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Review: Two Point Hospital (PS4)



The highly anticipated console release of Two Point Hospital, the spiritual successor to Theme Hospital, has finally arrived. I reviewed the PC version back in 2018, and I’m happy to report that the console version brings the same excellent game to new players. I won’t rehash everything from my PC review since it’s essentially the same game, so let’s take a look at how the PlayStation 4 version holds up.

Planning ahead

Two Point Hospital was a great game when it launched on PC, and the developers have introduced a lot of improvements since then. All of these have been brought to the console versions, with sandbox mode and the Superbug Initiative coming next month. In fact, most of the updates are solutions to issues I had in my initial review.

Foremost among these new features is the option to copy rooms you’ve already built. As your hospital grows larger and more patients start arriving, you’ll eventually need multiples of the more important rooms, like the GP’s office. In fact, you’ll probably need a fair few of those! Fortunately, once you’ve built the room once, you can duplicate it as many times as needed. This was a real lifesaver on PC, and I appreciated it even more on console as I struggled to get used to the controller.

Couch controls

Speaking of controls, these have been translated to console remarkably well. Once I inverted one of the sticks, I quickly got the hang of running my hospital from the comfort of my couch. The UI and graphics look great, and the console version has a new overhead map view that I haven’t seen in the PC version. My only complaint with the UI is the size of some of the text. I eventually ended up moving my couch closer to the TV so I didn’t have to strain to read the information on the screen.

In fact, most of the updates are solutions to issues I had in my initial review.

There have been other improvements that have made their way into the console version, such as the ability to reduce the diagnosis threshold, or fast-tracking of diagnosis decisions, which helps to alleviate some of the strain on your poor GPs.

Of course, even with these improvements, you still need to build and manage your hospitals efficiently or risk everything devolving into chaos. It’s a delicate balance of having enough facilities and staff without incurring massive overhead costs that leave you in debt and unable to expand and improve your hospital. I never feel like I can sit back and watch my hospital run – there’s always something that needs fixing or adjusting. Or perhaps that’s just me?

One of my favourite features of Two Point Hospital remains the world map, where you can take on different challenges, and swap between hospitals if you want to go back to earn more stars, or to unlock more research before progressing. You also keep everything you’ve unlocked in other hospitals, so you feel more like you’re running a hospital network rather than standalone facilities.

There have been several paid DLCs released for Two Point Hospital, and two of these are included in the console versions: Bigfoot and Pebberley Island. Each of these DLCs adds new hospitals and new diseases, offering new challenges for budding hospital administrators to take on. Along with the base game campaign, the Two Point Hospital on console should keep you busy for a good long while.


  • Excellent translation of PC controls to controller
  • Includes two paid DLCs
  • The same great game, now for console!
  • All of the improvements from PC are included


  • Controls take a little getting used to
  • Queue management is frustrating with busy hospitals


Console players now have the chance to enjoy one of the best management simulation games to come out in the past couple of years. Added to that is a healthy dose of Theme Hospital nostalgia, making Two Point Hospital a winning formula. The inclusion of two DLC packs is just the icing on the cake.


Gamer, geek, LEGO fanatic. I also love Pathfinder RPG, The Sims, cross stitching, crochet, and sci-fi and fantasy movies, games & books. And animals.

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