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Exactly. Some rooms can benefit from extra space, though. Such as leaving extra space in fracture wards for people to line up at the casting machine.
I disliked this system in Theme Hospital and I dislike it now. I feel like I get punished for wanting a nice looking hospital as opposed to one that has tons of the same pictures, plants and what not to get the maximum prestige. In my opinion all decorative items in the same class should have the same prestige value. Meaning if I place a green plant instead of a sunflower it should have the same effect. If I place a beach painting instead of an abstract one it should have the same effect.
If it worked that way we could decorate how we wanted and still get maximum prestige.
Eg if you put 2 of same item in, then second item is worth half as much.
3rd duplicate is worth half as much again (quarter value)
4th half again (1/8th)
This would encourage more variation of astetics rather than spamming the best.