Two Point Hospital

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

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

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

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...

Finish the "Cheesier Gubbins" research in Swelbard.

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

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.

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.

Now 100+ hours of play. Also see The New Gold Standard

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.

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

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.

Yeah you'll be playing for a long while.... Also see The New Gold Standard

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.

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.

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

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

This will be impossible to avoid during the campaign.

You'll get this without even trying...

Behold the 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...

You'll get this without even trying...

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.

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

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.

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.

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.

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.

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.

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!

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.

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.

Like 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.