Since I’ve spent a couple of evenings playing Project Hospitals I unexpectedly have a few tips that seemed to make sense and I’d like to share them with you. Today we’re going to take a look at how to start a new hospital.
Explore the departments
The first thing you have to do is look at your department. You don’t want to just look at what departments are available in your hospital. Because that’s too superficial. You also want to look at the detail of exactly what rooms you have and whether you have enough of the important ones that most patients use.

In case you are missing rooms, it is necessary to think if it is a specialized workplace. Because you can build it when you have a patient you want to diagnose. If you are missing a conventional surgery or something that is needed to function, you want to fix it right away.

In addition to surgeries/departments, you want to look at your capacity in terms of beds and how available they are for specific departments. If you are short on any of the points above, plan for how and where you will develop what. This is because it will come in handy for later stages.
Meet the staff
The next thing you need to check is the staff you have currently hired. You want to make sure that you have hired people who are skilled enough and that no rooms are understaffed…
…you want to look at the money that your employees are currently taking in and the question is whether or not to fire the expensive employees outright.
At the same time, look to see if employees in the same department don’t all have the same negative characteristics. It will not be good if your department is full of people who commute (they may arrive late) or who have children (and get tired faster).
There are all bad perks in Project Hospital:
- Unpleasant – Gives “mean staff” modifier after interacting with patient
- 🧹 Dirty Feet – Leaves dirt everywhere.
- 🐢 Germophobe – Washes hands three times to be sure
- Depressed – Gives “depressed” modifier to him/herself
- ☕ Hedonist – Spends twice as much time enjoying food.
- ☕ Fresh parent – Rest levels decrease faster.
- ⌛ Alcoholic – Will often show up late and hungover.
- ⌛ Long commute – Long drive from home. Can often be late for work.
- 🐢 Slow – Moves much slower.
- ☕ Fast Metabolism – Hunger increases much faster.
- Slow learner – Leveling skills is much slower.
What mean emojis:
- 🐢 >> your staff is slow, you will wait for their work
- 🧹 >> you will have more maintenance costs
- ⌛ >> the employee may be late from time to time
- ☕ >> the employee will spend more time on breaks
See how you’re doing on your night shift. You need to make sure you have enough people in all the wards where the patients are, and I recommend hiring a janitor. Optimally, hire people who have the night owl perk. They’ll work better. However, in my experience, nothing problematic happens during the night.
Look at the budget
After starting the game, look at how you’re doing on a budget. If you have money and at the same time a loan so pays it off. Otherwise, you’ll pay interest and have less and less money. See if there are any challenges set up for you to earn money and expand your hospital.
When you focus on expansion, keep an eye on your costs. There are always several items of the same type in the game (like printers) you can have a faster printer => with more people to treat or you can just have a prescription stand and you will probably have slower treatment. But you can upgrade everything at the right time.