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As to your orginal question. This game is a defenitly a 2nd Theme Hospital. As Someone who played and deeply loved the orginal I can confintly say that. Part of the orginal Theme Hospital team developed this game and it shows.
Also the game is fully released. They refused to put out a beta. They wanted a solid, finished, and polished game.Now they did release limited press release version to a select few youtubers to play as a means of reviewing and promoting the game.