Friday 16 February 2018

Backlog Beatdown: Theming Hospitals with Theme Hospital


In 1998 I bought Theme Hospital and played it on my Dad’s laptop. Nearly 20 years later in 2018, I completed the game on my own laptop. And what a delight it was to play it again!
Vomit waves are always fun to deal with...
Theme Hospital has you managing a succession of different hospitals, researching cures, helping patients and run your hospital at a profit. It was an interesting age of video gaming; 3D graphics were becoming the standard for consoles and there were interesting franchises on PC as well. The game’s developer, Bullfrog, had done very well with Theme Park a few years before, and were pushing the envelope with what could be done with thematic management games. And then along comes this little gem of a game…
How it works is that each level has a certain criteria that must be attainted in order to progress to the next. You have to have your reputation above a certain level, have cured a number and percentage of patients, have made a designated amount of money and have your hospital above a certain value. Curing patients happen as a matter of course, and you plan your hospital carefully so that not too many of them die. The value of your hospital increases as you buy more buildings and build more rooms. Reputation is affected by a number of different factors; the better you perform, the higher your reputation will be. Acquiring money takes time, but once you reach a certain point in the level it will come rolling in. When you fulfil the criteria, you’ll be offered the next level on the next quarter of a year, but if you underperform, you’ll lose the game.
As for curing patients, this is where the design of the hospital comes in to play. They first have to visit the GP and potentially a number of diagnosis rooms before they can be cured. Once the diagnosis is established, they are then sent for treatment, if it is available. If not, you have the option to tell them to leave, or wait in the hospital for you to build a treatment room. However, you only have a limited amount of time to cure the patient before their illness kills them. The process is straightforward, but researching all the available diagnosis and cure equipment can take time. Also, in a busy hospital, they may have to wait a hopelessly long time in order to see the GP if you don’t keep on top of managing the queues. Not to mention the amount of walking between diagnosis and treatment rooms, and the occasional need to use the toilet!
Funnily enough it never occurred to me to
design my toilets like that...
Managing the staff of your hospital is crucial as well. Generally, the higher level of skill each staff member has, the quicker they will do their job, so you want this as high as possible. Certain doctors are needed for certain specialisations; for example only researchers can research, only psychiatrists can handle psychiatric cases and only surgeons can perform surgery. Doctors can be trained to improve their skills, and in later levels this is crucial to the efficient running of the hospital. Also they need to take a break every now and then.
The game starts out basically, and introduces mechanics and gimmicks as it progresses. This does a good job of teaching you what does what, but ultimately it is on you to come up with the best strategies for creating the most efficient hospital possible. The emergencies (cure a certain number of patients in a few minutes or they will die,) epidemics (cure everyone infected with a contagious disease within a few minutes without any of them going outside or face a fine and take a reputation hit) and earthquakes (maintain your machinery properly or they’ll blow up in the event of a quake) add random layers of challenge to the proceedings and make sure there’s always something to do after you’ve built all the rooms.
I really enjoyed playing through Theme Hospital again. It’s brilliant concept, and while the graphics are pretty basic, they’ve lost none of their charm. It’s great fun to play and beat, with the occasional wobble with execution and glitches. I’d highly recommend giving this one a go.

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