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Operate Now: Heart Surgery is a fun and educational surgery game in which you can see what it takes to perform open hearty surgery! Your patient is Joe and he has a weak heart – he requires a transplant and you must help him by performing this delicate and serious operation.
Welcome to my Two Point Hospital Guide.This guide will be an evolving work in progress, and will cover every aspect of the game, including unlocks, achievements, best placements, what's required for which rooms, so on and so forth. You'll get an item listing, tips on layouts, breakdown of your staff and their traits, and more.This is more of a general guide, and not a strategy guide per se, as you can complete each hospital's challenges however you want, since there is no single correct way to do things.If you have any questions or additions, feel free to jump down to the credits section.
When building the GP's Office, position and angle the desk near the door, with the chair the patient sits in closest to the door. This reduces the time they walk to the desk and when they leave, slightly increasing your productivity.When you have only a couple of specialists and want to make sure they're always available, make sure to untick every job of theirs, except for their specialty. It's silly to have a surgeon diagnose people.It's almost always better to build multiple training rooms that are small, so that you can train multiple people in multiple stats without taking up a whole room. I find small'ish rooms of 6 to 9 seats the best, with a couple of bookcases and anatomy dummies.One of my biggest suggestions is to specialize with the improvement traits as soon as you're able. For example, make sure you're able to get a doctor that comes with a specialist trait (radiologist, surgeon, geneticist, etc.), or comes with no trait, and then train that specialist trait.
Once that doctor improves, continue training him with the following: Motivation, Bedside, Stamina, Treatment. This gives you a doctor that's fully qualified in one of the specialty rooms, with boosts to their speed, happiness they bring to their patients, ability to work, and cure chance of success.I've been doing this since I've been able, and where money permits, and it makes a huge difference. You can then lock that doctor to just perform in that one room, and you'll have the best outcome possible for that cure.Once you start building training rooms, try to place the training room in the plot of land that's nearest to a helipad, as this is where your guest trainers will come from. This shortens the time required to train, as there's less distance to travel.When building rooms, you should almost always place in every room, at least:.
Fire extinguisher. One of the garbage bins, then replace as you upgrade. Hand sanitizer. Plant (any kind; rosebush gives best happiness, but requires more watering). OPTIONAL: Coffee machineThis ensures that if a machine catches fire, the fire extinguisher will be nearby. Garbage bins help prestige and reduce litter. Hand sanitizer helps keep hygiene up, and the plant helps with happiness.
The coffee machine is optional, but will give your employees a boost, keeping them going longer.Epidemics can be a pain in the ♥♥♥, especially when your hospital is crowded, and there is one hospital where the objective is to vaccinate 25, then 45, then 60 people. I found this one to be the worst because of epidemics.To help, run the game at slow speed; this gives you the chance to observe. You may also want to remove any energy drink machines, as people who are energized exhibit the same power walking as those who have Jogger's Ripple. Also, you may want to remove all seating, because people who have the disease may be seated, and the animation won't show. Keep in mind that these can affect people currently being treated, which also hides the animation, as well as your own staff.
And lastly, the game can annoy you by giving you someone who has Premature Mummification, and having them be victim of the Curse epidemic, which has the same symptoms of that illness, so you may need to waste a few vaccines on those patients in case they have the epidemic as well. UIThe main UI gives you everything you need to know at a glance. Starting from the bottom left we have the main panel.The green icon with the white mountain will take you back to the region screen, and the three dots will open the menu.
Rooms will open the rooms panel and show you everything you've unlocked, as well as what you can build. Items opens the list of all items available to you, and Hire opens the staff hiring screen. All pretty self-explanatory, really.The first tab with the green person icon will bring up three overview screens: one for all your staff members, which shows their pay, mood, skills, etc. The second one will show you patient info, including their boredom, hunger, thirst, illness, etc.
And the last one shows you the illnesses you've researched, how many people have it, how many cures have succeeded (or failed), and where to cure it.The second set of options under the yellow dollar sign show you finances. Overview shows you where your money is coming from, where it's going, and can help you curb your spending, or figure out where to earn some more. Prices allows you to change how much you charge for every single option available in your hospital. You can let people get their head unscrewed for -20% less than normal, but charge people in the ward an additional 20%. Pricing affects your reputation and happiness; the higher the prices, the more people will hate coming, and your reputation will take a dive.
Loans allows you to take out a loan from one of three banks, with various interest rates and payback terms.The third set of options are visual overlays, that give you a breakdown of your hospital. For example, the first option - Attractiveness - will be green around areas that your staff and patients think are nice, and white around areas that aren't. From left to right, top to bottom, the overlays available are:Attractiveness, Health, Patient Happiness, Staff Happiness, Temperature, Thirst, Hunger, Staff Energy, Hygiene, Toilet, Boredom, MaintenanceThe bottom right shows how much money you have available (hover over it to see your income, expenses, and profit).
Your reputation and hospital level are under this, as well as your Kudosh, and the game speed controls. The calendar shows the current in-game date, with the awards happening at the end of every December.The top row above your money are where you receive all your emails, and the blue tray icon lets you view your past messages.The top right has two tabs. The first tab is your objectives, which list what you need to accomplish to gain a star.
At the bottom of the objectives, you'll have any special events, like emergencies or staff requests.The second tab is the multiplayer challenge, which lets you compete with your friends against set challenges, such as curing the most patients or earning the most income, in a set amount of time. Winning the challenge will give you Kudosh. Career Goals are an overarching set of goals for you to accomplish, that aren't tied to one particular hospital, and will eventually be completed as you progress.There are multiple tiers to the goals, and they will give increasing rewards as you complete each tier.
Reception$1,600Lets you combine multiple reception desks into one room, basicallyRequires: AssistantMinimum size: 2x3Required objects:. Hatch - $100. Reception Pod - $500Optional objects:. Radio - $300. Printer - $400. Mini Filing Cabinet - $100. Charity Pot - $100The Reception Room is basically the next step up from the Reception Desk.
Instead of a single item with a single assistant, you can build a room of any size, and put spots to have many receptionists. This is not only a beneficial item, but a requirement later on, when your hospitals are backlogged. General Diagnosis$7,100Second stop on the way to figuring out the diseaseRequires: NurseMinimum size: 3x3Required objects:. EZ-Scan - $1,500.
Examination Table - $500Optional objects:. Medicine Cabinet - $1,000General Diagnosis is staffed by a nurse, and is generally the second place patients will visit after coming from the GP's Office. Depending on the issue, the GD can diagnose it right away and send them off to treatment, otherwise the patient will continue through your diagnostic facilities.
Ward$7,500Acts as both a diagnostic and cure (such as Bed Face)Requires: NurseMinimum size: 3x4Required objects:. Bed - $1,500.
Nurse Station - $500. Screen - $400Optional objects:. Wall Monitor - $500 - +1% Treatment & +1% Diagnosis Power. Bedside Table - $250 - Increases room prestigeOnce built, click the room to bring up its info panel, and you'll be able to add more nurses to it.
Depending on the size of your hospital, and how busy the ward becomes, this becomes a very useful feature. Staff Room$5,500Lets your staff rest and rebuild their staminaMinimum size: 2x3Required objects:. Sofa - $400Optional objects:.
Locker - $100 - Increases prestige. Armchair - $300 - Increases comfort. Dart Board - $200 - Reduces boredom. Television - $300 - Increases prestige. Coffee Table - $400. Lamp - $400. Bean Bag - $400 - Increases comfort.
Exercise Frame - $300 - Reduces boredomOnce built, click on the room to access its options, and you can configure who uses it. You can allow just doctors to use that room, or just nurses, and let janitors and assistants share one as well. Or you can create four fairly large ones, one for each type of staff. Toilets$5,600Room for both your staff and patients to relieve themselvesMinimum size: 2x3Required objects:. Toilet Cubicle - $500 OR Golden Toilet - $2,000Optional objects:. Sink - $400 - Increase hygiene.
Hand Dryer - $200 - Increase hygieneOnce the Toilets are built, you can click on it to configure its settings. You can choose a mixture of allowing male, female, staff and patients. Toggle on and off to mix. For example, you can have a bathroom for both male and female staff, one for female patients, one for male staff, etc. Training$7,000Basically a classroom, allows you to train your staff in various fieldsMinimum size: 3x3Required objects:. Lectern - $1,400.
Trainee Desk - $500Optional objects:. Encyclopedia Bookcase I - $2,000 - Increases room prestige and +2% to training speed.
Encyclopedia Bookcase II - $4,000 - Increases room prestige and +4% to training speedThe training room is where you'll be able to upgrade your staff abilities as they level up. Each staff member will level up to five times (four times if they come with one trait), and you'll be able to dictate their future by training specific traits you want. Research$35,100Allows the research of new cures, rooms and itemsRequires: Doctor with Research traitMinimum size: 3x3Required objects:. Researcher's Desk - $10,000 - +1 to Research Power per desk. Research Pod - $20,000Optional objects:. Research Monitors - $8,000 - +1 to Research Power. Server - $10,000 - +1 to Research PowerThe Research Room is where you'll research all your upgrades, as well as a constant flow of money and Kudosh, if you choose to redo those research paths.
It can have up to five researchers, which you choose on the room menu once it's built. Marketing$7,100Run marketing campaigns to boost reputation, attract patients, or get new staff in the doorMinimum size: 3x4Required objects:. Marketeer's Desk - $1,000. Marketing table - $1,000Optional objects:. Research Monitors - $8,000 - +1 to Research Power. Server - $10,000 - +1 to Research PowerMarketing will give a good time bonus to your objectives if you choose to use it, especially as you get later on and you need to cure 20, 30 and 40 people of a particular disease, as you can use marketing to attract those patients. Like some other rooms of its type, you can increase how many marketers you have up to a maximum of five, by clicking the room once it's built.
Cafe$7,600Centralized place for food and drinkRequires: AssistantMinimum size: 5x4Required objectsobjects:. Cafe - $2,000. Cafe Table & Chairs - $400. Food Bin - $100The cafe is likely to get crowded, so you'll want to make sure it's fairly large and evenly spread out, so people don't get bunched up between tables and the ordering stand. It'll become very popular, and will quickly dwarf your vending machines, even the luxury ones, so perhaps place it in a fairly empty section of your hospital, so that you can expand upon it in the future. Surgery$26,000Cures many illnesses, at the expense of time and having high end doctorsRequires: Doctor with Surgery, and a NurseMinimum size: 3x4Required objects:. Operating Table - $20,000.
Medical Sink - $500 - Increases hygiene. Screen - $400Optional objects:.
Operation Monitor - $9,000 - +2% Treatment Power. Wall Monitor - $500 - +1% Treatment & +1% Diagnosis PowerSurgery is a very lengthy process, but cures some of the worst illnesses in the game. It's also one of the only rooms that requires at least two staff of different professions (one doctor with the surgery trait, and one nurse). Definitely have at least three of these rooms if you're going to accept any emergencies. PicturesCannon - K60Circus Lights - K40Hay - K60Operation Monitor - K300X-ray Board - K35Medicine Cabinet - Ks - $1,000Air Con Unit - K75Anatomy Model - K200 - $800 - Increases attractiveness, and adds 1% to training speed in training roomsAnatomy Poster - K80 - $100 - Increases attractiveness and room prestige, and +1 to training speed in training roomsArcade Machine - K500Air Con Unit - K? - $200 - Decreases temperature in a large radiusBeach Painting - K75 - $50 - Increase attractiveness and room prestigeBedside Table - K50 - $250 - Increases room prestigeBig Bin - K20 - $100 - Reduces litter, and holds more before needing to be emptiedBin - K?
- $50 - Reduces litterBookcase - K75 - $500 - Reduces boredom in the hospital, and also increases room prestige in rooms it can go inBoombox Radio - K20 - $400 - Can be placed in ReceptionBrain Anatomy Poster - K80 - $100 - Increases attractiveness and room prestige, and +1 to training speed in training roomsBronze Star Award - K100Cactus - K200 - $90 - Increases attractivenessCertificate - K? - $50 - Increases attractiveness and room prestigeChair - K5 - $25 - Increases comfort, but is plain and ugly. Go with benches unless you're strugglingChanging Screen - K50 - $300Charity Pot - K? - $100 - Increases attractiveness - Can be placed in ReceptionCheesewater Canvas - K75Clock - K20 - $100 - Increases attractivenessClown Poster - K? - $50 - Increases attractiveness and room prestigeCoffee Maker - K200 - $300 - Reduces thirst, gives buzzCupboard - K50 - $200Display Skeleton - K300 - $1,000 - Increases attractiveness, and adds 1% to training speed in training roomsDog Painting - K75Drawings - K15 - $50 - Increase attractiveness and room prestigeDrinking Fountain - K75 - $300 - Reduces thirst, but also reduces hygiene levels; counteract with something like the SanitiserEnergy Drinks Machine - K200Exercise Frame - K? - $300 - Reduces boredomExtinguisher - K?
- $50 - Used by janitors to put out fires, and also increases room prestige. An ideal layout has one extinguisher in every room you buildEye Test Poster - K5 - $50 - Increases attractiveness and room prestigeFiling Cabinet - $200Fireplace - K300 - $1,000 - Increases prestigeFitzpocket Canvas - K80Flowers - K? - $100 - Increases attractiveness - Can be placed in ReceptionFood Pyramid Poster - K15 - $50 - Increases attractiveness and room prestigeGasplank Canvas - K75Gift Shop - K1,200Gold Flower Vase - K10 - $100 - Increases attractiveness - Can be placed in ReceptionGold Star Award - K200Golden Toilet - K40 - $2,000 - Reduces bathroom needHand Sanitiser - K150 - $200 - Increases hygiene, place one in areas where hygiene is an issue, and around drinking fountainsIndoor Fountain - K900Lamp - K? - $300 - Increases room prestige, can be placed in the GP's OfficeLamp - K75 - $300 - Increases prestige, can be placed in PsychiatryLarge Fountain - K1,800 - $12,000 - Increases attractivenessLarge Radiator - K? - $300 - Increases temperature in the largest radius availableLightheaded Poster - K?
- $50 - Increases attractiveness and room prestigeLuxury Snacks Machine - K300Magazine Rack - K50Medicine Cabinet - K400 - $1,000 - +1% to Diagnosis and +1% to TreatmentMini Filing Cabinet - K? - $100 - Can be placed in ReceptionMini Radiator - K? - $200 - Increases temperature, can only be used in Reception as it sits under the deskMore Flowers - K10 - $100 - Increases attractiveness - Can be placed in ReceptionMountains Painting - K100 - $50 - Increase attractiveness and room prestigeNotice Board - K50 - $50 - Increase attractiveness and room prestigePlant - K?
- $90 - Increases attractivenessPrinter - K? - $400 - Can be placed in ReceptionPunching Bag - K? - $300 - Increases happinessPurple Bench - K50Radiator - K? - $200 - Increases temperature in a standard radiusRadio - K? - $300 - Increases attractiveness - Can be placed in ReceptionRorschach Poster - K15 - $50 - Increases attractiveness and room prestigeRosebush - K500 - $300 - Increases attractivenessRug - K? - $300 - Increases room prestigeSilver Bench - K50Silver Star Award - K150Small Air Con Unit - K50 - $100 - Decreases temperature in a smaller than regular radiusSmall Radiator - K? IncidentsEvery now and then, you'll receive an email with a blue light on it, and these are incidents.
They are major events, like an accident or people running away and needing help, and will test your hospital's services within a set timeframe. You'll have to cure 7 patients with Jest Infection, or 4 people who need surgery, and they all must be completed in the time limit (usually 90 days, I've seen one that is 180).If you successfully cure the majority of the patients, you'll receive a bonus to your reputation, Kudosh and money. If you do not cure most of them, you'll either get nothing, or you'll get a slight ding to your reputation. Keep in mind that, since some cures take longer than others (such as Jest Infection), having only one room dedicated to that cure may not be enough, especially if the patients get hung up somewhere (bathroom, for example), or the doctor in charge goes on break or has a negative trait like falling asleep, which wastes time. ChallengesOccasionally, you'll receive an email from a member of your staff with a certain challenge they want you to do.
If you accomplish the challenge within the timeframe, you'll earn a bonus to your happiness, and some additional Kudosh. If you fail the challenge, it doesn't seem to have an immediate affect, and as of right now (August 30th, 2018), there's no text telling you of any negative outcome.Challenges may consist of curing a certain amount of patients, having a Prestige Level 5 room, or going 90 days without any patients dying. These are just a few examples. EpidemicsIn the later hospitals, once you get to where you need to worry about temperature, you'll be introduced to epidemics. Epidemics are events that occur throughout your hospital, and you need to manually find the people with this issue and cure them, by clicking on them and then choosing the new action on their bar, Vaccine.In the image example, people who have this disease will walk like if they were mummified, also similar to a zombie walk, and will occasionally sneeze loudly.Epidemics can affect both staff and patients, so don't just look for patients.If you succeed in fighting the epidemic without using more than necessary vaccinations, you'll get the most reward. If you fail it, you'll lose rep, and it's a decent amount of rep to lose.For Jogger's Ripple, look for people that power walk, and randomly stretch or do jumping jacks.
The patient panel will give you an overview of everything about them. Their current health, happiness and energy, as well as the condition they have, what they're feeling, a breakdown of the illness and its stats (such as difficulty, and whether your staff will be able to handle it), which room they're currently going to, and how long they've been in the hospital.At the bottom, you'll see a panel of actions you can make on them. They are:Send Home - send the patient home, useful if the difficulty is high and your skill is low, and you don't want to risk failing a treatment or flat out killing themSend for Treatment - force them to go for a treatment without being fully diagnosed; useful if you need to hurry them along and believe your skill will cover it, but risky as a forced treatment can kill them. The staff panel shows you everything you need to know. You'll see their rating, what they're trained in, their salary (which you can increase if you want), their happiness and energy, where they're currently working, how they're feeling, and a list of actions you can perform on that staff member. Those actions are:Pick up - Move the staff member somewhere elseFire - Fire the staff member. The box will show you their stats (how many they've let die, saved, etc.), as well as give you a reason not to fire them.
My favorite so far? They threatened to 'burn all their swans' if I let them goTake a break - Send them to the nearest staff room, regardless of energyPay review - Opens the financial screen to show you their pay in relation to everyone elseJobs - Opens the job screen so you can assign or unassign them jobs, such as if you want doctors with the Research trait to only ever work in the research roomTrain - Immediately opens the training screen so you can send this staff member to the roomOne of my biggest suggestions is to specialize with the improvement traits as soon as you're able. For example, make sure you're able to get a doctor that comes with a specialist trait (radiologist, surgeon, geneticist, etc.), or comes with no trait, and then train that specialist trait. Once that doctor improves, continue training him with the following: Motivation, Bedside, Stamina, Treatment.
This gives you a doctor that's fully qualified in one of the specialty rooms, with boosts to their speed, happiness they bring to their patients, ability to work, and cure chance of success.I've been doing this since I've been able, and where money permits, and it makes a huge difference. You can then lock that doctor to just perform in that one room, and you'll have the best outcome possible for that cure. Staff ExperienceStaff come with various levels.
A one star staff member is slower and prone to mistakes, and will only have one slot available for traits. They are also the cheapest to hire. You can hire staff with more experience, or train them to increase their level and title, which then increases how many traits they can have.1 StarStudent Doctor Student Nurse Intern Assistant Intern Janitor2 StarsJunior Doctor Junior Nurse Junior Assistant Junior Janitor3 StarsDoctor Nurse Assistant Janitor4 StarsConsultant Senior Nurse Senior Assistant Senior Janitor5 StarsSenior Consultant Chief Nurse sss Head JanitorStaff gain experience by doing their job.
Staff will start at a minimum of one star. To improve, they need to accumulate:2 stars:1253 stars: 250 XP4 stars: 600 XP5 stars: 1000 XPOnce at level 5: 2000 XP. DON'T LEAVE ME!If your staff are unhappy for whatever reason, you'll receive an email with an angry red face stamped on it. This is a letter of resignation, and it gives you a certain amount of time (I've always had 90 days so far) to fix the issues that staff member has, or they'll quit.Some of the reasons they may quit are:.
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Desperate for the toilet - you have too few toilets for the amount of people, which cause a delay; add more toilets. Ugly environment - the hospital's attractiveness is low; improve it by adding plants, posters, etc. Underpaid - fix this by giving them a raise. Functional PersonalitiesFunctional personalities are ones that have a plus or minus effect. Flavor PersonalitiesFlavor personalities are fun, cute, weird or questionable traits a staff member may have, but they don't actually affect any aspect of the game. Some of these are:.
A means to an end. Assumes all parties are fancy dress. Befriends quadrupeds. Chases animals at the park.
Contrary despite their best efforts. Doesn't remember that night. Has baggage. Has some regrets. Just like everyone else. Level 2 Orbling. Loses track of children.
Loves pudding. Not one of a kind.
Once battled an orchard. One-handed backhand. Overuses basil. Sarcastically frames trivial things. Season ticket holder at The Sloop.
Sleep gallops. Their dog has no nose. Their handwriting makes them seem boring. Thinks clouds probably have feelings. Totally moleless. Under construction.
VIPs/jh1You'll occasionally get visits from VIPs. These can be the mayor or a reporter, for example, and they are people who come by to interview your patients and staff, observe, look around, and basically just report on everything that's happening. You do have the option to decline their visit.If the VIP is pleased, you'll earn a bonus to your reputation and Kudosh. If they have both good and bad things to say, you'll neither gain nor lose anything, but if they have bad things to say, you'll take a hit to your reputation. Reporters are identified by the special icon above their head. ResearchOnce you get to the fourth and fifth hospitals, you'll be able to build a research room, train a doctor in research, and then research new cures, rooms and items.
Each research project will cost you $1,000, and will take some time. The amount of time depends on the quality of your researchers, as well as what items you've added to the research room.The first research tier of a room unlocks that room. The second unlocks the level II upgrade, and third unlocks the level III upgrade.Room research: 1000 pointsLevel II upgrade: 2000 pointsLevel III: upgrade 3000 points$3,000 total ($1,000 per tier). TrainingA few hospitals in, you'll be able to build a training room, which will allow you to train your staff in various traits.
Staff will need to have a free trait spot (out of five), which they earn by being promoted. You can try your staff in any trait, and they are:. Bedside Manner. Customer Service I. Customer Service II. Diagnostics.
Emotional Intelligence. General Practice. Genetics. Injection Admistration. Maintenance I. Maintenance II. Motivation.
Psychiatry I. Psychiatry II. Research. Stamina Training. Training Masterclass. Treatment I.
Treatment II. Treatment III.I personally recommend several small rooms as opposed to one or two large rooms.
This gives you the best way of training multiple people at once, and you're not forced to wait until one person is trained in a room that can hold 20 people. MarketingFurther into the game, you'll get the ability to build the Marketing room, which requires an assistant with the marketing trait. From here, you can then launch marketing campaigns to do various things.The general marketing campaigns are designed to increase your reputation and bring in patients. The larger the campaign, the more expensive, and you can set a duration from one month to one year.The second tab lets you market for a specific illness, and will be restricted to what rooms you have built in your hospital. If you're struggling to get Animal Magnetism patients to fulfill an objective, for example, you can start a campaign aimed at those patients, and draw them in to your hospital.The third tab specializes in drawing in staff. As you'll always have a few people waiting to be hired, this is best used to grab the attention of specialists, like a Surgeon or Radiologist.
Golden ToiletIf you signed up for the Two Point Hospital newsletter prior to its release, it gave you a Golden Toilet which you can use in-game. However, it's not given automatically. To get the toilet, go to SEGA'S TPH website here:Once there, sign in with your Steam account, and you'll be prompted to give SEGA access so that it can redeem keys to your account. Agree, and continue, and you'll have the toilet redeemed.You'll need to restart the game to have it show up in-game, but if you go to Two Point Hospital in your Steam library, you'll see it's been added. You'll still need to unlock it for K40, and they cost $2,000 each to place. Very extensive guide.
Only thing I am not sure about is the values of $ & K you've set for 1., 2. & 3. I don't think they are as universal as that. Pretty sure there's a level I just got $20k for each star with only the Kudosh.I've tried to verfiy elsewhere and the wiki also has different $/K amounts for some stars as opppsed to the catch all amounts listed.Defo good to know what you unlock in the game though in order not to waste Kudosh on stuff you can unlock for free.Thanks again!
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