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Have the Med Cabinet be a 10% boost, then 5%, 4%, 3%, 2% and 1%...and after that nothing.
Have Gold Certs do the same thing, max of 5. You could still have your little award walls like your doctor accomplished something, still hit level 5 rooms and have some nice mix and match without totally killing off spam.
Until then, all you can do is put cabinets and such around a room and do as above mentions and hide certs behind them.
Cheers..!
It is annyong having to disguise them, but that is basically my strategy as well.
I like the idea of increasing each items point value and then making the decline for each additional item much steeper.
Examples include the Cryptology Clinic and clown Clinic. they have decor specific to the room that make the room follow a nice theme.
Others, you either need to make em really large, put in a bunch of windows and/or spam the same items regularly. Not necessarilly gold awards but a couple of rooms are very limited on decor, such as Pest Control and Shock Clinic. It'd be nice if every room had some exclusive decor items.
Let me stop you right here... nobody likes spamming items. It is to be honest very bad game design.
I have never needed to spam objects? I only do that in toilets or if I can't be bothered to select different items (usually when I have been playing a long time in a hospital and have to set up a room or make it prestige 5 for a challenge).
Or make it so that variety of objects detects what level the room is.
At present each item does a percentage towards the prestige. If you make it say 2 items for level one and 15 items for level 5 (have to be different). Then this would make it a) more fair, b) less spammy (even though I never have a problem) and c) better looking.
Just my 2 pence.