Two Point Hospital achievement guide & roadmap (Steam)

 

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...).

Properties

Single-player only

Difficulty does NOT affect achievements

1 missable achievements (plus 5 unknown)

Guide 73% complete - please help finish it

Authors

shivars   
 

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Give a Man a Hospital...

Story, Unmissable, Anywhere,

Cure 1 Patient

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

Double Digits

Grind, Unmissable, Anywhere,

Have a Level 10 Hospital

This will be impossible to avoid during the campaign.

Teach a Man to Hospital...

Grind, Optional, Anywhere,

Cure 1000 Patients

Bells & Whistles

Grind, Optional, Anywhere,

Conduct 25 Machine Upgrades

You'll get this without even trying...

Low Brow

Objective, Optional, Anywhere,

Shoot 1 Monobeast

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.

Grind, Optional, Anywhere,

Capture 100 Ghosts

You'll get this without even trying...

Peer-Reviewed

Objective, Optional, Anywhere,

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.

County-Wide

Story, Unmissable, Anywhere,

Earn 15 Gold Stars

Base game

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

Generating Business

Objective, Optional, Anywhere,

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.

Double Double

Grind, Optional, Anywhere,

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.

Two Point Bounty

Grind, Optional, Anywhere,

Earn 10,000 Kudosh

Icebreaker

Objective, Optional,

Complete Superbug Project "Hair Removal"

Superbug initiative

Inter-Countinental

Story, Optional, Anywhere,

Earn 30 Gold Stars

Base game

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

Well-Informed

Grind, Optional, Anywhere,

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.

I'd Like To Thank My Mother

Objective, Optional, Partially glitched, Anywhere,

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!

Jung at Heart

Objective, Optional, Anywhere,

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.

Dr Know

Objective, Optional, Anywhere,

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.

JUMBO

Grind, Optional, Anywhere,

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.

Always Be Curing

Grind, Optional, Anywhere,

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.

Furry Good Review

Objective, Optional,

Knock the socks off of Bartholomew F. Yeti

Bigfoot DLC

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

Story, Unmissable,

Earn 1 Star at each hospital in the Pointy Mountains

Base game

Cut Above

Objective, Optional, Anywhere,

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.

Kissed by a Nurse

Objective, Optional,

Cure a patient with Frogborne

Close Encounters DLC

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

Pointy Mountain G.O.A.T

Grind, Optional, Anywhere,

Earn 45 Gold Stars

Base game

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

Now Even Cheesier

Objective, Optional,

Complete the "Cheesier Gubbins" Research Project in Swelbard

Bigfoot DLC

Finish the "Cheesier Gubbins" research in Swelbard.

Busman's Holiday

Grind, Optional,

Earn 1 Star at each hospital on Pebberley Island

Pebberley Island DLC

Curing Spree

Objective, Optional,

Get a Curing Spree on Topless Mountain

Pebberley Island DLC

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.

Stealthily Healthily

Objective, Optional,

Earn 1 Star at each hospital in Close Encounters

Close Encounters DLC

Serial Collaborator

Grind, Optional,

Complete 50 Research Nodes

Superbug initiative

Rose Amongst The Pigeons

Grind, Optional,

Expose 50 Alien Infiltrators

Close Encounters DLC

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.

Environmentally Friendliest

Objective,

Receive the highest possible Eco Rating

Off the grid DLC

The New Gold Standard

Grind, Optional,

Earn 54 Gold Stars

Bigfoot DLC

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

Objective, Optional,

Cure a patient in the Herb Garden

Off the grid DLC

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.

Strength in Numbers

Objective, Optional,

Complete Superbug Project "Learning Machine Learning"

Superbug initiative

World 1

All-the-things, Optional,

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

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De-Lux Suite

Objective, Optional,

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

Bigfoot DLC

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 (Second) New Gold Standard

Grind, Optional,

Earn 63 Gold Stars

Pebberley Island DLC

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

High Brow

Objective, Optional, Anywhere,

Shoot 10 Monobeasts in a row without missing

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.

Animation & Sanitation

All-the-things, Optional, Partially glitched,

Activate every Robo-Janitor prototype in Chasm 24

Close Encounters DLC

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.

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Vote Windsock

Grind, Optional,

Earn 1 Star at each hospital in Off The Grid

Off the grid DLC

The (Third) New Gold Standard

Grind, Optional,

Earn 72 Gold Stars

Close Encounters DLC

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

Symbiosis

Grind, Optional,

Unlock every plot in Overgrowth

Pebberley Island DLC

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.

Life, the Universe and Everything

Objective, Soft-missable,

Complete Wave 42 on Topless Mountain

Pebberley Island DLC

The (Fourth) New Gold Standard

Grind, Optional,

Earn 81 Gold Stars

Off the grid DLC

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

World 2

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

Greener Grass

Objective,

Maximise your Green Energy capacity in Windsock

Off the grid DLC