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Honestly I don't know. I build a very big toilet with at least four WC. I remember a task that you have to unblock WC but I have never had problems... I don't know how to help you
I'm on the third map and I finally had a patient using my toilet:
https://steamcommunity.com/sharedfiles/filedetails/?id=2446904390
Here's a clown using my toilet:
https://steamcommunity.com/sharedfiles/filedetails/?id=2446904499
It's funny, if you zoom in to take a closer look at people on the toilet, the graphics are pixellated!