Two Point Hospital

I love this game, that should be evident by my ungodly amount of hours in something like this. Doubt anyone still reads these on old games but if you do happen to see it, this is an underappreciated, good-humoured, absurdly whimsical MASTERPIECE, take my word for it, I dont say it lightly.

I'm disabled and can't play exciting or scary games anymore, but this one is so calming, as soon as I hear the soundtrack I get in that flow state. It's low stakes and unthreatening with just the right amount of challenge. And it's funny, loved the original and I love this one too. 5 stars.
Oh and also as an ill person I just love to build the aspirational hospital of my dreams. Could not recommend it more.

I can now add "Medical Director" to my resume.

⭐ Detailed Review? Coming Soon!
TL;DR
Two Point Hospital is the perfect 1990s & early-2000s Tycoon/Management game.
Square grid system⠀(none of that "freeform" modernity)
Few but enjoyable gameplay mechanics⠀(not a job simulator)
Beginner friendly yet fairly difficult to master
Simple and fun customization⠀(no choosing wood type for 10cm of your wall)
Should I buy it?
Yes. The DLCs are functionally useless but if you want "hehe funny cosmetics" and a couple more hospitals, then sure go ahead and buy that as well.

I love this game. if you lived for Theme Hospital back in the day this is the nostalgia trip for you,

I went into Two Point Hospital, frankly, with low expectations. The art style and atmosphere prominently displayed in its marketing materials feature a parade of gurning sub-Aardman plasticine figures and a Facebook feed’s worth of dad jokes; a distinctly British kind of cringeworthy. I am also one of the seemingly few millennials not to have played Theme Hospital in my youth, meaning I come to this unapologetically nostalgia-fueled management sim with a skeptical eye. Then, opening up the game, it promptly spams you with Sega-branded ads for Sonic the Hedgehog© and the dev’s follow-up game. The opening trailer features an American drawl and ker-azy antics at odds with the rest of the game’s humour. To top it all, the ECG trace on the logo isn’t accurate. But if, like me, you have the intellectual fortitude to overlook such superficial blemishes, how does Two Point Hospital fare as a management game?
It's fantastic.
Two Point Hospital offers a series of satisfying nested micro-challenges that add up to a supremely satisfying whole. Patients will first trickle, then flood, into your hospital with an increasingly challenging array of ailments. These sickly human cash machines will need to be filtered through a series of GP appointments and investigations before a diagnosis is made and treatment is delivered for big bucks. At first, a few doctors and nurses can staff a handful of clinic rooms and a pharmacy to quash basic ailments. As both each level and the campaign progress, however, you’ll need to expand an array of diagnostics and specialised treatment rooms in order to keep financially afloat. Patients will cr- ah, defaecate, vomit and die inconsiderately unless their needs are met, covering the hospital in filth and – more importantly – depriving you of the payouts associated with treatment. This means you’ll need to employ assistants to keep patients happy, fed and watered, and janitors to scrub the decks. But they, in turn, will demand wages, break rooms and even decent working conditions. All of which costs more money. So far, so realistic.
Adding nuance are detailed systems of interior design, training, research and upgradable equipment. All involve interesting trade-offs. Training makes your staff more effective, for instance, and allows you to cultivate the specialist diagnosticians, psychiatrists, surgeons and radiologists needed to keep your machine operating efficiently in the latter levels, but also pulls both teacher and student out of the workforce for the duration of the class. To increase efficiency, you can train multiple staff in the same field, provided they all need to study the same course, but this will deplete your workforce more acutely. Call in an external tutor to take off some pressure, or learn a new skill, and you’ll need to cough up a quite chuck of change. Each of Two Point Hospital’s systems likewise offers an array of balanced options to juggle, and while the game will rarely punish you irrevocably for failure, disaster can spiral outward in fun and unpredictable ways. A horde of prematurely mummified patients descending but nowhere to treat them? No worries, take out a loan, throw up a couple of decrypters, hire some skilled nurses and get to it. Ah, but your janitors were busy cleaning up ectoplasm on the other side of the building and can’t maintain the machines; now one is on fire. That’s okay, build an extinguisher and hire more janitors. Ah, but now you’re in debt again and your only surgeon is threatening to quit because his promotion hasn’t been matched by a salary rise. Best sell the research lab (just for now) and fire your researcher. What’s this mysterious new illness and what do we need to treat it? Oh…
Every session of Two Point Hospital offers a buffet of addictive, I’ll-just-fix-this management challenges, nested within a generous and varied campaign. The UI is wonderfully-designed, drawing your attention seamlessly to any impending crises, offering buckets of data to drill down into or ignore as you wish, and with a refined suite of quality of life features like room template saving and copy-pasting. What makes the game sing is its atmosphere, which is a far cry from its cringeworthy marketing. The visual style is clean and almost restrained, though with thoughtful animation and a dedication to visual puns that suggest it was something of a labour of love. The jazzy, upbeat soundtrack perfectly matches the good-humoured gameplay and can really get stuck in your head. It’s interspersed with radio DJ voiceovers and spoof ads that barely repeated for me, more than seventy hours in, and often raised a smile. There are lots of running jokes that reward close attention, but could be happily overlooked. Two Point Hospital, in short, leans into an understated and convivial kind of humour that’s distinctly British, with notes of both Monty Python’s absurdity and Peep Show’s nihilistic self-deprecation. Wonderful stuff.
Add a generous dessert of DLC for afficianados and well-integrated Steam Workshop support, and Two Point Hospital offers a huge sandbox in which to optimise systems, muck about or watch your ant farm bustle. It’s the most fun I’ve had with a traditional management game in ages. Beyond its offputting first glance, my only real criticism is that the core gameplay loop can become repetitive, and with challenge that tends to decrease once you’ve vaulted the early game’s hurdles. It can become a battle of attrition on even the most challenging levels. Yet watching the game’s hundred moving parts tick – with obvious care and attention gone into realising every one – offers its own, meditative pleasure. A wonderful jumping-on point for the genre as well as a feast for veterans nostalgic for the “tycoon” games of the 90s, don’t miss this gem. Highly recommended.

Good game but gets repetitive after a while. The online comparison in singleplayer mode should be deactivatable. The fact that some items are only activable by playing together seems a tad bit unnecessary and forcing the cooperative play mode.
Sometimes you simply have to wait to get to a 3 star hospital which seems a bit unengaging in the long term.
The illnesses and room to cure them are funny though. The problem is that it's always build A first, then B, then C. There's not really that much variation in the playthroughs. I don't see me playing the sandbox mode to be honest if it's similar.
Ingame ads for a different game is a bit much though.
Buy it on sale.