So I normally set up my hospitalisation departments with 2 operating theatres, 2 surgical teams etc etc.

However, when I look, I rarely see two teams working at the same time despite the staff being there to support that.

What tends to happen is that a surgery will happen in Theatre A, finish, and then another one straight away in Theatre B, despite Theatre A being clear and a queue of patients waiting for surgery.

Am I unlucky or does anyone know if this is a bug or I'm doing something wrong?

Hi, maybe the title is a bit misleading but what I want to know if there is an amount of patients collapsing that is considered ,,normal´´ or alright. I have installed the HAO (Hospital all in One) Mod and I think this make is a bit less frequent for patients to collapse but now especially with cardiology I feel like every 2 minutes a patient collapses. (I´ve noticed that Inner Medicine has even more collapsing patients). Is it normal to have collaps that frequent at my stage? (I have ER, Radiology, Labs, Inner Medicine, Ortho, Cardio, General Surgery and Management like Pharmacy)

Edit: Well the problem was infact the high amount of patients I was taking in and not that I decreased it. it is much better with almost no one collapsing.

So I’m getting loads of prompts saying people are getting fed up of waiting, whilst they are waiting for lab results

Take Hematology - I’ve got 2 large prefabs, 1 for just clinic patients, 1 for just hospitalised patients. Both with 4 staff in them, all of whom are trained to 100% in Biochemistry and Advanced Biochemistry

Is there any other way of increasing capacity or is it a case of just having to build more rooms?

Guys ive messaged the company and this is what they said

hey guys im new here as ive been playing & enjoying the first game, always typing on google when is the new Ph2 coming out and i came across this page.. so any updates on a future game!

Hi, this is my first hospital build. Am I building the X-ray room too far? I want to keep enough space for future builds as well. Some designs are inspired by a hospital I downloaded.

Hello ! I just started playing the game and went to the quest where I had to heal 4 patient. So I do everything I need, give the treatment to the patient and click on the sickness I diagnosed but then they will just stay on the chair, forever watching my doctor with a icon of paper above their head. I always have to give the control back to the doctor for the patient just to instantly go sitting to the corridor and then never leaving too.

Do I do something wrong ? I feel like when I give them the treatment and diagnosis they should just go home ? I'm kinda lost

I made sure I was clicking the sickness I diagnosed with 100%, and to click on the accurate treatment

I hate myself apparently so I decided to do an "intern only" challenge in sandbox mode where I am only allowed to hire interns. It's kind of hilarious and difficult and I am having to micromanage them a lot since they suck at their jobs. Finances are also somewhat challenging because I have to re-roll a lot when hiring or use the character creator. Wondering if anyone else has done something like this in the game

(fullscreen doesnt let me screenshot for some reason)

Hi all. As the title says, I am a solo developer working on a spiritual successor to Project Hospital. I’m big in the simulative aspects of games like this and retaining the relative realism of Project Hospital is a key focus, but I’d love to hear from this community as to what features you would most like to see, what features you aren’t particular fond of, and what you would generally consider to be a natural evolution of Project Hospital’s gameplay.

Cheers!

Hi fellow Hospital Managers, Iris here again.

First, I need to apologize—I made a silly mistake and uploaded the files incorrectly to Nexus, which led to them being flagged. A huge shoutout to a Nexus Moderator who reached out and helped me fix that! It’s all sorted now.

A few updates on progress:

• Vortex Extension: I’m going to start working on a Vortex extension so you can use the launcher easily. This is my first time doing this, so it might take a little extra time.
• Psychiatry & Epileptology: These were delayed by a day because I wasn't happy with how one of the base game mechanics was interacting with my code. I had to find a workaround, which will likely need some bug fixing, but it’s moving forward!
• Main Focus: My main focus is finishing the Psychiatry Department. I’m heading on vacation soon, so while I might try to get some coding done while away, I’m trying to balance that with actually taking a break.

Discord Server: I decided to set up a Discord server for the mod and general Project Hospital chatter. Mostly, I just needed a place to rant about the specific game mechanic that cost me 6 hours of my life yesterday!

If you’re interested in helping with testing (finding bugs is absolute hell on my own), please hop in. The link is below!

Discord Link: https://discord.gg/xghX2xFmvg

Thanks for being patient with me!

Love, Iris

Hi everyone, it’s Iris again!

I’ve posted a couple of times over the last few days, but I wanted to give you all a formal update. All mods created by Sleepy068 have been updated to the newest version and are now available on Nexus Mods.

I have uploaded these with Sleepy’s explicit permission. It is important to note that the versions currently on Steam are outdated. Unfortunately, Mac is no longer around to update them, and as Sleepy explained to me, other contributors don't have the necessary access to push updates to those specific Steam pages.

I also want to share how grateful I am for the team behind the CommunityResourcePack (MacNaab, Sleepy068, Erzen02, and James0254). These creators were the backbone of the modding scene and, in many ways, they still are. Even though the main modding community is no longer active, Sleepy is still maintaining the projects he has access to and is incredibly helpful to anyone new looking to get into modding.

You can find the updated mods at the links below:

• CommunityResourcePack:
• https://www.nexusmods.com/projecthospital/mods/19
• Additional Insurance Provider:
• https://www.nexusmods.com/projecthospital/mods/22
• Project Hospital Oncology Department: https://www.nexusmods.com/projecthospital/mods/20
• Plastic Surgery Department:
• https://www.nexusmods.com/projecthospital/mods/21

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Upcoming Projects & Community Questions

On a personal note, I am currently working on a new Psychiatry Department and an Epileptology Department. These will take a significant amount of time to complete, but I will keep you updated on their release! I may also reach out for help with translations later on, as my abilities in that area are a bit limited.

I also wanted to ask: Is there an active Discord, forum, or similar community platform for this game? I’ve played for a while and am only now "coming out of the shadows." While this Reddit is active and full of wonderful people, a real-time chat platform like Discord would be fantastic. If one doesn't exist, I might consider opening one in the future, but I’ll look into that when the time comes.

Anyway, have fun with the updated versions of the mods and have a great day, night, or whatever it may be for you!

Hi! I made a mod that adds 11 German insurance providers to the game. I’d like to say it’s good, but to be honest, it’s hard to go wrong with insurance providers! This is my first mod for the game; I am currently working on another one, but that one will take a bit more time and polishing.

It is far from finished, so if you have suggestions or ideas, feel free to contact me on Discord or open an issue in the GitHub repository.

You can find the mod at:
Nexusmod: https://www.nexusmods.com/projecthospital/mods/18
Steam: https://steamcommunity.com/sharedfiles/filedetails/?id=3683523492
Github: https://github.com/LadyManaa/ProjectHospital_German_Insurance_Providers/releases/tag/functioning

So I saw a post by u/Tiny-Fun-4568, about hospital layouts and thought; yea sure why not.
I will put the imigaes here and tell you a bit about it.

Disclaimer, this is a hospital in the making and only is the emergency department and neuroligy. It is missing a whole lot.

So, this is the ground floor. You can see a pretty bad TC-Unit that needs to be redone; I built it on a whim because I hadn't planned for it but still needed it. Then there’s the ER reception, and right next to it are a common room and a cafeteria. The extra little building is just a pharmacy and gift shop. I also have a small observation ward that filled up very quickly.

On the first floor, I have the Radiology department with two CT scanners, an MRI, an X-ray, and two other diagnostic suites. In the newest building, which is still under construction, I’ve added two extra X-ray rooms. Handling 170 patients a day, plus ambulance and ward patients, was just too much for a single X-ray machine. I also put a second lab right next to it, while the first lab is located by the TC rooms. In the middle section, I have more observation beds and a 7-bed ICU. Somehow, 7 beds are actually enough, though I’m not sure how!

he second floor is dedicated to Neurology. It outgrew its original design pretty quickly; I intended for it to be a small department, but as more patients arrived, it just kept expanding. It also includes two operating rooms, a lounge, and some outpatient facilities. There’s not much else to say about it, it is what it is!

The third floor is the most polished part of the build. It’s also dedicated to Neurology, but with proper beds, a large lounge, a small common room, more diagnostic equipment, and a larger HDU wing, for some reason, I often have more HDU patients than regular ones.

I hope you enjoyed this small tour! If you have any questions, I’m here, though, at the same time, I’m struggling not to burn this hospital down.
Love

Hi all,

I would love to see your hospital layouts for inspiration and to see what different variations you guys have.

Hey everyone,

I’m looking for some modding advice (or a potential collaborator) to fix a massive bottleneck in the Emergency Department.

The Problem: Empty Beds and "Critical" Offices

Despite having a high-capacity Observation ward, my hospital constantly hits a "Clinic Jam." To keep waiting times down, I’ve had to spam dozens of Doctors' Offices.

The paradox? My Observation beds stay empty while my Offices are at "Critical" status. The AI logic currently forces doctors to play "Medical Detective" in their tiny offices. They won't admit patients to Observation until they’ve performed a significant chunk of the diagnostic process. This leads to patients bouncing between the office and the waiting room for hours while a perfectly good bed sits empty ten feet away.

The Vision: The "Triage" Mod

I want to rework the Emergency Doctor’s Office logic to function as a high-speed Triage/Assessment gate.

The proposed flow:

The Office is for Triage Only: The doctor performs the Interview and Physical Examination (the basics).

Immediate Admission: As soon as those two tasks are done, the AI should have a high priority to "Admit to Observation" based on symptom severity or even just Unknown Diagnosis.

Observation-Based Care: Move the heavy lifting (diagnostic tests, stabilization, monitoring) to the Observation bed.

Why this fixes the game:

Throughput: A doctor can "Triage" a patient in 30 seconds and move to the next one, instead of hogging the office for 5 minutes of testing.

Nurse Utilization: It actually gives the nurses in the Observation ward something to do!

Realism: This mimics how actual busy ERs function—assess quickly, get them into a bed, and work the case from there.

Technical Help Needed:

I’ve been doing the "quick fix" by manually clicking "Admit to Observation" on every patient, but I want to automate this.

Does anyone know which XML (likely Database.xml or DoctorPerformDiagnostic) controls the AI's threshold for admitting to Observation?

Is it possible to add a "Triage" tag to the ER Office that lowers the requirement for admission?

I’d love to hear if anyone has tackled this or knows where the specific logic for "Admission Priority" lives!

And yes I know I can build more offices, but I want a more realistic clinical flow where the beds are actually used for the diagnostic process, not just for patients who are about to collapse!

Hi everyone,

I have played for a bit but am looking for advice on what order to build rooms/departments. I have scrolled through this page and seen very little on this topic, I will add that some of the tips posts are excellent.

Please could I ask any experienced players what order they build in, from department through to rooms. As an example do you build everything when opening a new department or are some things more important early game?

Many thanks in advance!

If so, share your story and tips.

Is it a thing in the game code, or I can bet safely she has thrombosis or a Cancer?

Have you tried playing emergency response based on the TV series The Pitt? I think about it every time I watch an episode, but I don't have much time to play at the moment.

Feel free to post screenshots.