leading to an epidemic.
To prevent an epidemic, ensure that hospitals are evenly distributed across the city. However, even with proper planning, some diseases, like Smallpox, can still lead to high death rates and impact hospital capacity.
Your play style can influence the number of hospitals you need. If you have several housing areas, you might place a hospital in each, along with schools and herbalists. If your housing is concentrated near job locations, you may need fewer hospitals. For example, one hospital can suffice for a village of around 1000 people.











































