Introduction
Theme Hospital is a casual strategy game revolving around the concept of running your very own hospital. You're required to invest your money in different ways to improve your hospital. While you're investing, so are 3 competitors in the surrounding area of each level. You can hire staff, customize floor plans, purchase hospital expansions, research and more. Your main focus is to help patients become happy and healthy. If you fail to make your patients happy, they'll die and your reputation will suffer. You'll need to balance your budget so that you don't fall too far behind the competition and too far in debt. If you don't think ahead, your hospital and reputation will plummet.

Red highlights each section.
Green highlights sub sections within each section.
Light Blue highlights other details.

Characters - Staff
This part of the guide is designed to explain the different characters who can be employed to your hospital. There are 2 main forms of character in this game; staff and patient. The role of the staff is to attend to the patients visiting your hospital. Each member of your staff has specific jobs they are required to do and can not do the work of the different types of staff. One general rule for hiring staff relates to the amount of money they make. The faster, harder working members of staff are generally paid more. These members of staff have a higher ability bar so they can do much more work in less time than members of staff with lower bars. When hiring staff you can always choose to read the description of that member. If it reads "Fast and Hard-Working" they'll be a good fit. If they read "Rude and Abrasive" then they are slow and take longer.

The other major factor that determines staff's ability to work is their happiness. You can improve any member of the staff with several methods. When designing the different floor plans, you'll want to be sure you give the room plenty of space and add plenty of windows to each of the rooms. You can also add any number of plants to any of the rooms but this requires Handymen to water more plants. Some times it helps to hire extra staff to relieve your already hard working staff so that they get rest. When your hospital becomes really busy you'll have many patients entering your hospital all at once. Staff will remain busy helping patients even if they're really tired. This happens because you don't have enough staff to help. When staff become really tired, they become really unhappy. Their happiness will drop quickly to the point where they will threaten to resign. If they do, the only way to keep your staff is to pay them more.


Doctors - Doctors are the most hard working members of your staff and are paid the most money. There are 3 levels to this position; Junior, Doctor and Consultant. This reflects on their wages, speed and ability to work. Juniors are paid the least of all the doctors due to their slow speed and inexperience. Juniors are prone to mistakes, costly mistakes that you can't afford to make. Doctors are the middle class of the field. They are paid more but work faster and harder. Consultants are paid more and work the fastest in the field. When a doctor becomes a consultant they'll earn the ability to train lesser experienced Juniors and Doctors.

There are also 3 types of Doctor; Surgeon, Researcher and Psychiatrist. Surgeons can perform in the operating theater. Researchers are required to work in the research room. This allows your funding for research to be spent to discover a variety of useful and necessary things for improving your hospital. Psychiatrist are needed to work in the Psychiatric. Each doctor with a skill entitles them to work in any of the special areas they are trained for. The more doctors you have with skills, the easier it is to relieve the other doctors. These skilled doctors can still cover the work of doctors without skill so having more skilled doctors means more coverage on all your rooms. Having any skilled doctor become a Consultant allows them to train juniors and doctors with the skill of the consultant. This might be the only way you can get other doctors to have the skills you need.

Nurses - An equally important role of the staff falls to the nurses. Nurses are needed to work certain rooms like the Pharmacy and Fracture Clinic. There are many more rooms for doctors than there are for nurses so you won't always need more nurses. If you don't have enough nurses, their rooms won't get covered and patients can't be healed. You will want to be sure to have plenty of Nurses to keep them happy or they too will threaten to quit.

Handymen - There are 3 specific tasks for Handymen. 1) Clean the floors 2) Water Plants 3) Repair Equipment. These 3 roles are very important to the health and safety of your hospital. If the floors aren't clean, people will become sicker and make the matter worse. It becomes increasingly unhealthy and probably kills happiness. If plants aren't watered, they'll die and this kills the mood for the entire hospital. If equipment isn't repaired, equipment will be subject to explode. When equipment explodes, that room becomes useless and whoever is in the room dies.

Receptionist - Equally an insignificant and important role. The only task for the receptionist is to direct patients to where they need to go. A lower ability receptionist is careless and will direct patients to the wrong rooms and patients may get lost or take longer going to where they need to go. If receptionist begin to get bombarded by patients, you'll need to hire another one. Receptionist never get tired and never need to take a break. They're generally happy overall so you won't need to increase their pay unless you do something really stupid.

Characters - Patients
Character patients include a variety of ailments that have effected patient health. Patients come into your hospital with any number of issues and it's your job to help them. Patients are the main source of your income so you will want to treat them well! If patients aren't taken care of or die, your reputation will hurt. Easier access hospitals help patients get to where they need to go. If your hospital is a mess, it will take longer for patients to get to where they need to go. Make doctors easier to get to so that patients can run off to see other parts of the hospital.

When a patient enters the hospital, they'll meet the receptionist first. They'll be turned to a GP Office to meet with a doctor. At this point, the doctor will determine where the patient goes next. This depends on the condition of the patient and how much more testing the patient needs in order to determine what exactly is wrong. If a patient is forced to wait, they will need a place to sit. Standing patients will get quickly frustrated and leave. If patients are waiting a little while, they'll buy drinks from a nearby drinking machine. If a drink machine is not near by, they won't go searching for one. If they need to wait more, they'll have to use the bathroom. Be sure to supply all a patient's needs and you'll boost your income and reputation.

Character patients are not listed. Any patient that enters the hospital will have a specific disease. Each disease will be listed with the appropriate room that is where the cure can be found.

Events
This part covers the expectedly unexpected. During your game, you will encounter several events that will impact your game. Most of these events are very time sensitive and can be difficult to handle as they come up. You'll need to be careful when dealing with emergencies, earthquakes and epidemics. There are rewards for some of these events that boost reputation or income.

Earthquakes - These will happen at random and sometimes in sets of 2 or 3. These will make everyone fall to the floor and damage all the equipment in your hospital. If you are hit by an 8.0 Earthquake, you will take heavy damage. Your handymen will be needed to quickly repair all your machines. If they explode, you will lose the room they exploded in and all people in the room will instantly die. This includes patient and staff. Your best preventative measure is to reduce the game speed after each earthquake and either repair or replace each piece of equipment.

Emergencies - Sometimes you'll be requested for an emergency to help a number of patients. You have the option of accepting an emergency or declining one. Sometimes emergencies are small and have only a few patients. Some emergencies are large and have many patients. Depending on the size of the emergency and what must be done, you can earn a cash bonus. If you save everyone, you'll earn the max cash bonus. If you save most, you can earn 75% of the cash bonus. If you save any less than most, you get nothing. You have to be picky about which emergencies you accept because you might not be prepared to handle what it is they are asking. You are on a time limit. People will die if you can't save them within the time limit. This effects your cash bonus and kills your reputation.

Epidemic - When an Epidemic happens, it's due to the uncleanliness of your hospital due to rats. It can be totally random. Your patients are exposed to a specific disease. You will have 2 options. You can choose to cure the epidemic patients or you can choose to send them home. If you send them home, you won't risk them dying and your reputation doesn't drop. If you choose to cure them, you'll need to have the proper equipment and available staff in order to take care of it. You can try to cover up the epidemic. It doesn't always work but if you do and send everyone home, you may still earn cash prize. Epidemics don't happen very often if you take care of your hospital.

Radiators - Every now and then your radiators will stop working because the boiler is overworking. There's absolutely nothing that can be done to make this work any better or repair it any sooner. This automatically fixes as soon as possible. During this down time, it will get colder in your hospital. Reducing the thermostat might help lessen the work load on the radiators and with a reduced cost but this will only make it colder in the hospital and reduce happiness. You'll have to increase the number of radiators if you drop the temperature.

VIP Visit - Every now and then an important official will want to visit your hospital. Depending on the success of your hospital, you'll earn rewards. There's a number of things you should do to help impress the VIP.

1) Keep your hospital clean. Kill off the rats and clean up the vomit.
2) Overall happiness. Do whatever you can to keep your patients happy. This means, you need to provide benches to sit, plants and drinking machines. I'd also go a step further and make sure there's adequate bathroom space to prevent messes on the floor.
3) Repair any and all machines you can. I can't imagine a VIP being in a room when a machine explodes . No reward.
4) Try to cure as many patients as possible. Patient happiness spikes when they have been cured. This boosts the overall happiness in the hospital.

Awards/Trophies - At the end of every year, there will be awards for everything you've done throughout the year. The rewards for these awards are cash and reputation related. You can earn cash and increase or decrease your reputation. You can earn rewards for; Curing Patients, Best Reputation, Best Increased Reputation, Happy Staff, Impressing VIPs, No Deaths, Rat Shooting/Accuracy, Plants and Selling Drinks. Each reward depends on certain aspects of what you do throughout the year. You will always earn some sort of award but the reward depends on what you have done.

Hospital Rooms/Diseases
This section will provide details about each of the rooms that can be found in your hospital and who works in each room. Some rooms are barely used and you may only ever need 1 room a level while other rooms you will need to make multiple of. A general rule for GP Offices is that the patients will always visit these first. Sometimes patients will need to return to the GP Office if their cure isn't as easily found. Each room will also have which diseases it cures listed as well..

All rooms have optional decoration that you should add to it. Every decoration added will increase the overall happiness. Radiators help improve heating but too many will make the room too hot. There are some room specific items like bookcases that help improve the speed and quality of a treatment. Having 1 or more bookcases will help boost a psychiatrists work in a psychiatric for example. Fire extinguishers placed next to machinery that could explode will reduce the amount of damage caused by earthquake. This is essential for protecting your hospital. Another way to improve work performance is to make your floor plans larger.

Diagnosis Rooms
These rooms are worked by any doctor. The purpose of these rooms are to help determine what diseases or conditions patients have. Some patients may be sent to multiple diagnosis rooms like the GP Office then off to the Cardiogram for example. Patients will use as many of these rooms needed to figure out whichever condition or disease they all have.

GP Office - This is the doctor's office where patients will meet with doctors to figure out what condition they have. Depending on the outcome, patients may need to go on a little adventure around the hospital to find other rooms that help cure them. Some patients may be referred back to the GP Office if they haven't been cured yet. The higher your reputation increases the more patients there are attending your hospital. You will need to build several of these to accommodate the increasing number of patients. I recommend 1 doctor for every GP Office you build.

General Diagnosis - A second step to determine a patient's disease or condition. This room is not a very common room to use to diagnose patients with diseases. Sometimes this room will go unused for awhile. There's no mechanical breakdown threats so you'll never really need to focus on this room after you've built it. You will probably never need a second general diagnosis room.

Cardiogram - A slightly more advanced room to discover a disease. This is another uncommon room for diagnosis on patients. This room will go unused for awhile but it does have machines that will breakdown. You will need to watch for this room during Earthquakes and over usage to prevent the machine from exploding. You will never need to build a second Cardiogram as it goes unused for awhile sometimes.

Scanner - Expensive and more advanced room to discover most diseases in the game. This is expensive to build and has machinery that can break down if left unnoticed. This machinery is more durable than some of the other machines. You will probably never need a second scanner but it might help when your hospital gets very busy.

Ultra Scan - Expensive and very advanced room that is very effective at discovering diseases and conditions. This is very expensive for the patient so you can generate a nice income. The machinery will need to be watched in the event of earthquakes. You may never need a second ultra scan unless your hospital gets extremely busy.

Blood Machine - Expensive and most advanced room that will withdraw blood to discover diseases. This room is also very expensive and requires maintenance on the machine. You will never need a second blood machine.

Treatment Rooms
These rooms are generally used by patients that have been quickly identified by the doctor in the GP Office. Usually patients will leave the GP Office and head straight to these rooms. Patients leaving the Operating Theater will need to return to the GP Office one more time before they can leave. Some times patients will die from their treatments if they're not the correct treatments.

Pharmacy - Nurse runs the Pharmacy. Depending on the emergency or number of patients visiting your hospital, you will need multiple pharmacy at some point. Pharmacy provide quick remedy for patients. Once patients are cured, they will go home. If you don't get a second pharmacy, you may eventually have too many patients to a single pharmacy. On the contrary, the second pharmacy may go unused for awhile at certain times.

Diseases and Conditions; Chronic Nose Hair, Broken Wind, Corrugated Ankles, Discrete Itching, Gastric Ejections, Gut Rot, Heaped Piles, Invisibility, Sleeping Illness, The Squits, Transparency and Uncommon Cold

Psychiatric - Doctors with the Psychiatrist skill work the Psychiatric. Usually patients will first visit the GP Office and head straight to the Psychiatric. This room is used for both treatment and diagnosis. Sometimes this room will be unused for long periods of times and other times there will be emergencies of patients with diseases like King complex. You may need a second Psychiatric at some point, but I highly recommend training as many psychiatrists as you can. Having 2 or 3 psychiatrists ensures that you've covered this room in the event there is a major influx of people who need a psychiatrist. I also recommend adding bookcases and skeletons to improve the performance.

Diseases and Conditions; 3rd Degree Sideburns, Fake Blood, Infectious Laughter, King Complex, Sweaty Palms and TV Personalities

Ward - Worked by a Nurse. Like the psychiatric, the ward will both cure and diagnose patients. The ward can be made extra large to accommodate extra room for beds. Extra beds will allow more patients to be treated at the same time. The ward is almost always used so a larger ward will never hurt.

Operating Theater - Worked by 2 Surgeon. You will need 2 doctors with the surgeon skill to work on this room. I recommend employing several surgeon or as many surgeon as you can whenever you can. The Operating Theater is almost always busy and it always needs surgeon to work it. Without extra doctors, your doctors will get tired quickly from all the work. You may need to train several surgeons because they are hard to find when you're trying to employ more.

Diseases and Conditions; Broken Heart, Golf Stones, Iron lungs, Kidney Beans, Ruptured Nodules, Spare Ribs and Unexpected Swelling.

Clinics
These are one purpose rooms designed to cure a specific condition. Each room will cure a single condition so their use is limited overall. You should only need 1 unless in the event of an emergency or you're visited by many of the same kind of patient. All of the Clinics have machines in them that will decay over time and need repaired or replaced.

Inflator - Worked by Doctor used to cure Bloaty Head.
DNA Fixer - Worked by Doctor used to convert Aliens back to Human.
Hair Restoration - Worked by Doctor used to cure baldness.
Slack Tongue Slicer - Worked by Doctor used to fix slack tongue.
Fracture Clinic - Worked by Nurse used to fix fractured bones.
Electrolysis - Worked by Doctor to eliminate hairyitis.
Jelly Vat - Worked by Doctor to cure Jellyitis.
Decontamination - Worked by Doctor to remove Radioactivity.

Facilities
These are extra rooms that are used for special purposes, mostly staff based. You will need at least 1 of each of these rooms if you hope to keep everyone in your hospital happy.

Staff Room - Absolutely essential room for staff. Whenever your staff are tired, they'll try to come here to rest. Depending on what improvements you make to the room, you can have several staff in this room at the same time making them less tired. Improving staff's rest will improve their work and they will demand less payment. Tired staff tend to make mistakes. If you have too many staff in this room you'll need to make the room larger, supply more restful things or hire more staff to relieve other more tired workers.

Research Department - Absolutely essential for researching improved rooms for your hospital. You need at least 1 Doctor with a Researcher skill in order to perform research. You also need 1 desk and 1 computer for a researcher to research. You can your research by training or hiring more researchers and purchasing another computer and desk. It is quite expensive to purchase more equipment so you will want to be sure you have plenty extra cash.

Training Room - Doctors can train to improve their skills and abilities. In order to train a Junior or Doctor level Doctor, you will need a Doctor at Consultant level to teach. A consultant can have any of the 3 skills or no skills at all. A consultant for any of the skills will improve a doctor's abilities and the skill for the specific ability which the consultant is training for. This benefits you by providing you with talented doctors who can work in different areas of the hospital. This allows more coverage for those special rooms. Hiring skilled doctors can be difficult at times so you will need to train them in worse case scenarios.

Toilets - This room can be built for your patients who are waiting for an extended period of time. Patients who drink from your drinking machines will eventually need to use the toilets to relieve themselves. Without toilets, your patient will either wet themselves or leave and go home. Either way, your patients unhappiness will take over and your reputation may hurt a little.

Please Keep In Mind
Every level begins with a set amount of money which you can spend on anything to get your hospital up and running. You always need 1 of each type of worker; Doctor, Nurse, Handyman and Receptionist. Depending on what the game gives you when you first start out, you may only be able to use certain types of doctors. The first few levels are designed so that you can get familiar with the game and mechanics. As you progress through the 12 levels, you'll be able to research more things and add more unlockables. You need to keep in mind what kind of space you have as you build so that you don't build anything too big and leave yourself without enough space to add a very needed room that you're missing.

My Strategy
When the game first opens I always pause the game and reduce the game speed as low as possible. This gives me plenty of time to think about where I want to put all of my rooms and how I want my hospital to look. I will look at the town screen to see if there are available plots of the hospital to purchase. Knowing what is available for later helps me determine what I can build later. You have the ability to draw out a sketch of your hospital by placing rooms and toying what how you want it to look. If you don't like what you see, you can always pause and restart the level.

When I have figured out exactly what I want to do and where I want to add my rooms, I'll add them. I always begin with the receptionist desk and add the best receptionist available. I want to keep enough space available for a second receptionist desk if I ever need to add one later in the game. What 2 receptionist desks does for you is allow patients to be checked in twice as fast in the event that there is a large influx of patients to the hospital. You won't need this at first because only a few patients visit at a time. You'll just pay for work that the 2nd receptionist isn't necessary for.

I switch focus to building a GP Office in a area that I will put other doctor related rooms. I like to put doctor's rooms nearby each other to reduce their travel time and encourage their nearby vicinity to help patients faster. You have the option of leaving open space for a 2nd GP Office but I like to spread my offices around. I spread my offices out because patients will sometimes need to go back to the GP Office to talk with another Doctor. By placing GP Offices all around, the patient will travel less distance to get to where they need to go. Doctors are floaters so they'll go where they are needed. By placing all the GP Offices in the same area, doctors may reach the office before the patient will and this wastes time when you're trying to get patients out of the hospital.

You're going to need a Pharmacy. Like the GP Office, I try to have all of my nurse rooms nearby each other. Again, this reduce the amount of time it will take nurses to travel to their rooms. Since you don't need many nurses, you don't have many to help all the time. Sometimes, you'll have most of your nurses taking a break but only 1 working. That 1 does a lot of good if they're in an area where they don't travel far but have a number of patients. This method of floor planning really helps me out.

The last mandatory room you will need is the Staff Room. This is absolutely necessary even at the beginning of the game because you will need to relieve your staff. Without this room, you'll anger your staff and cost yourself more money than the price of the staff room. I recommend you build this room in a centralized location that is easily accessible to all staff. In later levels, you'll want to build multiple staff rooms because 1 won't be enough or it might be too far away. It's all about the time management.

Before you increase your game speed you will want to hire your doctors, nurses, handyman and receptionist if you haven't already done so. On your first month you will usually find some of the best staff you can get. Every month will change the number of staff or change who is apart of the staff. At the beginning of each month, you might want to check for new staff especially if you're in need of particular staff. Last thing you do before you increase your game speed is place benches, radiators, plants, drinking machines and fire extinguishers. These help increase happiness and make your hospital more lovely.

When you have the ability to build the research room, you will want to build this asap and hire a researcher (if available). You are going to want the rooms that need to be researched as a number of your patients will have a condition that relates to the research you need to do. This room is costly and it costs you money for the researcher so you'll need to keep money stocked up to continue to fund the research. An option for you is to change what the researcher can research. If you're more interested in researching rooms, exchange the other research aspects for the diagnosis and curing research to acquire these sooner.

I recommend you try to open your hospital within the first month of each level. If you open your hospital sooner, you'll begin getting traffic sooner. You have to keep in mind that competitor hospitals will also open within the first month and if they boost their reputation, they'll attract more of your patients to them. This will reduce your cash flow.

After patients start arriving to your hospital you'll want to build whichever rooms they need as you need them. I will sometimes build another room or 2 just to have it already done just to be ahead of the game but this choice is completely up to you and there is no wrong way. Due to the casual environment of this game, you won't go wrong if you wait before you build. It's generally easy to increase your income and boost your reputation without needing to really control any major aspects of the game. All it takes is time. Once a year or 2 has passed, you will have many more patients visiting your hospital.

Depending on what rooms you needed to build, you'll need to store away cash to purchase hospital expansions for more room. With the incoming researched rooms, you'll want to get some of those rooms up immediately. Some of these rooms provide cures for other conditions and diseases you couldn't take care of before. By adding in the new room, you make it so you can cure it. Without this room, you'll spend however long turning certain patients away. Sometimes patients you can't cure will enter your hospital so there's nothing you can do. You can have them wait but they won't wait forever. My recommendation is to turn these patients away even though it will drop your reputation some.

As you progress into the levels, you'll want to familiarize yourself with the Training Room. The Training Room will become an important use for your staff when you can't find better doctors. It does cost you at least 2 doctors worth in wages to fund, but the end result has you paying skilled doctors for less. If you can get a surgeon making 87$ a month, it's worth it. Unfortunately, it requires a large amount of time to train doctors. This will take a year or more to train a junior into a consultant. If you can juggle your doctors around, it will be good for you.

Later into any level, you'll noticed an increase in traffic to your hospital. When you have like 50 or more visitors in a year, you'll probably want to open a second GP Office. I'd say you will probably want 1 GP Office to every 40-50 patients. I always employ 1 researcher 2 to 4 surgeon, 2 or 3 psychiatrist and 3-4 regular doctors. If you can obtain more skilled doctors than regular, do it. Skilled doctors will perform both job duties, the skill they posses and the regular doctor work.

The overall focus of building your hospital correctly depends on your ability to manage your staff, build smart floor plans, impress VIP and handle emergencies. If you lack in one aspect, you'll run the risk of ruining your game. In the event that you're in need of a new room really badly, you can always turn to the bank manager who can grant you a loan. You'll need to turn a profit if you ever hope to pay him back. This shouldn't be too difficult if you don't get wreck less with the money.

Cheats/Tricks/Hints
This section will cover little tricks that I would constitute as cheating in this game. These little tricks will help make playing the game, overall, much easier to deal with. I do not believe that it was the intention of the developers to have some of these tricks in the game so I consider some of them cheating. There are 3 parts to this section; Passwords, Tricks and Hints.

Passwords
Every level completed will earn you a password that allows you to jump to the next level. This game already has the ability to save but if you ever have corrupted data or your save file is erased, you can always resort to these passwords to reach wherever you last stopped.

Level 1 -  Square, Square, Triangle, Circle / Square, X, Square, X
Level 2 - X, Circle, Square, Triangle / Triangle, Circle, Square, X
Level 3 - Circle, Circle, Triangle, Square / X, Triangle, Circle, Triangle
Level 4 - Square, Triangle, Circle, Square / X, X, Triangle, Circle
Level 5 - Circle, Triangle, Square, Circle / X, Triangle, Circle, Square
Level 6 - Square, Triangle, Square, Circle / X, Square, X, Circle
Level 7 - Square, Triangle, Triangle, Circle / X, Square, Triangle, Circle
Level 8 - X, Triangle, Square, Circle / Triangle, Circle, Square, X
Level 9 - Triangle, Square, X, Triangle / Circle, X, Triangle, Square
Level 10 - Circle, Square, X, Triangle / Square, X, Circle, Square
Level 11 - Triangle, Circle, Square, Circle / Triangle, Square, Circle, X
Level 12 - Circle, Square, X, X - Square, Circle, Square, Triangle

Tricks
This part introduces the different tricks which can be abused to make the game work in your favor. The difficulty is never too hard where you will need to use any tricks/cheats to accomplish any level, but it does help greatly.

Extra Time - When you first begin a new level it is recommended you pause your game and reduce the game speed as low as possible. Doing so gives you extra time to figure out how you would like to build your hospital.

Infinite Time - When you first begin a new game, you should pause your game and save it. Proceed to reduce the game speed so that you can take longer to plan out your hospital's layout. When you have figured out how you want to build your hospital, load your saved game. By loading your saved game, you can guarantee you will build your hospital within the first month and open it almost immediately. This trick allows you to create perfect hospitals.

Cleaned Hospital - Whenever your hospital gets very dirty either by vomit or a large number of rats, you can save your game and load it. Upon loading your saved game, you will have a perfectly clean hospital again. This will help if you're trying to achieve cleanliness awards.

Cleaned Hospital 2 - Whenever there is a mess in your hospital including vomit, rat blood or rat holes, you can pick up any object and place that object over whichever mess it is. This will remove any rat holes or messes and your hospital will look cleaner.

Durable Machinery - In any room that has a machine that can breakdown and explode, you should place a fire extinguisher next to that machine. By doing so, you'll reduce the damage caused by earthquakes. Some machines are really weak and may explode easy. This trick will be the only for sure means of protecting your machinery.

Save Often - Whenever an event is going to happen, you should save your game. If an emergency breaks out and it looks like it can be done, you don't want to let people die especially if you are depending on the reputation and money from the awards at the end of the year. If you attempt to treat a patient anyway and they have a 90% chance of success but still die, you'll be able to load your previous save and forget there could have ever been a death. This game be applied to most scenarios.

Earthquake be Gone - This is untested because I forgot to test this. Save your game often (like stated above) and if you are ever in the process of an Earthquake, save your game at the start of the quake and load your previous save. If this works how I expect it to, you should take very minimal damage to your machinery, if any since machinery usually explodes closer to the end of the Earthquake.

Hints
This part is dedicated to helping players figure things out without necessarily cheating or gaining an unfair advantage that will break the game. These hints are designed with the game's elements in mind. These are defined as what works for me when I played Theme Hospital.

Patient Happiness - This requires a lot of work to achieve very happy patients. The easiest method to make your patients happy is to cure them of any diseases or conditions they have. While they're in the hospital and uncured, you need to focus on keeping them happy enough until they can be diagnosed and cured.

First, you need to have adequate seating. Patients need a place to sit no matter where they are in the hospital. It's beneficial to you to have plenty of seating outside of GP Offices and a few seats outside any room that you can have an emergency for.

Second, patients require drinks. Sometimes patients will be sitting for an extended period of time (1 minute). While they are sitting, they'll get thirsty. If they don't have drinks, they won't go home immediately but they won't be happy either. They will eventually leave though. You will want to place these close to rooms where there is a heavy number of people and close to rooms where they may need to wait awhile.

Third, provide patients with a restroom. Patients who have purchased a drink from your drinking machines will need to use your toilets shortly after drinking. Patients with no access to toilets will either go home or they will wet themselves, ultimately destroying their happiness and making a mess for you to clean up.

Fourth, a large number of radiators will help bring the heat. It almost seems impossible in some hospitals to bring the heat up high enough to make it a comfortable temperature. After having placed many throughout my hospital and boosting the output, my overall heating is barely enough to get out of the cold end.

Firth, many plants will increase the happiness a little. You're going to need so many plants that your hospital feels like it caters more to plants than it does patients. Of course, you'll also need to hire extra handymen to maintain the extra plants. Some awards can be earned if you focus on many plants throughout your hospital.

Finally, cure your patients. Nothing makes your patients happier than curing them from whichever horrifying experience they possess when entering your hospital.

Staff Happiness - The best way to improve Staff happiness is to provide enough staff so that no staff is ever too tired. Tired Staff quickly become unhappy and increase demands for pay. Large rooms and a large number of plants help to increase happiness but it's not nearly as beneficial as having extra staff. It will cost you more by increasing paychecks than it will to hire more staff.

Breakdowns - Always take care of your machinery as soon as it has been used a few times. If there is ever an Earthquake of a magnitude 8.0 you will suffer heavy damage on all your machines. The extinguishers help to reduce this but your best preparation is to service your machines often. Doing so on an often basis can help prevent deterioration. For example: 2 of 10 can be repaired and maintain your 10 durability. Neglecting for a while will decrease durability.

Room Sizes - Depending on where you place your rooms and the size of your rooms, you'll want to provide adequate hall way space where your patients can sit, get drinks, get heat from radiators and travel. The game require 1 open walkway to each interactive item, whether it's a door or a bench or a drink machine. I recommend having 3 or more spaces for your hallways. Drink Machines require 2 spaces so you'll need 3 so people can walk through. The extra space in your hallways is based on preference.

Heating - Don't be shy with the number of Radiators you place in your hospital. It's very difficult to make the heating in the Hospital rise and when it does increase, it's very slow. Expect to pay thousands in heating if you want to make your patients happy.

Staff Rooms - These are best spread out. First off, pool tables are large and are ineffective at relieving stress. Arcades and Sofa are smaller which makes them easier to rearrange. Secondly, depending on the size of your hospital, you may want to consider having multiple staff rooms so that your staff are nearby where they are working. Staff will always go to whichever room is closest.

Building Rights - Some rooms require a lot of a staff's time, like a GP Office so expect your Doctor to stay there for awhile. If you build your room so that the Desk and Filing Cabinet are nearby, you'll increase the speed of the Doctor examining the patient. Place the patient chair by the door for easy patient access. As soon as 1 leaves, another patient already enters. This enhances the speed of your hospital. Do this for all of the rooms as best your can.

Skilled Doctors - If your hospital is not busy and you have doctors doing nothing, send them to the training room. Skilled doctors can cover multiple fields, even if their ability sucks overall. Over time, your doctors can slowly improve by sending them in here. If you desperately need more of a certain type, hire extra doctors and train them while the funds last. Doctors with no skills can only handle the clinic machines and the office so more stress will be on the skilled doctors.

Loans - The only good time to take out a loan is after your discovery of a new room. Taking out too much money, too early can cost you quite a bit and even put you deeply in debt. By using these funds on a new room, you'll allow one more type of patient to be cured, which boosts your reputation and your income. Wait until the loan is paid off, then get a new loan for a new room.

Research - At any point when you have a research room, you may want to adjust the focus of your research. Some funds can be redirected so that you can discover all of the new diagnosis rooms or curing rooms which can be essential to proper income growth. You may decide to divert these funds to increase the strength of your machines or divert these funds to increase drug effectiveness. Each aspect can be beneficial to your cause but it depends entirely on your play style.

Ending
Every level in this game requires the skills you learned from the previous level applied to the new level and adopting the new research that comes with playing. This guide isn't built to tell you where to build or what to build and when because there is no single defined way to play this game. The overall concept is to build rooms and manage your hospital by balancing funds for your various necessities. You will need to learn proper floor planning skills which can not be taught from this walk through. Replicating my game wouldn't be nearly as fun for the gamer if it were explained exactly how to win this game. 


If you have any questions, comments, thoughts, problems, issues, concerns, additions or anything in general, feel free to post a response to my thread here. This thread is designed to help gamers play Theme Hospital. If you need help, that's what I'm here for.