Two Point Hospital

Just what the doctor ordered

In an era of high-octane action games and sprawling open-world adventures, Two Point Hospital offers a refreshingly quirky and addictive experience that celebrates micromanagement, eccentricity, and good old-fashioned humour. Developed by Two Point Studios and published by SEGA, this spiritual successor to 1997’s Theme Hospital succeeds in reviving the genre with modern polish while staying true to its roots.

At its core, Two Point Hospital is a business simulation game that tasks you with building and managing a network of increasingly complex and wacky hospitals across the fictional Two Point County. You'll hire staff, diagnose patients, construct treatment rooms, and battle financial pressure – all while dealing with illnesses like "Light-Headedness" (patients with literal light bulbs for heads) and "Mock Star" (Freddie Mercury impersonators). It’s absurd in the best possible way.

 

General Practice Screenshot
Feeling Lightheated?

The charm lies in its humour and visual style. The art direction is bright and cartoonish, with exaggerated animations that bring each character and illness to life. Doctors stride with arrogance, janitors fix ghost-infested machinery, and patients exude personality even when vomiting in the corridor. The game never takes itself too seriously, which makes it remarkably fun to watch as well as play.

Gameplay revolves around a series of hospitals, each presenting new challenges and objectives. Early levels ease you in gently, teaching you the basics of room placement, staff management, and patient care. As you progress, the stakes increase – patients arrive sicker and in greater numbers, diseases grow more elaborate, and staff demands become harder to juggle. Each hospital has star objectives, and while earning one star is often simple, chasing the coveted three-star rating requires efficiency, creativity, and patience.

Hospital Overview
Land can be bought to extend your hospital

Staff management is a standout mechanic. Every employee has skills, traits, and preferences. A top-notch surgeon might be lazy, or your best receptionist may demand frequent breaks. This introduces an engaging layer of strategy as you balance staff happiness with hospital performance. The game rewards forward planning, but it also encourages experimentation. You’re free to design your hospital layout however you wish, and the modular building tools are intuitive and satisfying to use.

That said, Two Point Hospital isn’t without its drawbacks. After several hospitals, a sense of repetition sets in. The core gameplay loop – build rooms, hire staff, treat patients, earn money – doesn’t evolve dramatically beyond the first dozen hours. While new illnesses and room types are steadily introduced, the novelty can wear thin. There’s also some micromanagement tedium, particularly in staff scheduling and maintenance assignments, which could benefit from more automation options.

Visually, the game runs smoothly and scales well on different systems, but there are occasional AI pathfinding issues – staff wandering aimlessly or patients clustering unnecessarily – that can cause frustration, especially in busier hospitals. The soundtrack, while fittingly cheerful, is a bit limited and may prompt you to mute it after extended play sessions.

Spooky patients
Oh no! Ghosts do not mean success!

Despite these minor flaws, Two Point Hospital remains a compelling experience. Its blend of strategy, humour, and accessible design make it easy to pick up and hard to put down. It’s the kind of game where you tell yourself, “Just one more hospital,” and then suddenly it’s 2 a.m. and you’ve redesigned your entire radiology wing.

For fans of the original Theme Hospital, Two Point Hospital is a loving tribute that modernises a classic formula without losing its soul. For newcomers, it’s a charming and intelligent sim game that proves hospital management can be hilarious and rewarding.

Verdict:
Two Point Hospital doesn’t reinvent the simulation genre, but it delivers a polished, whimsical, and deeply enjoyable experience. It’s not perfect, but its personality and attention to detail make it stand out in a crowded market.

Score 8 out of 10

With dozens of hospitals to unlock and countless ways to optimise layouts and staff, Two Point Hospital offers impressive replay value. The constant introduction of new challenges and illnesses keeps the experience fresh well into the later stages.

Packed with visual gags, witty writing, and chaotic hospital scenarios, the game delivers plenty of laughs and engaging gameplay. While it doesn’t always surprise, it consistently entertains.

The user interface is clean and the tutorials are helpful, making it approachable for newcomers to the genre. However, deeper mechanics and micromanagement demands might overwhelm casual players over time.

PROS / CONS

  • Charming and humorous presentation with quirky illnesses and personality-filled animations.
  • Deep and rewarding management systems that offer strategic flexibility and replay value.
  • Intuitive building tools and smooth learning curve make it easy to jump in and get started.
  • Can become repetitive after extended play, with a similar loop across hospitals.
  • Occasional AI pathfinding issues cause minor frustration in busy hospitals.
  • Micromanagement can become tedious, especially when managing large staff rosters.