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Royal Hospital

Economic

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Rules ExplanationMedium
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📖 Rules & Setup Reference

🎯 The Goal

Compete as elite hospital managers running top-tier facilities to treat the world’s most critically ill patients, expand clinical departments, and optimize financial pipelines to claim the ultimate medical promotion: the title of Director of Royal Hospital.

⚙️ Core Actions

The game features a highly tactical, open-information economic engine played over a fixed number of cyclical rounds:

  • Draft in the Open: Select vital hospital components from a public, face-up market pool. Because there are no hidden cards in the draft, you must actively anticipate your opponents’ developmental bottlenecks and hate-draft crucial specialists or medical technologies to stall their engines.
  • Build Departments and Hire Experts: Expand your physical medical layout by laying down customized department cards. Spend your financial resources to construct specialized wards and contract field experts to expand your clinical capabilities.
  • Admit and Diagnose Patients: Track incoming patients with increasingly complex, multi-layered pathological conditions. Admitting a patient locks down bed space, forcing you to prioritize your staffing lines to meet their precise diagnostic requirements.
  • Complete Treatments for Income: Resolve active patient conditions during the treatment phase. Successfully matching the required specialized staff to a patient yields immediate victory points and massive cash payouts; failing to cure them leaves the patient blocked, occupying valuable clinical space.
  • Manage Heavy Fixed Maintenance: Balance your growing infrastructure against escalating operational costs. Every expanded wing and high-end specialist adds recurring fixed maintenance fees at the end of the round; over-expanding without a steady flow of treated patients will rapidly bankrupt your institution.

🧠 Why you’ll like it

It strips away the cozy theme of standard hospital simulators and replaces it with a razor-sharp, cutthroat economic puzzle. The combination of completely transparent open drafting and punishing fixed overhead costs makes every single choice a high-stakes balancing act. Watching your minimal clinic smoothly scale up into an optimized medical powerhouse that cracks legendary 15-point patient cases feels incredibly satisfying.

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