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Two Point Hospital achievement guide & roadmap

Two Point Hospital™ 2 editions, view...

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...).
Has Singleplayer?
Yes
Has Multiplayer?
No
Difficulty affects achievements?
No
Guide contributors
shivars
72%
Guide in progress
72% complete
Kinds
2 Story, 19 Grind, 18 Objective, 2 All-the-things, 4 Unknown,
Missables
3 Unmissable, 35 Optional, 1 Soft-missable, 6 Unknown,
Glitches
43 Not glitched, 2 Glitched,
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45 achievements

Give a Man a Hospital…

77.0% Common

Cure 1 Patient

Unknown kind Missability unknown No glitches

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...

35.3% Uncommon

Cure 1000 Patients

Grind Optional No glitches

Bells & Whistles

34.8% Uncommon

Conduct 25 Machine Upgrades

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

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.

24.4% Uncommon

Capture 100 Ghosts

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

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

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

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

16.1% Uncommon

Earn 10,000 Kudosh

Grind Optional No glitches

Icebreaker

10.3% Uncommon

(Superbug initiative) Complete Superbug Project "Hair Removal"

Objective Optional No glitches

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

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.

Dr Know

6.8% Rare

Train a World-Class Researcher

Objective Optional No glitches
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.

Jung at Heart

6.7% Rare

Train a World-Class Psychiatrist

Objective Optional No glitches
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.

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

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.

Pointy Mountain G.O.A.T

3.4% Rare

(Base game) Earn 45 Gold Stars

Grind Optional No glitches

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

Cut Above

3.4% Rare

Train a World-Class Surgeon

Objective Optional No glitches
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.

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

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

2.6% Rare

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

Objective Optional No glitches

Finish the "Cheesier Gubbins" research in Swelbard.

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

2.1% Rare

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

Grind Optional No glitches

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).

Peer Reviewed

2.0% Rare

Complete a Multiplayer Challenge

Unknown kind Missability unknown No glitches

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.

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.

Environmentally Friendliest

1.9% Rare

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

Objective Missability unknown No glitches

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

1.6% Rare

(Pebberley Island DLC) Earn 63 Gold Stars

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

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

1.5% Rare

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

Objective Optional No glitches

Vote Windsock

1.4% Rare

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

Grind Optional No glitches

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 Standard

World 2

1.2% Rare

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

Unknown kind Missability unknown No glitches

Inter-Countinental

0.9% Legendary

Earn 30 Gold Stars

Unknown kind Missability unknown No glitches

Serial Collaborator

0.9% Legendary

(Superbug initiative) Complete 50 Research Nodes

Grind Optional No glitches

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

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...

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.

High Brow

0.7% Legendary

Shoot 10 Monobeasts in a row without missing

Objective Optional No glitches
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.

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.

Greener Grass

0.6% Legendary

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

Objective Missability unknown No glitches

Life, the Universe and Everything

0.4% Legendary

(Pebberley Island DLC) Complete Wave 42 on Topless Mountain

Objective Soft-missable No glitches