one dataset · paper, tables, graph, wiki
simgrammar the grammar of simulation

core loop

build and decorate rooms -> hire staff with traits and train qualifications -> patients flow from GP to diagnosis to treatment -> cures earn money and reputation -> research and Kudosh unlock items -> earn stars to open the next hospital

design notes

Two Point Hospital keeps Theme Hospital's room-blueprint and diagnosis-pipeline structure and adds a deeper staff layer: every hire has personality traits, a specialisation, and trainable qualifications, so the training room is a second production line beside the clinical one. Room prestige rises with room size and decoration and feeds staff happiness, which links interior design to staff retention. Progress spreads across many hospitals with one-to-three-star goals, and items unlock with Kudosh, a currency earned from challenges rather than money. Assistants can run marketing campaigns (proposed mechanic advertising-awareness).

relations

18 stored edges
influenced by
uses

Diagnosis and treatment

Patients start in a GP's Office and move through further diagnostic rooms until diagnosed, then to a treatment room; illnesses are comic, such as Light-Headedness and Mock Star.

core
uses

Building placement

Rooms are drawn and furnished with required machines, plus corridors with toilets, cafes, vending machines, and staff rooms.

core
uses

Service queues

Patients queue at rooms while their health falls; untreated patients die, and long waits lower satisfaction.

core
uses

Staff hiring and rosters

Doctors, nurses, janitors, and assistants come with personality traits and specialisations that change performance; wages and morale must be managed.

core
uses

Advertising and awareness

Assistants in the marketing room run paid campaigns that draw more patients, optionally targeted at specific illnesses.

supporting
uses

Agent skills

Staff earn qualifications in the training room that unlock or improve tasks.

supporting
uses

Contagion

Later levels bring epidemics with a limited vaccine supply; immunizing every infected patient earns a reward.

supporting
uses

Content sharing

Steam Workshop support added in 2019.

supporting
uses

Decoration and beauty

Room prestige depends on size and decoration and affects staff happiness.

supporting
uses

Milestone unlocks

Kudosh from challenges unlocks items; one star unlocks the next hospital.

supporting
uses

Needs decay

Patients and staff need toilets, food, drinks, and rest.

supporting
uses

Personality traits

Staff traits change efficiency and behavior.

supporting
uses

Scenario objectives

Each hospital has star objectives; extra objectives raise the rating to two or three stars.

supporting
uses

Tech tree

The Research room unlocks new rooms and machine upgrades.

supporting
uses

Wear and breakdown

Machines degrade and need janitor maintenance.

supporting

sources

1
Wikipedia contributors (2026). Two Point Hospital. Wikipedia

provenance

runs in log/runs
2026-10-24
created2026-10-24-catalog-gecatalog
2026-10-24
reviewed2026-10-24-review-fixesmaintenance