Two Point Hospital: Complete Management Guide

How to build profitable, three-star hospitals in Two Point Hospital: layout, the patient pipeline, staff and training, money management, research, the star system and DLC overview. Includes the most common mistakes that sink new administrators.

Researched September 2026 — current as of the October 2025 security hotfix (CVE-2025-59489 patch); the game is feature-complete with 7 expansions. Live games change; check the linked sources if something differs.

Status: Two Point Hospital (Two Point Studios/SEGA, released 29 August 2018) is finished and no longer gets content updates. The last patch (10 October 2025) only closed a Unity security hole. It's discounted often, e.g. 75% off in the SEGA Publisher Sale of 13–27 August 2026. The "Full Health Collection" bundles the base game with every DLC.

Quick Start

• Earn 1 star to unlock the next hospital. You can move on right away and come back for 2 and 3 stars later. The later stars pay out big and count toward achievements (e.g. 45 gold stars for the base game).
• The patient pipeline is Reception → GP's Office → diagnosis rooms → treatment room → cured (or sent home). A missing or overloaded step creates queues everywhere.
• Build small at first. Cash flow early matters more than big rooms.
• Hire staff with the right qualifications. A Doctor for the GP's Office, Nurses for the Ward and Pharmacy, Assistants for Reception, and Janitors for maintenance.
• Train staff in a Training Room. Qualifications make them faster and let them cure more. Invest in this from year one.
• Keep people happy and comfortable: toilets, drink and snack machines, benches, radiators, plants, posters and windows all matter.
• Watch your cash. Loans are fine for expansion. Negative cash flow for long stretches isn't.
• Research new rooms and upgrades in the Research room to unlock cures and machine upgrades.
• Kudosh is earned from challenges and tasks and unlocks new items (decor, machines and more) across all hospitals.

Staff Types

Staff | Main jobs | Key qualifications (examples)

Doctor | GP's Office, diagnosis, Psychiatry, Surgery, Research | General Practice, Diagnostics, Psychiatry, Surgery, Research, Radiology

Nurse | Ward, Pharmacy, treatment rooms, injections | Treatment, Ward Management

Assistant | Reception, cafés, shops | Customer Service, Marketing

Janitor | Cleaning, machine maintenance, ghost capture, watering plants | Mechanics, Ghost Capture

Traits: staff have positive and negative traits (lazy, rude, messy, etc.). Check traits in the hiring pool before you pay a premium. Some negative traits are harmless for certain roles.

Training tips:

• Train your GP Doctors in General Practice. They see every patient and are the biggest bottleneck.
• Diagnostics speeds up diagnosis. Radiology and similar skills help in specific rooms.
• Achievements ask you to train a "World-Class" Researcher, Psychiatrist and Surgeon. World-Class is the top grade.
• Raise pay only when unhappiness about wages is the actual issue. Happiness also comes from staff rooms, decoration and reasonable workloads.

The Patient Pipeline

• Reception: staffed by an Assistant. Build a second desk in bigger hospitals.
• GP's Office: the first diagnosis. Build several, because they're always busy.
• Diagnosis rooms: General Diagnosis, Ward, Psychiatry, X-Ray, Cardiology, Fluid Analysis and others raise diagnosis certainty.
• Diagnosis threshold: in the hospital policy menu you can set the certainty patients need before treatment. A lower threshold means faster flow but more deaths and failed cures. Set it around the default to slightly lower if you have high-quality treatment rooms.
• Treatment: specialist rooms like the De-Lux Clinic (Light-headedness), the Pharmacy, Psychiatry (for mental conditions like Mock Star), the Ward and Surgery.
• Cured: each cure raises your reputation and the chance of better patients.

Queue management: in the room's info panel, check its queue length. If one room has 8+ in the queue, build a second copy of it before building anything else.

A First-Year Plan for Any New Hospital

• Read the star objectives first. They tell you which illnesses and rooms the level is built around.
• Build the core: Reception, two GP's Offices, a Pharmacy, toilets, a Staff Room and a drinks machine. That handles most early patients.
• Add General Diagnosis and a Ward next, then whichever specialist treatment room the incoming illnesses ask for.
• Open a Training Room early and send your GPs to General Practice training while the hospital is quiet.
• Add a Research room once cash flow is positive, and start on cure and machine upgrades.
• Check the illness list and queue sizes each month. Build for the illnesses you're actually seeing, not the ones you might see.
• Only then expand into extra plots. Buy land when your current building is full and profitable.

Money Management

• Treatment prices: you can set prices per treatment. Raise prices slowly on popular treatments while keeping an eye on patient happiness and demand.
• Marketing: run marketing campaigns (from the marketing menu; Assistants with the Marketing qualification help) to attract patients with specific illnesses you already treat well.
• Loans: take a loan to build a key room early, then pay it back quickly.
• Vending machines and later shops and cafés generate extra income and improve patient needs.
• Machine upgrades increase treatment efficiency. "Bells & Whistles" is an achievement for 25 machine upgrades.

Layout Tips

• Cluster related rooms: GP's Office and diagnosis rooms near Reception, and treatment rooms near diagnosis.
• Put waiting areas outside busy rooms with benches, heating and entertainment to keep patients content.
• Prestige matters: bigger, decorated rooms raise room prestige and staff happiness.
• Multiple buildings: buy extra plots to expand. Keep each building self-sufficient with its own toilets and vending machines.
• Corridors: keep main corridors at least 2 tiles wide so traffic doesn't jam.

Research, Epidemics and Events

• Research room: research new rooms, cures, machine upgrades and cure-rate improvements. Doctors with the Research qualification are faster.
• Superbug Projects: researchable tasks that share progress across players (e.g. "Hair Removal", "Learning Machine Learning", both tracked by achievements).
• Epidemics: infectious diseases spread. You'll get vaccines to inoculate patients, and containing an outbreak earns rewards.
• Ghosts: patients who die can come back as ghosts. Janitors with Ghost Capture handle them ("I. See. You." is an achievement for 100 captures).
• Year-end awards: an annual ceremony rewards hospital performance with cash and Kudosh.

Hospitals and Progression

The base game has 15 hospitals, each with 3 stars (45 gold stars total). Early hospitals include Hogsport, Lower Bullocks and Flottering, and later ones include Mitton University, Tumble and Flemington. Each expansion adds more hospitals. The gold-star achievements run from 15 up to 108 stars (in steps of 9 after 45), which lines up with three hospitals per expansion across all seven.

Illnesses you'll see include Light-headedness (a lightbulb head), Pandemic (a pan stuck on the head), Mock Star (musician impersonators), Animal Magnetism and Cubism. Each needs specific rooms or machines.

DLC Overview

Expansion | Released | Theme

Bigfoot | 5 December 2018 | Snowy Pointy Mountains hospitals

Pebberley Island | 18 March 2019 | Tropical island; new illnesses

Close Encounters | 29 August 2019 | Sci-fi; expose Alien Infiltrators

Off the Grid | 25 March 2020 | Eco-friendly plant hospitals; Eco Rating

Culture Shock | October 2020 | Film studio and arts

A Stitch in Time | February 2021 | Time portals and period illnesses

Speedy Recovery | After A Stitch in Time (final expansion) | Ambulances and vehicles

There are also three item packs (Retro, Exhibition and Hot Diggity Dog), the Fancy Dress Pack and the soundtrack. The Full Health Collection bundles all seven expansions, the three item packs, the soundtrack and the Fancy Dress Pack.

Common Mistakes to Avoid

• Too few GP's Offices. This is the number one bottleneck in almost every hospital.
• Hiring by cheapest salary. An unqualified, lazy doctor costs more in lost cures than a better one's wages.
• Skipping the Training Room. Qualifications compound for the whole game.
• Forgetting toilets and drinks. Patients leave or get sick in the corridor.
• Overbuilding early. Huge rooms you can't staff drain cash.
• Setting the diagnosis threshold too low. Deaths and failed treatments hurt your reputation.
• Ignoring machine maintenance. A broken machine can explode, killing the operator and wrecking the room.

Advanced Tips

• Specialize staff: give each doctor one role and train them toward it. Specialists heal faster than generalists.
• Price creep: in each hospital, bump high-demand treatment prices by small steps and check patient happiness.
• Staff room upgrades: decorate staff rooms heavily. Staff happiness keeps them productive and stops quitting.
• Challenges: accept the achievable ones. They pay cash and Kudosh, and some reduce costs.
• Run a Research doctor full-time: machine upgrades raise throughput across the whole hospital.
• Revisit early hospitals late: unlocked items and qualified staff make old 3-star goals easy.

FAQ

How do I unlock the next hospital? Get 1 star in your current one. The objectives are in the stars panel.

Should I get 3 stars before moving on? It isn't required. Many players go back later with more Kudosh unlocks and knowledge.

Is Two Point Hospital still updated? Only with maintenance and security fixes (the last was October 2025). Content is complete.

Which DLC is best? It depends on what you like. A Stitch in Time and Close Encounters are popular for their gimmicks, and Speedy Recovery adds ambulance management.

How do I stop patients dying? More diagnosis capacity, a sensible diagnosis threshold, better-trained treatment staff and machine upgrades.

What is Kudosh for? Unlocking items (decorations, machines, cosmetics). It's shared across all your hospitals.

Sources

• Two Point Hospital on Steam
• Two Point Hospital Steam news (security hotfix, sales, Full Health Collection)
• Two Point Hospital on Wikipedia
• Two Point Hospital Steam achievements