Two Point Hospital achievement guide, roadmap and tracker

As is typical with sandbox games, nothing is unmissable and you can get almost everything just by 3-starring every level. Do note that stars are cumulative; i.e. in any/every hospital you work to get 1-star, then the 2nd star then the 3rd. Stars can't be removed. You can return to any hospital at any point to work on the remaining stars. Research progress (and rooms available!) are persistent across all hospitals. Hence it may be helpful (albeit unlikely) to return to an older hospital with new gear/upgrades available and be more easily able to get it to 3 stars. On that point specifically; research being global is useful - switch back to an established hospital where you have strong research anytime you come across new conditions that need a new room researching. you don't have to build a research facility in every new hospital!

High Brow and

I'd Like To Thank My Mother may well be the only real challenges here in the base game... ...however with the DLC added as well this turns into 100+ hours to 100% this game, just to get all the stars if nothing else (see

The New Gold Standard and the second/third variations of it...).

Always Be Curing

Rare5.5%

GrindOptional

Run 50 Marketing Campaigns

Marketing rooms get unlocked a few hospitals into the campaign. Make sure to run a few campaigns in each hospital to help grind this out during your normal run through.

Animation & Sanitation

Legendary0.8%

All-the-thingsOptionalGlitched

Activate every Robo-Janitor prototype in Chasm 24

You get access to robo janitors in Chasm 24. You can have up to 5 in a single hospital. You get them for free by buying plots, but you don't get to choose which type you'll receive on any given plot. If you complete Chasm 24 with 3 stars then you gain the ability to buy robo janitors and can then choose whatever you want.

This achievement may not unlock without quitting/reloading the game after having completed the objectives.

Collectibles (5)

1. Mend-friend

2. Build & repair

3. BinBoi

4. In & Out

5. An Life and Death

Arts & Plaster Casts

Legendary1.3%

Earn 1 Star at each hospital in Culture Shock

Bells & Whistles

Common34.8%

GrindOptional

Conduct 25 Machine Upgrades

You'll get this without even trying...

Besterizer

Legendary1.0%

Send 100 cured patients through the Yesterizer in Clockwise-above-Thyme

Busman's Holiday

Legendary2.1%

GrindOptional

Earn 1 Star at each hospital on Pebberley Island

Character Development

Legendary0.6%

Train Roderick Cushion to Level 5 at Plywood Studios

County-Wide

Uncommon23.2%

StoryUnmissable

Earn 15 Gold Stars

You'll get this naturally as you progress through the scenarios.

Curing Spree

Legendary2.0%

ObjectiveOptional

Get a Curing Spree on Topless Mountain

Cure a wave of 10 patients at a time without failing any, and continue to do so to build the streak. You should be able to get this on wave 10+ after training the staff and upgrading the machines.

Cut Above

Legendary3.4%

ObjectiveOptional

Train a World-Class Surgeon

Same as

Dr Know and

Jung at Heart but for Surgery. This means all 5 skill slots all on surgery. Make sure to hire someone either with no skills or just with surgery; then keep working and training them as soon as they come up for training. You'll likely have to grind this out in a level a ways after getting 3 stars in it. Surgery becomes available 4 or so hospitals into the campaign.

Days of Suture Past

Legendary1.2%

Earn 1 Star at each hospital in A Stitch In Time

De-Light Saving Time

Legendary1.3%

Cure a patient with Lightheadedness, Beheadedness, Hotheadedness, and Byteheadedness in Clockwise-above-Thyme

De-Lux Suite

Legendary0.9%

ObjectiveOptional

Have a Level 5 De-lux Clinic at the Underlook Hotel

Have a Level 5 De-lux Clinic at the Underlook Hotel - do this in the usual way by upgrading the machine and putting pictures all over the walls.

Diversified Portaloo

Legendary0.2%

Have at least one of each type of ambulance fully upgraded in the same hospital.

Double Digits

Common59.2%

GrindUnmissable

Have a Level 10 Hospital

This will be impossible to avoid during the campaign.

Double Double

Uncommon18.8%

GrindOptional

Have a Level 20 Hospital

Your hospital gains level by you building more stuff in it; rooms, items, anything. Just keep building. Ofc this will be easier later in the campaign, and you can revisit and resume any hospital at any time to help grind this out if you wish.

Dr Know

Rare6.8%

ObjectiveOptional

Train a World-Class Researcher

Same as

Jung at Heart and

Cut Above but for Research. This means all 5 skill slots all on research. Make sure to hire someone either with no skills or just with research; then keep working and training them as soon as they come up for training. You'll likely have to grind this out in a level a ways after getting 3 stars in it.

Environmentally Friendliest

Legendary1.9%

Objective

Receieve the highest possible Eco Rating

First Catch Your Plant

Legendary2.0%

ObjectiveOptional

Cure a patient in the Herb Garden

This is a treatment room that gets unlocked in the Old Newpoint level in the Off The Grid DLC. It needs a nurse to operate it.

Furry Good Review

Legendary3.3%

ObjectiveOptional

Knock the socks off of Bartholomew F. Yeti

Knock the socks off of Bartholomew F. Yeti. Bartholomew F. Yeti is one of VIPs - he will visit sometime at Selbard hospital. Make sure he leaves happy...

Generating Business

Uncommon16.2%

ObjectiveOptional

Injure someone with an exploding machine

"Injure someone with an exploding machine" - you'll end up with this accidentally through the campaign at some point. Its not worth trying for.

Give a Man a Hospital...

Common94.4%

StoryUnmissable

Cure 1 Patient

It'll be impossible not to get this in your first hospital...

Give a Man a Hospital…

Common77.0%

Cure 1 Patient

Good VIBErations

Legendary0.8%

Achieve a high VIBE rating at Fitzpocket Academy

Greener Grass

Legendary0.6%

Objective

Maximise your Green Energy capacity in Windsock

High Altitude Health Service

Legendary3.1%

StoryUnmissable

Earn 1 Star at each hospital in the Pointy Mountains

High Brow

Legendary0.7%

ObjectiveOptional

Shoot 10 Monobeasts in a row without missing

Low Brow - but get 10 in a row without missing one. The easiest way to do this is to find some monobeasts, pause the game, then rapidly unpause (space), click to shoot, then pause again - then set up for the next one. Rinse & repeat and it should be easy to get 10 and pop this achievement.

Icebreaker

Rare10.3%

ObjectiveOptional

Complete Superbug Project "Hair Removal"

I'd Like To Thank My Mother

Rare6.6%

ObjectiveOptionalGlitched

Win every award in a single hospital

The hardest award will be 'no deaths'. And despite what the description says, you have to get all awards _in the same year_. This will likely be easiest by revisiting the first/early hospitals after you have progressed further into the campaign to unlock better machines/rooms/etc. Don't forget you can quickload to cheat out of random deaths.... Flagged as partially glitched as the achievement description is less specific than the actual requirement!

Intensive Car Unit

Legendary0.8%

Earn 1 Star at each hospital in Speedy Recovery

Inter-Countinental

Rare7.6%

StoryOptional

Earn 30 Gold Stars

See

County-Wide - you'll get this naturally.

Inter-Countinental

Legendary0.9%

Earn 30 Gold Stars

I. See. You.

Uncommon24.4%

GrindOptional

Capture 100 Ghosts

You'll get this without even trying...

It's a Wind-up

Legendary0.2%

Collect 20 patients in one trip with a Pantomobile.

JUMBO

Rare9.1%

GrindOptional

Reach $50,000,000 Organisation Value

You'll probably get this naturally as part of going for 3 stars on all levels in the base game.

The profitability of each hospital matters here; i.e. get revenue up and keep costs down.

You can return to older hospitals to further improve them - especially as you'll subsequently have gained access to more advanced rooms/upgrades/etc.

Jung at Heart

Rare6.7%

ObjectiveOptional

Train a World-Class Psychiatrist

Same as

Dr Know and

Cut Above but for Psychiatry. This means all 5 skill slots all on psychiatry. Make sure to hire someone either with no skills or just with psychiatry; then keep working and training them as soon as they come up for training. You'll likely have to grind this out in a level a ways after getting 3 stars in it.

Kissed by a Nurse

Legendary2.2%

ObjectiveOptional

Cure a patient with Frogborne

Your first Frogborne patients will appear in Camouflage Falls - research Toad Hall first though.

Life, the Universe and Everything

Legendary0.4%

ObjectiveSoft-missable

Complete Wave 42 on Topless Mountain

Low Brow

Common31.6%

ObjectiveOptional

Shoot 1 Monobeast

Shoot one monobeast! These are small creatures that run around your hospital - mostly in dirtier hospitals. Sometimes they run loose on the floor, other times you may need to move furniture (e.g. drinks/snack machines) to disturb them. Click on them to shoot them!

Note they move quite quick, but you have to be on at least Normal time speed for them to be shootable. On Slow time, the cursor won't change to a crosshair and they won't be shootable.

They look like a sticking plaster or a boring sausage. Quite weird really...

Now Even Cheesier

Legendary2.6%

ObjectiveOptional

Complete the "Cheesier Gubbins" Research Project in Swelbard

Finish the "Cheesier Gubbins" research in Swelbard.

Peer Reviewed

Legendary2.0%

Complete a Multiplayer Challenge

Peer-Reviewed

Rare14.5%

ObjectiveOptional

Complete a Multiplayer Challenge

You can do this right from the beginning - select any challenge using the icon right in the top-right corner and let it play out. you don't have to win - or indeed get any points/progress at all - it just has to reach conclusion.

Pointy Mountain G.O.A.T

Legendary3.4%

GrindOptional

Earn 45 Gold Stars

See County-Wide - you'll get this naturally.

Rose Amongst The Pigeons

Legendary1.6%

GrindOptional

Expose 50 Alien Infiltrators

These appear in Goldpan and Chasm 24. They are aliens disguised as patients. They make electrical sounds, which you can use to spot them. Spot them and send them home... ...50 times.

Serial Collaborator

Legendary0.9%

GrindOptional

Complete 50 Research Nodes

Sick-in-the-Mud

Legendary0.8%

Complete Wave 18 at Mudbury Festival

Stealthily Healthily

Legendary1.5%

ObjectiveOptional

Earn 1 Star at each hospital in Close Encounters

Strength in Numbers

Legendary0.6%

ObjectiveOptional

Complete Superbug Project "Learning Machine Learning"

Swiss Cheese Hospital

Legendary2.3%

Cure 100 patients from time portals in a single year

Symbiosis

Legendary0.6%

GrindOptional

Unlock every plot in Overgrowth

In this map you gain plots not by buying them but instead by completing objectives. There are 32 total to unlock - and there'll be a lot of patients to get to that point; you'll need at least 10 GP offices, 6 receptions and at least 2 of all the other diagnosis rooms.

Teach a Man to Hospital...

Common35.3%

GrindOptional

Cure 1000 Patients

The (Fifth) New Gold Standard

Legendary0.7%

Earn 90 Gold Stars

The (Fourth) New Gold Standard

Legendary0.9%

GrindOptional

Earn 81 Gold Stars

Yup, you're going to be at this a looooonnngggg time...

The New Gold Standard

Legendary2.1%

GrindOptional

Earn 54 Gold Stars

You'll need all the stars in the base game and some of the DLC ones - this will take a long time (80+ hours).

The (Second) New Gold Standard

Legendary1.6%

GrindOptional

Earn 63 Gold Stars

Now 100+ hours of play. Also see

The New Gold Standard

The (Seventh) New Gold Standard

Legendary0.3%

Earn 108 Gold Stars

The (Sixth) New Gold Standard

Legendary0.5%

Earn 99 Gold Stars

The (Third) New Gold Standard

Legendary1.2%

GrindOptional

Earn 72 Gold Stars

Yeah you'll be playing for a long while.... Also see

The New Gold Standard

Two Point Bounty

Uncommon16.1%

GrindOptional

Earn 10,000 Kudosh

Vote Windsock

Legendary1.4%

GrindOptional

Earn 1 star at each hospital in Off The Grid

Well-Informed

Rare8.9%

GrindOptional

Complete 50 Research Projects

Some projects remain locked until late in the campaign. Remember that research opportunities and progress are shared across all hospitals - so when you get somewhere new and have an objective on something you haven't researched yet just flip back to a previous hospital to capitalise on the established research resource you will have already built up there to get it done faster.

World 1

Legendary1.8%

All-the-thingsOptional

Complete R.E.M.I. X versions of Hogsport, Lower Bullocks & Flottering

Collectibles (3)

1. Hogsport

2. Lower Bullocks

3. Flottering

World 2

Legendary1.2%

Complete R.E.M.I. X versions of Mitton University, Tumble & Flemington

You Got All The Best Lines

Legendary0.5%

Reach the top of every league table at once for 3 months

Always Be Curing

Animation & Sanitation

Arts & Plaster Casts

Bells & Whistles

Besterizer

Busman's Holiday

Character Development

County-Wide

Curing Spree

Cut Above

Days of Suture Past

De-Light Saving Time

De-Lux Suite

Diversified Portaloo

Double Digits

Double Double

Dr Know

Environmentally Friendliest

First Catch Your Plant

Furry Good Review

Generating Business

Give a Man a Hospital...

Give a Man a Hospital…

Good VIBErations

Greener Grass

High Altitude Health Service

High Brow

Icebreaker

I'd Like To Thank My Mother

Intensive Car Unit

Inter-Countinental

Inter-Countinental

I. See. You.

It's a Wind-up

JUMBO

Jung at Heart

Kissed by a Nurse

Life, the Universe and Everything

Low Brow

Now Even Cheesier

Peer Reviewed

Peer-Reviewed

Pointy Mountain G.O.A.T

Rose Amongst The Pigeons

Serial Collaborator

Sick-in-the-Mud

Stealthily Healthily

Strength in Numbers

Swiss Cheese Hospital

Symbiosis

Teach a Man to Hospital...

The (Fifth) New Gold Standard

The (Fourth) New Gold Standard

The New Gold Standard

The (Second) New Gold Standard

The (Seventh) New Gold Standard

The (Sixth) New Gold Standard

The (Third) New Gold Standard

Two Point Bounty

Vote Windsock

Well-Informed

World 1

World 2

You Got All The Best Lines

Breakdown

Editions (2)

Track your progress