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Two Point Hospital is the first video game to be produced by Two Point Studios, a development company formed by Ben Hymers and former Bullfrog Productions and Lionhead Studios develoeprs Mark Webley and Gary Carr. It was developed as a spiritual successor to the 1997 Windows PC game Theme Hospital, a Bullfrog creation of which Webley and Carr are credited as programmers.
The game was released on Steam in 2018 before coming to the PlayStation 4, Xbox One and Nintendo Switch two years later. While Sega were originally only set to publish the game, its success lead to Two Point Studios being acquired by Sega Europe, before being followed by a sequel, Two Point Campus.
Two Point Hospital shares similar gameplay to Theme Hospital, though benefits from twenty years of technological improvements, being rendered in real-time 3D and offering significantly more content than any version of Theme Hospital ever released. The player's objective is to construct and manage a series of hospitals in the fictional Two Point County, completing objectives set by the local authority or land owners, and earning star ratings.
Success is achieved by hiring staff, building rooms and diagnosing and curing ill patients, who will start arriving at the hospital shortly after the game begins. Patients pay for diagnosis and treatment (regardless of outcome), and the generated funds are in turn used to expand the hospital and pay for staff wages. If the player's funds get too low, the hospital will go bankrupt and the game will end.
The chances of a cure depends on the skills of staff members, the quality of equipment and time taken from the patient's arrival; curing a patient increases the hospital's reputation, while failure (or death) can lead to the reverse. Reputation in turn dictates the type and volume of patience arriving, which can affect cash flow, hence there is an incentive to quicky process patients and cure as many as possible.
The player is also tasked with meeting the needs of both their staff and patients are met, ensuring they have access to food and drink, toilets, entertainment and are kept comfortable (with staff also having regular breaks). Unhappy patients may "rage quit", leaving the hospital (and again damaging reputation), while unhappy staff may resign, taking their expertise with them. Some needs depend on the scenario; for example, cold climates mean hospitals should be heated, or hospital hygene could be an issue.
As the campaign progresses, the volume of patients may increase as can the difficulty of treating their illnesses. Future success may require staff to receive further training and promotions, while machines may need to be upgraded to improve their effectiveness. Like Theme Hospital, occasionally the player is alerted to a group of "emergency" patients and is able to choose whether to attempt to cure them within a set time limit. Doing so can lead to reputation and financial boosts (in addition to the usual cost of treatment).
Machines degrade with each use and so must be maintained by janitors, otherwise they risk catching fire and exploding. Natural disasters can also affect the running of the hospital.
Staff
Four types of staff members exist in Two Point Hospital, though can be set to work in specific roles:
