
Two Point Hospital is a business simulation game where players construct and manage hospitals in the fictional Two Point County. The game features 15 hospitals spread across 5 regions, with each region offering unique challenges and climates. Players must cure patients of fictitious ailments and complete objectives to progress to new hospitals and earn star ratings. While there are 15 hospitals in the base game, the inclusion of DLCs adds more hospitals and levels to explore, such as the three levels in the A Stitch in Time DLC. Completing challenges and tasks awards Kudosh, a currency used to unlock items for customisation. The game also introduces the concept of hospital levels, which are determined by the number of rooms and staff, attracting more patients and job applicants.
| Characteristics | Values |
|---|---|
| Number of hospitals | 15 (spread across 5 regions) or 36 (across 12 regions with all DLCs) |
| Number of levels | 15 (unconfirmed) or 4 (with 3 stars each) |
| Time to complete | 20-30 hours (for the first 4 levels with 3/3 stars) or 60-80 hours (to get 3 stars in all hospitals) |
| DLCs | Bigfoot, Pebberley Island, Close Encounters, Off The Grid, Culture Shock, A Stitch In Time, and Speedy Recovery |
| DLC features | New illnesses, treatment rooms, challenges, and levels |
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What You'll Learn

There are 15 levels in the base game
Two Point Hospital is a business simulation game developed by Two Point Studios and published by Sega. It is the spiritual successor to the 1997 game Theme Hospital, and was designed and developed by some of the creators of the original game, including Mark Webley and Gary Carr. In the game, players are tasked with constructing and operating a network of hospitals in the fictional Two Point County, with the aim of curing patients of fictional, humorous ailments. The game features 15 hospitals spread across 5 regions, each with its own unique climate and challenges.
The base game of Two Point Hospital consists of 15 levels, which are spread across these 5 regions. Each level presents players with a new hospital to build and manage, with the goal of curing patients and achieving a high star rating. The star rating system is a key feature of the game, with players able to progress to the next hospital once they achieve a one-star rating. However, players can also choose to continue building up their current hospital and work towards achieving two and three-star ratings.
The hospitals in the game are not limited to a specific number of levels, as players can continue to expand and improve their hospitals even after completing the main objectives. The Hospital Level is a measure of the overall size and prestige of the hospital, based on the number of rooms and staff. As players add more rooms and hire more staff, the hospital level increases, attracting more patients and job applicants.
Completing challenges and objectives in the game awards players with "Kudosh", a special currency that can be used to unlock items and upgrades for their hospitals. Players can also research new room types and machine upgrades in the Research Room, further enhancing their hospitals and improving their performance.
The base game of Two Point Hospital offers a substantial amount of content, with 15 unique hospitals to manage and the ability to pursue multiple star ratings for each hospital. Players can expect to spend anywhere from 20 to 80 hours completing all the levels and achieving the highest star ratings, depending on their playstyle and dedication to the game.
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Each level has three star ratings to achieve
Two Point Hospital features 15 hospitals spread across 5 regions. Each hospital has three star ratings to achieve. Players can progress to the next hospital by achieving a one-star rating, but they can also continue building up their current hospital and work towards achieving two and three-star ratings.
The objectives that need to be completed to gain the maximum three-star hospital rating are called Star Objectives. These include emergencies, VIP visits, staff requests, staff threats, and epidemics. For example, if an emergency occurs, a group of patients will all need immediate treatment. VIP visits can occur for various reasons, and staff requests are task requests given by staff members looking for improvement. Staff threats refer to the possibility of staff quitting due to extreme unhappiness, and epidemics refer to contagious diseases that can spread quickly and require urgent attention.
The Hospital Level is a measure of the overall size of the hospital, based on the number of rooms and staff. As the hospital expands with more rooms and staff, the Hospital Level increases, attracting more patients and job applicants. Players can increase their hospital level by purchasing more plots of land to build additional rooms, although purchasing plots of land does not directly affect the level.
Players can choose to move on to the next hospital after achieving a one-star rating or stay and try to achieve a higher rating. Returning to previous hospitals after unlocking new features and diseases can help players work towards achieving higher star ratings.
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Players can return to levels to achieve higher ratings
In Two Point Hospital, players can achieve a one-star rating to progress to the next hospital. However, they can also return to previous hospitals to complete additional objectives and increase their rating to two or three stars. This feature encourages players to return to earlier levels to achieve higher ratings and unlock new features and diseases.
Completing objectives and increasing the hospital's rating can be done by expanding the hospital with more rooms and staff, improving room prestige, and increasing the hospital's level. The hospital level can be increased by placing or adding rooms, hiring more staff, and improving the hospital's reputation, happiness, and sanitation.
Players can also improve their hospital rating by unlocking high-level decorations and using them to enhance the hospital's prestige. Additionally, players can restart levels to get a better initial staff selection, as staff is randomised at the start of each level.
Completing all objectives and maximising the hospital's efficiency can lead to a three-star rating. Returning to previous hospitals with new items and features can help players achieve this maximum rating more quickly. This approach allows players to fully explore and optimise their hospital designs while also earning higher ratings.
Overall, the ability to return to levels and achieve higher ratings adds depth to the gameplay and encourages players to revisit earlier hospitals to unlock their full potential.
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Levels are spread across 5 regions
Two Point Hospital is a business simulation game developed by Two Point Studios and published by Sega. Players are tasked with constructing and operating a network of hospitals in the fictional Two Point County, with the aim of curing patients of fictional, humorous ailments. The game features 15 hospitals spread across 5 regions, with each region offering unique challenges and climates.
The 15 hospitals are spread across the following 5 regions:
- Duckworth-upon-Bilge
- Underlook
- Hotel Flottering
Additionally, there are 7 story DLCs, each containing 3 hospitals, for a total of 21 additional hospitals across 7 regions. These DLCs include:
- Bigfoot
- Pebberley Island
- Close Encounters
- Off The Grid
- Culture Shock
- A Stitch In Time
- Speedy Recovery
Each hospital within these regions presents players with distinct challenges and objectives to complete. The hospitals vary in size and complexity, with some featuring multiple levels and requiring different strategies to achieve success.
The regions and hospitals within Two Point Hospital offer a diverse and engaging gameplay experience, allowing players to develop their management skills and adapt to the unique characteristics of each location.
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DLCs add more levels and hospitals
The base game of Two Point Hospital features 15 hospitals spread across five regions. However, there are six DLC expansion packs available that add new hospitals, items, and illnesses to the game, extending the gameplay. These DLCs include the Fancy Dress Pack, Retro Items Pack, Exhibition Item Pack, and Speedy Recovery, Pebberley Island, and Bigfoot expansions.
Each of the seven story DLCs, namely Bigfoot, Pebberley Island, Close Encounters, Off The Grid, Culture Shock, A Stitch In Time, and Speedy Recovery, introduce three new hospitals each. This brings the total number of hospitals across all 12 regions (including DLCs) to 36.
Players can enjoy new challenges and experiences by acquiring these DLCs, as they offer unique features and extend the game's longevity. The DLCs provide a great opportunity to explore new hospitals and regions, each with its own distinct climate and challenges.
While the base game offers a substantial amount of content, the DLC expansion packs add considerable depth and variety to the Two Point Hospital experience. Acquiring these DLCs can extend the gameplay and provide players with new hospitals to manage and illnesses to cure, ensuring the fun never ends.
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Frequently asked questions
There are 15 hospitals spread across 5 regions, which can be considered as 15 maps or 45 stages.
To complete a level, you only need to get a one-star rating. However, you can return to previous levels and continue working towards two and three-star ratings. Thus, there are three stages of completion for each level, resulting in a total of 45 stages.
The time taken to complete all levels depends on the player's style of play. Some players have reported completing the first few levels quickly and then spending more time on subsequent levels to achieve the desired hospital layout, hire the right staff, and train them. It can take between 60 to 80 hours to get three stars in all hospitals.







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