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Two Point Hospital - Achievement guide & roadmap

Guide & 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 Brow and I'd Like To Thank My Mother may well be the only real challenges here.

Metadata

Do Steam achievements work offline?
Unknown
Has a single-player mode?
Yes
Has a multi-player mode?
No
Difficulty affects achievements?
No
# playthroughs required for 100%?
1

Game info

Achievements
34
Guide status
158/158 100% complete
Versions you own:
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Achievements

Type
13,8,0,0,9,4 13 Unknown, 8 Objective, 9 Grind, 4 Story
Missable
13,0,0,3,18,0 13 Unknown, 3 Unmissable, 18 Optional
Glitchy?
33,1,0,0 33 Not-glitched, 1 Partially glitched

Your progress

Sign in to track your progress against this game's achievements.

Story

Give a Man a Hospital...

Cure 1 Patient

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

County-Wide

Earn 15 Gold Stars

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Inter-Continental

Earn 30 Gold Stars

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Pointy Mountain G.O.A.T

Earn 45 Gold Stars

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Grind

Teach a Man to Hospital...

Cure 1000 Patients

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Well-Informed

Complete 50 Research Projects

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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.

Always Be Curing

Run 50 Marketing Campaigns

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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.

Bells & Whistles

Conduct 25 Machine Upgrades

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You'll get this without even trying...

I. See. You.

Capture 100 Ghosts

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You'll get this without even trying...

JUMBO

Reach $50,000,000 Organisation Value

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Two Point Bounty

Earn 10,000 Kudosh

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Double Digits

Have a Level 10 Hospital

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This will be impossible to avoid during the campaign.

Double Double

Have a Level 20 Hospital

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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.

Objective

Dr Know

Train a World-Class Researcher

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Same as Jung at Heart and Cut Above but for Psychiatry.

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

Train a World-Class Psychiatrist

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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.

Cut Above

Train a World-Class Surgeon

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Same as Dr Know and Jung at Heart but for Psychiatry.

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.

Peer-Reviewed

Complete a Multiplayer Challenge

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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.

I'd Like To Thank My Mother

Win every award in a single hospital

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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!

Low Brow

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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...

High Brow

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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.

Generating Business

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

Unknown

High Altitude Health Service

Earn 1 Star at each hospital in the Pointy Mountains

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The New Gold Standard

Earn 54 Gold Stars

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Now Even Cheesier

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De-Lux Suite

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Furry Good Review

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Curing Spree

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The (Second) New Gold Standard

Earn 63 Gold Stars

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Busman's Holiday

Earn 1 Star at each hospital on Pebberley Island

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Life, the Universe and Everything

Complete Wave 42 on Topless Mountain

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Symbiosis

Unlock every plot in Overgrowth

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Icebreaker

Complete Superbug Project "Hair Removal"

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Strength in Numbers

Complete Superbug Project "Learning Machine Learning"

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Serial Collaborator

Complete 50 Research Nodes

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