one dataset · paper, tables, graph, wiki
simgrammar the grammar of simulation

parts

17 mechanics, as Two Point Hospital does them

core · 4

space & construction

Building placement

Rooms are drawn and furnished with required machines, plus corridors with toilets, cafes, vending machines, and staff rooms.

biology & health

Diagnosis and treatment

Patients start in a GP's Office and move through further diagnostic rooms until diagnosed, then to a treatment room; illnesses are comic, such as Light-Headedness and Mock Star.

logistics & networks

Service queues

Patients queue at rooms while their health falls; untreated patients die, and long waits lower satisfaction.

economy & finance

Staff hiring and rosters

Doctors, nurses, janitors, and assistants come with personality traits and specialisations that change performance; wages and morale must be managed.

supporting · 13

economy & finance

Advertising and awareness

Assistants in the marketing room run paid campaigns that draw more patients, optionally targeted at specific illnesses.

agents & behavior

Agent skills

Staff earn qualifications in the training room that unlock or improve tasks.

environment & ecology

Contagion

Later levels bring epidemics with a limited vaccine supply; immunizing every infected patient earns a reward.

multiplayer & persistence

Content sharing

Steam Workshop support added in 2019.

space & construction

Decoration and beauty

Room prestige depends on size and decoration and affects staff happiness.

progression & goals

Milestone unlocks

Kudosh from challenges unlocks items; one star unlocks the next hospital.

agents & behavior

Needs decay

Patients and staff need toilets, food, drinks, and rest.

agents & behavior

Personality traits

Staff traits change efficiency and behavior.

progression & goals

Scenario objectives

Each hospital has star objectives; extra objectives raise the rating to two or three stars.

progression & goals

Tech tree

The Research room unlocks new rooms and machine upgrades.

agents & behavior

Utility action selection

risk & failure

Wear and breakdown

Machines degrade and need janitor maintenance.

core loop

build and decorate rooms -> hire staff with traits and train qualifications -> patients flow from GP to diagnosis to treatment -> cures earn money and reputation -> research and Kudosh unlock items -> earn stars to open the next hospital

design notes

Two Point Hospital keeps Theme Hospital's room-blueprint and diagnosis-pipeline structure and adds a deeper staff layer: every hire has personality traits, a specialisation, and trainable qualifications, so the training room is a second production line beside the clinical one. Room prestige rises with room size and decoration and feeds staff happiness, which links interior design to staff retention. Progress spreads across many hospitals with one-to-three-star goals, and items unlock with Kudosh, a currency earned from challenges rather than money. Assistants can run marketing campaigns (proposed mechanic advertising-awareness).

appears in

the paper, 2 sections · 2 chapters
paper

5. The structure of the design space

linked in this section of the paper

paper
paper

Appendix A. Game catalog

linked in this section of the paper

paper
catalog

The catalog

listed with its year, developer, subgenre, and number of mechanics

book
ch 2

Chapter 2. Six layers

linked from the text

book
ch 9

Chapter 9. Vacant lots

linked from the text

book

relations

1 stored edges
influenced by

sources

1
Wikipedia contributors (2026). Two Point Hospital. Wikipedia

provenance

runs in log/runs
2026-10-24
created2026-10-24-catalog-gecatalog
2026-10-24
reviewed2026-10-24-review-fixesmaintenance