How to: Thank my mother achievement (all awards in one hospital)

[snuggleform]

This achievement took me some sleuthing, but I finally found a way that ought to be reproducible without praying that a patient doesn't die.

TL: DR version: restart your Milton map (where you first got research, it's the teaching hospital that rewards you for training and research). For your treatment facilities, only build psychiatry, clown tent, and chromatherapy. Jack up all prices early on so you can survive/grow. Send all other patients home (ward, deluxe, pan). Have a research lab with some people working in it. To finish off the awards, put your prices back to normal, use a marketing campaign to raise your rep to max, decorate/warm your hospital. Everything should pop by the third year at latest, and earlier if you min/max harder.

The super long version is: at first when I investigated the awards, I noticed that earlier maps have different awards than later maps. The later maps have awards for research/training whereas the earliest 2-3 maps have simple "job of the year" awards. I thought that the earlier maps would be easier to hit all awards, but they aren't because assistant of the year is really really hard to get (you have to check in a ton of patients, but the early levels don't have enough density).

Also, all maps have "no deaths in one year" award which is tricky to solve. After investigating many of my hospitals illness charts, I noticed something curious: chromatherapy, jest congestion, and all of the psych illnesses have 0% fatality across all hospitals, regardless of hundreds of counts of each. It turns out treating those illnesses as far as I can tell, has a 0% chance of killing the patient, while everything else has at least some chance of killing the patient, even the deluxe and pharmacy treatments which the game starts you off with.

Milton is the ideal map because it doesn't have the assistant of the year requirement, and it is the first map to have chromatherapy/jest/psychiatry that all show up regularly enough to grow comfortably. Maps later than this have more or just different illness compositions which make it more difficult to get this achievement. Milton also is really nice because it gives you bonus cash for training/researching, and all doctors/nurses are blank slates so you can design their traits as you see fit (unnecessary, but nice).

I immediately doubled all prices since I couldn't rely on early pharmacy/ward income, I had to rely on diagnosis income until the clowns/psychs/chromas came in. I started by building 2 gps, clown, chroma, toilets, staff room, two training rooms, research lab, reception desk, cardio, general diagnosis, psych. Hire all 3 blank doctors/nurses, 1 assistant, 1 janitor. Immediately train 1 doctor into psych, 1 doctor into research, while the third guy mans the gp early game. Turn away all patients that ask for treatment in pharmacy, ward, deluxe - really anything other than the three nonfatal types of illnesses. As money grows, I get high prestige rooms, expanded a bit, got a marketing desk and went on a large campaign to restore my 0 reputation to max, put radiators/plants throughout the hospital since one of the awards is for a "nice working environment". The first two years, I automatically facerolled 6/8 awards: no deaths, rising star, best teaching, most research, employer, hospital of the year. But I kept missing two of them: patient's award, and most prestigious.

I don't know what the exact requirements for those last 2 are, but I suspect it has to do with decoration/thermal temperature which is what I focused on in the last year for the prestigious award, and the for the patient's award even at max rep I was missing it, so I restored the prices back from +100% to 0% after I had like a million dollars saved up and I think that did the trick (it could also just be my cure rates went up as I upgraded my clown tents and color machines).

Hope this helps if you're hunting for this achieve!

[wowdane]

Awesome if it can be replicated :)

[xxCOOPSxx]

I didnt get this achievement by doing them all at the same time in one awards ceremony ,I got all the awards at various times, then later one when i went to one of the information pages that shows what awards you have won, which obviously showed i had them all cause they were won at different times the achievement popped a few seconds later. I am not sure this is maybe what they inrtended and it might be that you are supposed to get them all together in one go, but this is how i got it

[Realty13]

I got mine with a clean sweep of the awards at Melt Downs. That hospital is my best so far and I'm geting ready to hit Blighton.

[snuggleform]

Originally posted by xxCOOPSxx:

I didnt get this achievement by doing them all at the same time in one awards ceremony ,I got all the awards at various times, then later one when i went to one of the information pages that shows what awards you have won, which obviously showed i had them all cause they were won at different times the achievement popped a few seconds later. I am not sure this is maybe what they inrtended and it might be that you are supposed to get them all together in one go, but this is how i got it

That's interesting to know. I just assumed it was all in one go. Regardless, I gave a very nice reproducible technique to avoid patient deaths in a given year by demonstrating which illnesses you can treat without fear of fatality.

[Evilsod]

This is a rather over the top 'guide' that I doubt anyone is going to actually read in full.

The only one you ever need to be concerned about is 'No Deaths'. Which means, to have the easiest shot at getting a clean sweep, you should go to the first hospital.

Why? Because 99% chance is the max cure success rate right? So technically, in 100 patients, you will get 1 failure. A lot of illnesses the further through the game you go seem to reach 100% fatal if they fail. The first hospital has the lowest number of patients when you reach a steady state so you're less likely to fail by random chance.

It also has no training or research requirements so nothing additional you need to worry about. You pretty much just leave the game going on faster speed, you can build a research lab if you want to finish off any upgrades while you're doing it and keep curing patients till Awards rolls round.

[Orion Invictus]

Originally posted by Evilsod:

This is a rather over the top 'guide' that I doubt anyone is going to actually read in full.

The only one you ever need to be concerned about is 'No Deaths'. Which means, to have the easiest shot at getting a clean sweep, you should go to the first hospital.

Why? Because 99% chance is the max cure success rate right? So technically, in 100 patients, you will get 1 failure. A lot of illnesses the further through the game you go seem to reach 100% fatal if they fail. The first hospital has the lowest number of patients when you reach a steady state so you're less likely to fail by random chance.

It also has no training or research requirements so nothing additional you need to worry about. You pretty much just leave the game going on faster speed, you can build a research lab if you want to finish off any upgrades while you're doing it and keep curing patients till Awards rolls round.

You can also get lucky. The odds of not getting that one death are actually quite good, if your success rate is 99%.

[Evilsod]

Originally posted by Orion:

You can also get lucky. The odds of not getting that one death are actually quite good, if your success rate is 99%.

Well obviously... RNG is implied. Point remains that with the fewest number of patients and the easiest illnesses to treat, your cure rate should be the highest it possibly could be on the first level.

[Orion Invictus]

Originally posted by Evilsod:

Originally posted by Orion:

You can also get lucky. The odds of not getting that one death are actually quite good, if your success rate is 99%.

Well obviously... RNG is implied. Point remains that with the fewest number of patients and the easiest illnesses to treat, your cure rate should be the highest it possibly could be on the first level.

That's not how probability works, but OK.

99% cure chance is not the same as 1% death chance. There are treatments that will never kill patients (or if they do, I've never witnessed it).

[allesklappt]

Originally posted by xxCOOPSxx:

I didnt get this achievement by doing them all at the same time in one awards ceremony ,I got all the awards at various times, then later one when i went to one of the information pages that shows what awards you have won, which obviously showed i had them all cause they were won at different times the achievement popped a few seconds later. I am not sure this is maybe what they inrtended and it might be that you are supposed to get them all together in one go, but this is how i got it

I just tried this since i was missing only one award in blighton, got the award and soon after I got the "thank my mother" achievement. So the awards does not have to be achieved in the same year :)

[Evilsod]

Originally posted by Orion:

Originally posted by Evilsod:

Well obviously... RNG is implied. Point remains that with the fewest number of patients and the easiest illnesses to treat, your cure rate should be the highest it possibly could be on the first level.

That's not how probability works, but OK.

99% cure chance is not the same as 1% death chance. There are treatments that will never kill patients (or if they do, I've never witnessed it).

Just what point are you trying to make cos I'm not seeing one? I know it doesn't mean that in 100 patients you are guaranteed to have 1 fail. It is no different to having a 95% chance for your shotgun to shoot a Crysallid in the face but XCOM finds a way and you'll miss regularly.

And try reading my first post again. I said quite clearly that a lot of later illnesses seem to have 100% fatality rate, implying that there other possibilities.

[snuggleform]

Originally posted by Evilsod:

This is a rather over the top 'guide' that I doubt anyone is going to actually read in full.

The only one you ever need to be concerned about is 'No Deaths'. Which means, to have the easiest shot at getting a clean sweep, you should go to the first hospital.

Why? Because 99% chance is the max cure success rate right? So technically, in 100 patients, you will get 1 failure. A lot of illnesses the further through the game you go seem to reach 100% fatal if they fail. The first hospital has the lowest number of patients when you reach a steady state so you're less likely to fail by random chance.

It also has no training or research requirements so nothing additional you need to worry about. You pretty much just leave the game going on faster speed, you can build a research lab if you want to finish off any upgrades while you're doing it and keep curing patients till Awards rolls round.

I respectfully disagree with you on many points.

a) you may feel it's over the top, but I gave a tldr version if you dont want to read the full thing, I anticipated people wouldn't want to read it all so I gave a condensed version, not sure how you missed this

b) you are sorely incorrect about going to the first hospital. Have you actually tried it or are you just theorycrafting? The illnesses there such as lightheaded, some ward illnesses have nowhere near a 99% cure rate, it's more like 70-80% even with level 3 upgrades. I went back to the first hospital with full upgrades and I NEVER got the death award in 4 years. With my method there is no luck involved since it involves treating illnesses which have 0% fatality rate.

c) try some probability, let's say EVEN IF a disease has a 99% disease cure rate and 1% fatality rate, if you see 100 patients in a year, you only have a 36% chance of seeing no one die at all (take 0.99 raise it to the 100th power, if you don't understand this it's ok just review some basic probability rules). 100 patients in a year is laughable low especially on later levels. The more patients you see and the lower than 99% cure rate you have....you get the picture.

Yes you can get lucky and clearly some people have, but as I stated clearly in the original unedited post, this is a method that doesn't rely on you praying for no deaths. You can GUARANTEE no deaths by only treating illnesses which patients can't die from and of course you can't have wait queues that are too long, but that's not hard to take care of).

[Evilsod]

Originally posted by wsc150:

b) you are sorely incorrect about going to the first hospital. Have you actually tried it or are you just theorycrafting?

Given that I did it within the last 24 hours, yes, I can safely say I did do it on the first level.

Its a level that requires basically no micromanaging. Unlike researching and training.

[snuggleform]

Originally posted by Evilsod:

Originally posted by wsc150:

b) you are sorely incorrect about going to the first hospital. Have you actually tried it or are you just theorycrafting?

Given that I did it within the last 24 hours, yes, I can safely say I did do it on the first level.

Its a level that requires basically no micromanaging. Unlike researching and training.

Then you simply got lucky, very lucky. Just because you happened to do it doesn't mean your advice is solid. Like I said, I went back to the first map after having level 3 upgrades and couldn't get no deaths after 4 years of trying. This is mathematically supported given 80% cure rates. You only need 1 patient to die in a year to screw up the award.

I don't know why you're exaggerating 99% cure rates on the first level, have you actually checked the cure rates? Yes something like grout has 100% cure rate but the de luxe is far far below 99%, especially since you can't upgrade your machine at all on the first run through.

I demonstrated a reproducible way to get 0 deaths - how is getting lucky better advice than this? Yes there's no micromanaging on the first level but the cure rates are far far far below what you think they are and it's EASY to get one death in one year.