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Two Point Hospital
interactive achievement guide, roadmap & tracker

Intro/roadmap

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 BrowHigh Brow and I'd Like To Thank My MotherI'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 StandardThe New Gold Standard and the second/third variations of it...).

Stats

Has Singleplayer?
Yes
Has Multiplayer?
No
Difficulty affects achievements?
No
Guide contributors
shivars
72%
Guide in progress
72% complete
Kinds
4 Story, 19 Grind, 20 Objective, 2 All-the-things, 16 Unknown,
Missables
4 Unmissable, 38 Optional, 1 Soft-missable, 18 Unknown,
Glitches
44 Not glitched, 2 Glitched, 15 Unknown,
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Interactive guides
Completion by missables/DLC
Collectible checklists
100% showcase
Much more...
61 achievements
Give a Man a Hospital...
Give a Man a Hospital...

Give a Man a Hospital...

94.4% Common

Cure 1 Patient

Story Ummissable No glitches
It'll be impossible not to get this in your first hospital...
Double Digits
Double Digits

Double Digits

59.2% Common

Have a Level 10 Hospital

Grind Ummissable No glitches
This will be impossible to avoid during the campaign.
Teach a Man to Hospital...
Teach a Man to Hospital...

Teach a Man to Hospital...

35.3% Uncommon

Cure 1000 Patients

Grind Optional No glitches
Bells & Whistles
Bells & Whistles

Bells & Whistles

34.8% Uncommon

Conduct 25 Machine Upgrades

Grind Optional No glitches
You'll get this without even trying...
Low Brow
Low Brow

Low Brow

31.6% Uncommon

Shoot 1 Monobeast

Objective Optional No glitches
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...

I. See. You.
I. See. You.

I. See. You.

24.4% Uncommon

Capture 100 Ghosts

Grind Optional No glitches
You'll get this without even trying...
County-Wide
County-Wide

County-Wide

23.2% Uncommon

(Base game) Earn 15 Gold Stars

Story Ummissable No glitches
You'll get this naturally as you progress through the scenarios.
Double Double
Double Double

Double Double

18.8% Uncommon

Have a Level 20 Hospital

Grind Optional No glitches
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.
Generating Business
Generating Business

Generating Business

16.2% Uncommon

Injure someone with an exploding machine

Objective Optional No glitches
"Injure someone with an exploding machine" - you'll end up with this accidentally through the campaign at some point. Its not worth trying for.
Two Point Bounty
Two Point Bounty

Two Point Bounty

16.1% Uncommon

Earn 10,000 Kudosh

Grind Optional No glitches
Peer-Reviewed
Peer-Reviewed

Peer-Reviewed

14.5% Uncommon

Complete a Multiplayer Challenge

Objective Optional No glitches
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.
Icebreaker
Icebreaker

Icebreaker

10.3% Uncommon

(Superbug initiative) Complete Superbug Project "Hair Removal"

Objective Optional No glitches
JUMBO
JUMBO

JUMBO

9.1% Rare

Reach $50,000,000 Organisation Value

Grind Optional No glitches

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.

Well-Informed
Well-Informed

Well-Informed

8.9% Rare

Complete 50 Research Projects

Grind Optional No glitches
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.
Inter-Countinental
Inter-Countinental

Inter-Countinental

7.6% Rare

(Base game) Earn 30 Gold Stars

Story Optional No glitches
See County-WideCounty-Wide - you'll get this naturally.
Dr Know
Dr Know

Dr Know

6.8% Rare

Train a World-Class Researcher

Objective Optional No glitches
Same as Jung at HeartJung at Heart and Cut AboveCut 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.
Jung at Heart
Jung at Heart

Jung at Heart

6.7% Rare

Train a World-Class Psychiatrist

Objective Optional No glitches
Same as Dr KnowDr Know and Cut AboveCut 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.
I'd Like To Thank My Mother
I'd Like To Thank My Mother

I'd Like To Thank My Mother

6.6% Rare

Win every award in a single hospital

Objective Optional Glitched
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!
Always Be Curing
Always Be Curing

Always Be Curing

5.5% Rare

Run 50 Marketing Campaigns

Grind Optional No glitches
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.
Cut Above
Cut Above

Cut Above

3.4% Rare

Train a World-Class Surgeon

Objective Optional No glitches
Same as Dr KnowDr Know and Jung at HeartJung 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.
Pointy Mountain G.O.A.T
Pointy Mountain G.O.A.T

Pointy Mountain G.O.A.T

3.4% Rare

(Base game) Earn 45 Gold Stars

Grind Optional No glitches

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

Furry Good Review
Furry Good Review

Furry Good Review

3.3% Rare

(Bigfoot DLC) Knock the socks off of Bartholomew F. Yeti

Objective Optional No glitches

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...

High Altitude Health Service
High Altitude Health Service

High Altitude Health Service

3.1% Rare

(Base game) Earn 1 Star at each hospital in the Pointy Mountains

Story Ummissable No glitches
This will unlock automatically as you progress through the story.
Now Even Cheesier
Now Even Cheesier

Now Even Cheesier

2.6% Rare

(Bigfoot DLC) Complete the "Cheesier Gubbins" Research Project in Swelbard

Objective Optional No glitches

Finish the "Cheesier Gubbins" research in Swelbard.

Swiss Cheese Hospital
Swiss Cheese Hospital

Swiss Cheese Hospital

2.3% Rare

Cure 100 patients from time portals in a single year

Unknown kind Missability unknown Unknown glitchiness
Kissed by a Nurse
Kissed by a Nurse

Kissed by a Nurse

2.2% Rare

(Close Encounters DLC) Cure a patient with Frogborne

Objective Optional No glitches
Your first Frogborne patients will appear in Camouflage Falls - research Toad Hall first though.
Busman's Holiday
Busman's Holiday

Busman's Holiday

2.1% Rare

(Pebberley Island DLC) Earn 1 Star at each hospital on Pebberley Island

Grind Optional No glitches
The New Gold Standard
The New Gold Standard

The New Gold Standard

2.1% Rare

(Bigfoot DLC) Earn 54 Gold Stars

Grind Optional No glitches
You'll need all the stars in the base game and some of the DLC ones - this will take a long time (80+ hours).
First Catch Your Plant
First Catch Your Plant

First Catch Your Plant

2.0% Rare

(Off the grid DLC) Cure a patient in the Herb Garden

Objective Optional No glitches
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.

Curing Spree
Curing Spree

Curing Spree

2.0% Rare

(Pebberley Island DLC) Get a Curing Spree on Topless Mountain

Objective Optional No glitches

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.

Environmentally Friendliest
Environmentally Friendliest

Environmentally Friendliest

1.9% Rare

(Off the grid DLC) Receive the highest possible Eco Rating

Objective Missability unknown No glitches
World 1
World 1

World 1

1.8% Rare

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

Do-all-the-things Optional No glitches
The (Second) New Gold Standard
The (Second) New Gold Standard

The (Second) New Gold Standard

1.6% Rare

(Pebberley Island DLC) Earn 63 Gold Stars

Grind Optional No glitches
Now 100+ hours of play. Also see The New Gold StandardThe New Gold Standard
Rose Amongst The Pigeons
Rose Amongst The Pigeons

Rose Amongst The Pigeons

1.6% Rare

(Close Encounters DLC) Expose 50 Alien Infiltrators

Grind Optional No glitches

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.

Stealthily Healthily
Stealthily Healthily

Stealthily Healthily

1.5% Rare

(Close Encounters DLC) Earn 1 Star at each hospital in Close Encounters

Objective Optional No glitches
Vote Windsock
Vote Windsock

Vote Windsock

1.4% Rare

(Off the grid DLC) Earn 1 Star at each hospital in Off The Grid

Grind Optional No glitches
De-Light Saving Time
De-Light Saving Time

De-Light Saving Time

1.3% Rare

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

Unknown kind Missability unknown Unknown glitchiness
Arts & Plaster Casts
Arts & Plaster Casts

Arts & Plaster Casts

1.3% Rare

Earn 1 Star at each hospital in Culture Shock

Unknown kind Missability unknown Unknown glitchiness
The (Third) New Gold Standard
The (Third) New Gold Standard

The (Third) New Gold Standard

1.2% Rare

(Close Encounters DLC) Earn 72 Gold Stars

Grind Optional No glitches
Yeah you'll be playing for a long while.... Also see The New Gold StandardThe New Gold Standard
World 2
World 2

World 2

1.2% Rare

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

Unknown kind Missability unknown No glitches
Days of Suture Past
Days of Suture Past

Days of Suture Past

1.2% Rare

Earn 1 Star at each hospital in A Stitch In Time

Unknown kind Missability unknown Unknown glitchiness
Besterizer
Besterizer

Besterizer

1.0% Legendary

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

Unknown kind Missability unknown Unknown glitchiness
De-Lux Suite
De-Lux Suite

De-Lux Suite

0.9% Legendary

(Bigfoot DLC) Have a Level 5 De-lux Clinic at the Underlook Hotel

Objective Optional No glitches
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.
The (Fourth) New Gold Standard
The (Fourth) New Gold Standard

The (Fourth) New Gold Standard

0.9% Legendary

(Off the grid DLC) Earn 81 Gold Stars

Grind Optional No glitches

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

Serial Collaborator
Serial Collaborator

Serial Collaborator

0.9% Legendary

(Superbug initiative) Complete 50 Research Nodes

Grind Optional No glitches
Animation & Sanitation
Animation & Sanitation

Animation & Sanitation

0.8% Legendary

(Close Encounters DLC) Activate every Robo-Janitor prototype in Chasm 24

Do-all-the-things Optional Glitched

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.

Good VIBErations
Good VIBErations

Good VIBErations

0.8% Legendary

Achieve a high VIBE rating at Fitzpocket Academy

Unknown kind Missability unknown Unknown glitchiness
Intensive Car Unit
Intensive Car Unit

Intensive Car Unit

0.8% Legendary

Earn 1 Star at each hospital in Speedy Recovery

Unknown kind Missability unknown Unknown glitchiness
Sick-in-the-Mud
Sick-in-the-Mud

Sick-in-the-Mud

0.8% Legendary

Complete Wave 18 at Mudbury Festival

Unknown kind Missability unknown Unknown glitchiness
The (Fifth) New Gold Standard
The (Fifth) New Gold Standard

The (Fifth) New Gold Standard

0.7% Legendary

Earn 90 Gold Stars

Unknown kind Missability unknown Unknown glitchiness
High Brow
High Brow

High Brow

0.7% Legendary

Shoot 10 Monobeasts in a row without missing

Objective Optional No glitches
Like Low BrowLow 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.
Greener Grass
Greener Grass

Greener Grass

0.6% Legendary

(Off the grid DLC) Maximise your Green Energy capacity in Windsock

Objective Missability unknown No glitches
Symbiosis
Symbiosis

Symbiosis

0.6% Legendary

(Pebberley Island DLC) Unlock every plot in Overgrowth

Grind Optional No glitches

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.

Character Development
Character Development

Character Development

0.6% Legendary

Train Roderick Cushion to Level 5 at Plywood Studios

Unknown kind Missability unknown Unknown glitchiness
Strength in Numbers
Strength in Numbers

Strength in Numbers

0.6% Legendary

(Superbug initiative) Complete Superbug Project "Learning Machine Learning"

Objective Optional No glitches
The (Sixth) New Gold Standard
The (Sixth) New Gold Standard

The (Sixth) New Gold Standard

0.5% Legendary

Earn 99 Gold Stars

Unknown kind Missability unknown Unknown glitchiness
You Got All The Best Lines
You Got All The Best Lines

You Got All The Best Lines

0.5% Legendary

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

Unknown kind Missability unknown Unknown glitchiness
Life, the Universe and Everything
Life, the Universe and Everything

Life, the Universe and Everything

0.4% Legendary

(Pebberley Island DLC) Complete Wave 42 on Topless Mountain

Objective Soft-missable No glitches
The (Seventh) New Gold Standard
The (Seventh) New Gold Standard

The (Seventh) New Gold Standard

0.3% Legendary

Earn 108 Gold Stars

Unknown kind Missability unknown Unknown glitchiness
Diversified Portaloo
Diversified Portaloo

Diversified Portaloo

0.2% Legendary

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

Unknown kind Missability unknown Unknown glitchiness
It's a Wind-up
It's a Wind-up

It's a Wind-up

0.2% Legendary

Collect 20 patients in one trip with a Pantomobile.

Unknown kind Missability unknown Unknown glitchiness