Sandbox Mode

Sandbox Mode gives the player the ability to customise an existing hospital map for free play. Any hospital can be chosen, including those of any owned DLCs, and various aspect of play can be specified to the player's liking.

Customisation Factors

 * Name: Defaults to that of the hospital itself, but can be specified
 * Cash: Starting balance, defaults to 500,000, but can be specified from -$20,000 to $10,000,000
 * Kudosh: Starting amount, defaults to 100, but can be specified from K0 to K20,000
 * Income Multiplier: Defaults to x1.00, but can be specified from x0.00 to x2.00
 * Patient Arrival Rate: Defaults to x1.00, but can be specified from x0.25 to x2.00
 * Illnesses
 * All over Time: Every illness will feature, with more difficult illnesses appearing as the hospital grows
 * Easy: Illnesses that are easy to diagnose, with a higher chance of treatment success
 * Medium: Illnesses that are moderately challenging to diagnose and treat
 * Hard: Illnesses that are hard to diagnose, with a lower chance of treatment success
 * Visible Symptoms Only: Only illnesses with visible symptoms are active
 * All from the Start: All illnesses are active from the beginning
 * Bigfoot: Illnesses found in the Pointy Mountains (and Bigfoot DLC)
 * Pebberley Island: Illnesses found off the mainland of Two Point County (and Pebberley Island DLC)
 * Close Encounters: Illnesses found in the South of Two Point County (and Close Encounters DLC)
 * Off The Grid: Illnesses found in the West of Two Point County (and Off The Grid DLC)
 * Culture Shock: Illnesses found in the East of Two Point County (and Culture Shock DLC)
 * A Stitch in Time: Illnesses found around the temporal rift of Two Point County (and A Stitch In Time DLC)
 * Speedy Recovery: Illnesses found by the custom ambulances of Two Point County (and Speedy Recovery DLC)
 * Objectives
 * None: Pure freeplay
 * Cure Patients: Sets objectives primarily involving Curing Patients, Cure Rate and Reputation
 * Cure & Expand: Sets objectives primarily involving Curing Patients, Cure Rate and Hospital Value
 * Moneymaker: Sets objectives primarily involving income and Hospital Value
 * Research & Training: Sets objectives primarily involving generating Research Points and training staff
 * Staff Development: Sets objectives primarily involving promoting and training staff, and maintaining their morale
 * Staff Hiring
 * Default: Staff for hire can be any rank, with a range of qualifications
 * Medical Students: All Doctors and Nurses for hire are students with no qualifications
 * All Junior: All staff for hire are lowest rank, with no qualifications
 * Temperature: Cold, Temperate or Hot
 * Rooms
 * Unlock with Research: Many basic rooms are available from the start, including all facilities, the rest must be obtained by completing Research Projects
 * All Unlocked: All available from the outset
 * Items
 * Unlock with Kudosh: Kudosh is used to unlock items that are unlocked that way in Career Mode, as well as Star Level rewards
 * All Unlocked: All available from the outset
 * Upgrades
 * Unlock with Research: Machines are made available with their respective Rooms, but all upgrades must be obtained by completing Research Projects
 * All Unlocked: All available from the outset
 * Plots Owned
 * Default: The same plot(s) that are open at the outset of Career Mode
 * All: Every plot open from the outset
 * Staff Challenges: On or Off
 * Patient Emergencies: On or Off
 * VIP Visits: On or Off
 * Disasters: On or Off
 * Epidemics: On or Off

Adjustability
Certain factors, primarily the starting conditions such as monetary balance, are set upon beginning a new Sandbox game. The following factors can be freely adjusted after the game is started by returning to the main Sandbox menu:

Sharing Hospitals

 * Main article: Steam Workshop

A saved hospital in Sandbox Mode can be uploaded to the Steam Workshop by selecting the 'Share' button in the bottom-left of the Sandbox menu. This will take the player to the upload screen, where they can give their upload a title and description, as well as select from three levels of access: Public,  Friends Only or  Hidden.



The upload will be given a default image of the hospital itself. If preferred, the player may select a custom image by clicking the button and navigating to it on their computer. The default image can be restored with the button.

These hospitals are kept separately from the player's own creations, in the 'Downloaded Hospitals' tab at the top of the Sandbox menu. Of note is the fact that any installed DLCs used by the player when creating the hospital will also be required by any players who download the workshop item.

Emergencies
When emergencies are enabled, the following list shows that precise line-ups that can be expected to appear.

Of particular note are certain emergencies which do not appear anywhere in Career Mode, only in Sandbox. These will be marked with the SB undefined Sandbox Mode icon.