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Two Point Hospital: Off the Grid Released

Following a brief delay, the new Off the Grid expansion is now available on Steam for the Windows, macOS, and Linux editions of Two Point Hospital, the off the rails medical tycoon game. This adds new hospitals, new illnesses, and new items, along with a semi-sincere attempt at going green. This post has details on the add-on which comes along with an update for the base game and a new Exhibition Items Pack. Here's a launch trailer and here's word:
Filled to the brim with new content, you'll be working in three brand new locations across the county to create the greatest eco-hospitals you've ever seen!

Locations aren't the only new thing in Off the Grid, we've added a massive 35 new illnesses, 9 of which are visible ailments including: Distrawed, Glitchy Patch and more! Plus, with 31 new items to decorate your hospitals with, you'll be dazzling the world with your eco-decorative genius in no time.

That's not all though, dear friends, releasing alongside Off the Grid is the awesome new Exhibition Items Pack with a whopping 30 items to place in your hospitals!

Two Point Hospital: Off the grid is available NOW for PC at £6.99/$9.99/€9.99 with a 10% early adopters discount for one week! The Exhibition Items Pack is also available NOW for PC at £2.99/$4.99/€4.99.


Introducing, Two Point County’s ever-present mayor, Tabitha Windsock: a lady with morals, integrity and, above all, a cloying desperation to stay in office.

The environment is the issue on everyone’s mind here in Two Point County, and Ms Windsock is willing to fall on the sword of extensive positive press by founding the Department of Green Things.

Support her initiative by taking care of the green-minded, recently-pro-windsock, community. Tabitha needs them in this time of poor voter polling!

You’ll face new illnesses, some of them bizarre, even by your standards, and manage new gameplay mechanics on your route to eco-friendly success. We believe in you, and Tabitha does too (sort of).


Release Notes:


Off the Grid:

  • Added DLC 4 - Off the Grid
    • Three new levels - Wanderoff, Old Newpoint & Windsock
    • 31 new items
    • 35 new illnesses
    • 4 new treatment rooms

Exhibition Items Pack:

  • 30 awesome new items!

Update 1.19:

  • Game engine update
  • 3 new music tracks
  • Added some new radio DJ shows
  • Mac stability optimisation
  • General fixes for issues on Mac
  • Stability improvements
  • Fix for crash on startup in some machines with odd Windows registry locale configuration
  • Fix for poor performance updating nav data (whilst placing iteams or rooms) in some rare situations
  • Fix for mouse scrolling sensitivity issue on macos Catalina
  • Fix for game requesting unnecessary keyboard permissions on macos Catalina
  • Minor optimisation tweaks
  • Various other bug fixes