Sandbox Mode: Mastering Two Point Hospital

how to play two point hospital sandbox

Two Point Hospital is a video game that lets players take control of a dysfunctional health center and its ensuing chaos. While the game features a loose story mode, players can also engage in free play and start a hospital from scratch in Sandbox Mode. In Sandbox Mode, players can customize an existing hospital map and specify various aspects of play to their liking, such as the hospital's name, starting cash, staff qualifications, and patient arrival rate. Sandbox Mode provides a high level of customization, allowing players to set the difficulty, victory conditions, and the types of illnesses that appear. Players can also upload their saved hospitals to the Steam Workshop, allowing others to access and play their creations. To access Sandbox Mode, players must first link their Steam account and progress through the initial tutorial campaign to unlock the feature.

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Customising an existing hospital map

Sandbox Mode in Two Point Hospital gives the player the ability to customise an existing hospital map for free play. Players can choose any hospital map, including those from any owned DLCs. Various aspects of gameplay can be adjusted to the player's liking, such as the difficulty of illnesses to diagnose and treat, and the starting monetary balance. Players can also set their own victory conditions, how they unlock Kudos items, and whether they need to research everything or not.

To begin customising an existing hospital map, players can choose from the 15 available hospital maps in the game. Each map has a unique layout and theme, and players can select the one that best fits their desired gameplay experience. Once a map is chosen, players can start making adjustments to various factors to personalise their gameplay experience.

One of the key customisation options is the ability to set the difficulty of illnesses. Players can choose from different levels, including Easy, Medium, Hard, Visible Symptoms Only, and All from the Start. Each level presents a unique challenge, with more difficult illnesses having a lower chance of treatment success. Players can also enable all diseases and treatments from the start, simulating a scenario where they have already progressed to the final level of the original game campaign.

Another important aspect of customising a hospital map is setting the starting conditions. Players can adjust their starting monetary balance, with the default being 500,000 dollars, but customisable within a range from -$20,000 to $10,000,000. The Kudosh starting amount can also be specified, ranging from K0 to K20,000. These financial adjustments allow players to tailor the economic challenges they face during gameplay.

Additionally, players can further customise their hospital map by choosing to enable emergencies. Certain emergencies are exclusive to Sandbox Mode and do not appear in Career Mode. These emergencies add unexpected events and scenarios that players must navigate, providing an extra layer of challenge and unpredictability to the gameplay.

After customising their hospital map, players can choose to share their creation with the community. Saved hospitals in Sandbox Mode can be uploaded to the Steam Workshop, where players can provide a title, description, and choose the level of access: Public, Friends Only, or Hidden. Players can also select a custom image for their upload if they prefer, or use the default image of the hospital. Any installed DLCs used in the creation of the shared hospital will be required by players who download the workshop item.

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Choosing difficulty and victory conditions

Sandbox Mode in Two Point Hospital lets players customise an existing hospital map for free play. You can choose any hospital, including those from owned DLCs, and adjust various aspects of gameplay to your liking.

When choosing the difficulty and victory conditions, you can set the starting conditions such as the monetary balance, which ranges from -$20,000 to $10,000,000. You can also specify the name of your hospital, the starting Kudosh amount (from K0 to K20,000), and the income multiplier.

In addition to these customisation options, you can also set the difficulty of illnesses that appear in your hospital. The "All Over Time" option includes all illnesses, with more difficult ones appearing as the hospital grows. If you're looking for an easier experience, the "Easy" setting features illnesses that are simple to diagnose and have a higher chance of treatment success. For a greater challenge, the "Hard" setting includes illnesses that are difficult to diagnose and have a lower chance of successful treatment.

You can also choose from specific types of illnesses based on DLCs and regions within the game world, such as "Bigfoot," "Pebberley Island," "Close Encounters," and "Off The Grid." These options allow you to focus on specific illness groups and tailor your gameplay experience accordingly.

Sandbox Mode in Two Point Hospital offers a high degree of customisation, allowing players to create their own challenges and victory conditions. By adjusting the starting conditions, illness types, and other settings, players can design a hospital management experience that suits their preferences and skill level.

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Adjusting the starting cash

In Two Point Hospital's Sandbox Mode, players can alter the starting amount of cash they have. This can be done by adjusting the monetary balance when starting a new Sandbox game. The starting cash can range from $-20,000 to $10,000,000. Players can also adjust the hospital's income multiplier, which affects how much money is earned over time.

To adjust the starting cash in Sandbox Mode, players can access the Sandbox menu before starting a new game. From there, they can set the starting amount of cash they want to begin with. This can be customized to their liking, whether they want to start with a large sum of money or a more challenging deficit.

Additionally, players can also set the income multiplier for their hospital. This feature allows players to adjust the rate at which money is earned during the game. By modifying this setting, players can influence the flow of income and create a more dynamic financial situation for their hospital.

It is worth noting that while Sandbox Mode offers a high degree of freedom in customizing the starting cash and income, players may still encounter challenges and unexpected situations. The game dynamics, such as patient flow, staff challenges, and emergencies, can impact the financial situation of the hospital. Therefore, even with adjusted starting cash, players will need to make strategic decisions and effectively manage their resources to succeed in the game.

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Selecting the illnesses

Sandbox Mode in Two Point Hospital allows players to customise their gameplay experience by choosing from various options. One of the key aspects of customisation is the ability to select the types of illnesses that will appear in their game.

When selecting the illnesses for their Sandbox game, players have several options to choose from:

  • All Over Time: This option includes every illness in the game. As the hospital grows, more difficult illnesses will start appearing.
  • Easy: Illnesses that are easy to diagnose and have a higher chance of successful treatment.
  • Medium: Illnesses that are moderately challenging to diagnose and treat.
  • Hard: Illnesses that are hard to diagnose and have a lower chance of successful treatment.
  • Visible Symptoms Only: Only illnesses with visible symptoms will be included.
  • All from the Start: All illnesses are available from the beginning of the game.
  • Bigfoot: Includes illnesses found in the Pointy Mountains, as seen in the Bigfoot DLC.
  • Pebberley Island: Includes illnesses found off the mainland of Two Point County, featured in the Pebberley Island DLC.
  • Close Encounters: Features illnesses from the southern region of Two Point County, introduced in the Close Encounters DLC.
  • Off The Grid: Limits illnesses to those found in the Off the Grid DLC.
  • DLC-specific illnesses: The player can also choose to include illnesses from specific DLCs they own, such as the Close Encounters and Off the Grid DLCs.

In addition to selecting the types of illnesses, players can also adjust other aspects of their Sandbox game, such as the starting cash, kudosh, income multiplier, patient arrival rate, and staff hiring difficulty.

It's important to note that in the main game, illnesses in Two Point Hospital fall into two categories: visual and non-visual. Visual illnesses are easily identifiable by their distinct symptoms, such as patients suffering from Premature Mummification being wrapped in bandages like mummies. On the other hand, non-visual illnesses present no outward symptoms, making them more challenging to diagnose.

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Uploading your hospital to Steam Workshop

Sandbox Mode in Two Point Hospital allows players to customise an existing hospital map for free play. Players can choose any hospital, including those from any owned DLCs, and specify various aspects of gameplay to their liking, such as the difficulty level and starting cash balance.

To upload your hospital creation to the Steam Workshop, follow these steps:

  • Save your hospital in Sandbox Mode.
  • Access the Sandbox menu and locate the 'Share' button in the bottom-left corner.
  • Click on the 'Share' button, which will take you to the upload screen.
  • On the upload screen, provide a title and description for your creation. You can also set the level of access: Public, Friends Only, or Hidden.
  • Choose an image for your upload. You can either use the default image of your hospital or select a custom image by navigating to it on your computer.
  • Confirm your selections and complete the upload process.

Once your hospital is uploaded to the Steam Workshop, other players will be able to discover and subscribe to your creation. They can then load your hospital in their Sandbox menu under the "Downloaded Hospitals" section. Remember that any DLCs used in creating your hospital will also be required by players who download your creation.

Frequently asked questions

Sandbox Mode gives the player the ability to customise an existing hospital map for free play.

You don't need to beat the campaign to unlock Sandbox Mode, but you do need to progress far enough to unlock the mission you need one star on to unlock it.

You can customise your hospital scenario by setting the difficulty, victory conditions, and how you unlock Kudos items. You can also specify your starting cash, Kudosh, income modifier, patient arrival rate, and illnesses.

Yes, you can upload your saved hospitals to the Steam Workshop by selecting the 'Share' button in the Sandbox menu. You can set your upload to Public, Friends Only, or Hidden.

Yes, you need to link your Steam account to your Two Point County Community account to get the Hospital Pass DLC and play Sandbox Mode.

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