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The times I've succeeded have mostly been in the first three hospitals where the illnesses aren't that tricky overall.
it's not pure RNG, as you can stack the odds in favour of them not dying.
level of staff, level of machine, quickness in diagnosis etc
.... I know, I feel bad just saying it.
but thats not "pure"
thats just unlucky.
Yes I rarely get a stable 100% cure rate, due to the RNG but I don't think thats a bad thing...
If there was an ABC = cure standard proceedure then everyone would be masters of a game after level 3 :)
However, doing base RNG on somethings, leaves just that little amount of mystery, you get min/maxers like me playing the game finding out what,why,how and if it makes sense...
Hence why I have played over 100 hours more after getting GOAT.
Which is what I said, stop nitpicking.
Send home anyone who doesn't have a high chance of survival. As has been suggested the bigger the hospital, the more patients, the higher the chance one will die.
It is possible to do it with large busy hospitals, I have twice (by accident). If a patient looks like they will die, send them home so they can be with family at the end. :P
Flemington, lvl 26, 400-450 patients a year, all rooms and equipement maxed out, nearly all employees in treatments maxed out and in good conditions. Only some with 4 stars but specialists.
At the end of the year,starting with november, every patient in treatment rooms died. The death bell was sounding every 10 seconds. I lost like 30+ patients in a row...
Pretty s.h.it.ty
I apologise if it came off as such. I was just in a business for many years where little things, the tiniest of ends, would see it fall (I was an architect).
Hence, I am very particular. I am not trying to offend :)
check your diagnosis, you want them through with plenty of health so they don't die in queues before and make sure your staff are well looked after in terms of NEEDS in the rooms. And of course, upgrade machines/specialise staff as you did.