This game is full of illogical stuff! WTF?!?

[eXeZ|Gamer433]

Hey there.
Dont get me wrong, I really love this game, but I have to fight with so much brain cracking, dumb stuff!
Here are some examples (just to know: I control everything! Every patient, every treatment, everything is under my personal control! English is not my native language.):

- No one has a car? I cant even place a bus stop? Everyone is walking to my hospital? Seriously?!

- Why are my patients always taking the rooms most far away and most busy? Instead of using the exactly same room infront of their face! No! They walk along to very far away room (x-ray, for example), sitting in waiting room and THEN they walk whole way back to the room, which was so near! (Both rooms are exactly same! Both in radiology, both with waiting rooms, both with waiting machine and monitor, bot with staff. No logic reason!)

- And why is the path finding a mess? The way to the right is MUCH shorter, but my patients always walk to the left side, which needs twice or trice of the time. No, there is nothing blocking the way and there is no "not permitted area" or something like that.

- Some staff members (especially, souvenir and pharmacy!) are ALWAYS not at their desk. They are alwys fulfilling their needs, BUT they have 5 stars in every of their need! Argh! Why? So I got a second pharmacy staff, but he is doing the same all the time. It need a function like "this room should have at least 1 staff", so not all of them are going same time to coffee or toilet (escpecially, when they dont need it!).

- The reception is totally broken, seriously! There are 20 people, waiting to talk to the reception, but they cant, because the person with broken leg at the end of the map has to talk first and needs 2 hours to reach the reception. Great! The queue should start, when they arrive the hospital, not when they spawn on the map.

- A patient leaves the emergency doctor room and was sent to kardio department, for an ECG, btw. But this patient first goes to the queue of kardio doctor room. Just to go in, sit down, standing up immediately and going to the queue of ECG room. What a...

- There are sooo many traitments which needs sending to wards before, but no hint of this. So, you are sending your patients throug whole hospital, to find out, that you have to send him/her first to the ward for this.

All this is very annoying and needs a very good planning, to help this stupid patients, to find the right and shortest way. BUT this one cracks me REALLY up:

- A patient is at my kardio doc. I see, he is needing an angiography. In a normal hospital, no one would let someone walk this way, especially when he has a critical status. But in this game, no one comes with a wheel chair, he has to walk to angiography, or ECG, or MRI, etc. Even a very urgently sympthom was found, this person WALKS to next treatment. Until he/she collapses.

- A patient collapsed. Directly in front of my ITC-people, but other staff is running and patients are waiting and waiting. They are waiting so long, BECAUSE the nurse, which has the order (yes! seeing the order in her tab, right above!) to take a stretcher and pick the collapes on up. But this nurse is standind, and standing, and standing FOR SOOO LONG, until she is walking! Not running! Walking!

- Okay, the person was thrown in the ward, has unknown, vibrating symthoms. I have to find out quick, what this patients need urgently. Patient is in highest ward, marked by me with the blue plus... but it needs soooooooooooo long, until a doc is checking him or bringing medicine to rescue him. No, he has to collapse a second time and a third time, because everything is lame and stupid!
Yes, of course, I have MANY staff members, sitting on their butts and doing nothing, And yes, they are assigned to that. Everything is correct on my side, I checked everything thousand times! And no, I dont click like an idiot and confuse my staff or something like that.

BUT this one leaves me speechless:

Every morning at 7am and every evening at 20pm, the shifts are switching. No problem here, but WHYYYYY is everyone not on time? They SPAWN at 7am or 20pm and have to walk all the way to their work place, but this needs an hour or more. This means also, that everyone in the shift before is also going to home. 1 or 2 hours (no, I have NOT ONE with a car trait), there is no business. If you have emergency or collapsed persons, then good luck!

Everyone is reacting sooo slow. This is a hospital, with many emergency moments, damn hell!!
I really regret, that I chosed biggest map (sandbox) and built my hospital in the upper corner. Everyone is walking so much to reach my hospital. No one has a car, no bike, no bus, just per pedes.

Surely, I forgot to mention some annoying moments, but this should be enough to show up the big problems in this game.

[eXeZ|Gamer433]

Ah! Found more:

- There is really a trait (privateer), who let someone dont pay for anything? And why cant I throw out such a parasite, without negative consequences? No! I have to do everything for such a person. to dont kill my good reputation. Thousands of dollars are wasted.

- 23:59 (or 11:59pm), I have a 5 star ranking. Everyone and everything is perfect. *BAAM*, next day (one minute later!), 3 stars, I get MUCH less money for everything now and in the log, there is noted, that the last day was just 90% or lower. Hell...

- Can run a souvenir shop some kind of lucrative? The damn staff member is walking around all the time (I descriped that before) and when he is at this place, he is always getting 50 bucks for anything. Adding a second one to let the visitors not wait? This means more financial loss. Dont build a souvenir shop? Then my patients are sad.

- All my staff member relaxing rooms (dont know the corect name yet, but you know what I mean) are build under the emergency department (copy/paste, so all rooms are identical) and every staff member in whole hospital is using them, great! But WHYYYY dont use the room direktly infront of them? Why are they using the elevator and walking kilometers for using the exactly same room???

Patiens and staff are losing so much time by walking through the hospital without any logical reason...

[MedJet]

welcome to the club. I've got many hours in and love it, BUT TRAUMATOLOGY is a CLUSTER FRACK! You have countless collapsing symptoms, when one diagnostic should identify more than one symptom you instead have to run multiple diagnostics and hope the patient makes it through that, AND THEN, YOU CAN ONLY perform surgery on one item at a time. The devs simply didn't conceive of this package very well and/or they didn't know how to implement it. At the very least similar trauma rooms diags should detect multiple symptoms and surgeries should enable more than one operation to be performed. Hopefully one day they revisit this and improve on these areas...but the whole garbage of a maternity ward has me saying they should visit other topics.

by the way; have you opened a Traumatology dept? if not you'll really ring your brain there!!!!

[eXeZ|Gamer433]

Originally posted by MedJet:

by the way; have you opened a Traumatology dept? if not you'll really ring your brain there!!!!

Thats the funny part: I didnt open that department yet (but I own all DLCs). All my experienced trouble is without. Thank you for the warning, that protects my brain against total meltdown!

Originally posted by MedJet:

Hopefully one day they revisit this and improve on these areas...but the whole garbage of a maternity ward has me saying they should visit other topics.

I have to kill your hopes, unfortunately. The devs wont do anything anymore. This game is "finished" for them.
This game is a jewel! But with so many flaws.
I bought the game VERY late, to get the best patched version...

[MedJet]

Originally posted by eXeZ|Gamer433:

Originally posted by MedJet:

by the way; have you opened a Traumatology dept? if not you'll really ring your brain there!!!!

Thats the funny part: I didnt open that department yet (but I own all DLCs). All my experienced trouble is without. Thank you for the warning, that protects my brain against total meltdown!

Originally posted by MedJet:

Hopefully one day they revisit this and improve on these areas...but the whole garbage of a maternity ward has me saying they should visit other topics.

I have to kill your hopes, unfortunately. The devs wont do anything anymore. This game is "finished" for them.
This game is a jewel! But with so many flaws.
I bought the game VERY late, to get the best patched version...

oh, yeah, by revisiting I meant in a possible future version of Project Hospital.

[Waggy]

You have a lot of valid complaints and dealing with parking would be cool, but we can abstract it as off-map: parking is just next door in one huge parking garage your hospital purchased at a lucky auction for a really cheap price.

[eXeZ|Gamer433]

Originally posted by Waggy:

You have a lot of valid complaints and dealing with parking would be cool, but we can abstract it as off-map: parking is just next door in one huge parking garage your hospital purchased at a lucky auction for a really cheap price.

Haha, yah. At least, you solved one of this hundreds mysteries.

No joke, but I found so many more illogical stuff, but I dont want to write a book down here.

[MedJet]

Originally posted by eXeZ|Gamer433:

Originally posted by Waggy:

You have a lot of valid complaints and dealing with parking would be cool, but we can abstract it as off-map: parking is just next door in one huge parking garage your hospital purchased at a lucky auction for a really cheap price.

Haha, yah. At least, you solved one of this hundreds mysteries.

No joke, but I found so many more illogical stuff, but I dont want to write a book down here.

think the illogical stuff was/is bad, I was around when they released the game and combine the difficulty of making money with the bugs and man I was about ready to shoot my computer...or myself for continuing to play it. Hopefully they've learned a lot.

[Wayks]

HAHAHAHAHA omg i have the same list of complaints. EVERYONE IS JUST SO SLOW

[eXeZ|Gamer433]

Originally posted by WAC (PH):

HAHAHAHAHA omg i have the same list of complaints. EVERYONE IS JUST SO SLOW

Not even that, but everyone is doing everything without any logic, which also means, it needs more time for everything.
You order your doc, to exame the patient, using, stetoscope, exame torso... all three examinations needs a body without clothes, but the patient is taking off clothes, exame, taking on clothes, taking off clothes... Or when you want to examine mouth and then nose. The doc is changing his gloves and washing his hands after each single examination. Thats so stupid!

My doc has ZERO stars of hunger and toilet need, but he is sitting there for two hours, doing nothing (he dont go to the toilet or to the cafeteria, even not to the damn selling machines. Everything is directly near his office). Then, his shift ends and he is going home with overall 2/5 stars of satisfaction. I get this consequences in my total reputation.

Or what I also dont understand: A patient has the trait, to upset my staff. Everyone who has contact with him, get one "-" in his/her total satisfaction. But I count the "+" and I have overall 8 (!!). Every need is fulfilled with 4/5 or 5/5 stars, but this one "-" is killing the total satisfaction of my doc. Even, its 8 hours ago, when its happened!

You see, Im still writing and writing... maybe I should overthink my skipped idea of writing a book...

[SpeedDaemon]

What gets me is that the doctors are apparently telling the patients to remove their pants for a chest auscultation... :D


I haven't had most of these things causing major issues, and I've currently got every dept except trauma and pathology running with ~120 pt/day. Granted, I am running the Bedside Exam and Realistic Collapse and Disease Incidence mods, which I think fixes a lot of Dr stupidity and "why are 50% of my pts having heart attacks" stuff.

I do really, really wish that doctors would stop ordering tests for patients that already have a 100% diagnosis and no unknown symptoms leading to collapse. I'm pretty sure they're the reason I have to have 5 x-ray rooms instead of 2.

A few other things I'm doing:
- Do NOT give your patients a choice of waiting rooms. One per dept per floor.
- 90% of my staff are custom created. They basically all have either early bird or night owl, depending on shift, then spartan or the one that reduces rest need. The bad trait is basically picked to have the least impact based what their job is, or the one that keeps them from taking breaks (for example, it doesn't matter how many times a nurse dedicated to transport washes their hands).
- Stay on top of the room stats - add more rooms or staff to rooms like labs if they're critical.
- Put water coolers in Every. Single. Room.
- Cluster your departments, and make sure there's a common room nearby that's a part of that department, so they prefer that one.

[R2P2.At]

I completely agree with the OP. I love this game and bought it very late (in a sense that I assumed there would be active development still).

What burns my logic circuits is the need to staff every room with people at all times or micromanage them and reassign their rooms every bloody time a patient sits in the queue.

Essential staff leaves to eat at the same time so no-one is manning the desk...

Waiting rooms... Why oh why does every department need it's own waiting area that cannot be shared with another dept. I mean the chair on that square next to this one must be somehow different.

Night shift ER sends patients to specialist dept that isn't staffed at night. So they walk there and sit till morning complaining about a long wait. Yes, I can micromanage this if I see Mary dragging herself to histology queue at 4 am... When the hospital starts to be more than one floor with several departments, this becomes unrealistic. In my home country you'd either send the patient home and schedule their outpatient tests for the next day or hospitalize them to wait for morning. I've never heard of a 24/7 outpatient lab outside unnecessarily expensive private options in Murica. What makes this worse is that the game acknowledges this type of realism by having nurses draw samples from hospitalized patients and leave them in the cabinet to wait for pickup. Ohhh but not for poor Mary who was sent walking at 4 am by the night resident from ER...

I truly hope that there is a new and improved game (by original devs / new ones) to fix the silly immersion breaking stupidities, or the mod community somehow cracks the mechanics and completely overhauls the game (Thank you for all the great work the community has done so far, loving all the added departments).

[eXeZ|Gamer433]

Thank you all for sharing your stories, I really thought, I am the only one who is loving and hating this game same time.

The more I play, the more things I see, what dont want to go into my head:

- When you start a new hospital, you dont want night shift in the first day, of course. But why are ALL staff members there until 8 pm, but throw out everyone at 6 pm? Even the **** pharmacy? Untreaten patients come back next day, okay, BUT no one come back next day for the pharmacy. Now, the entire staff is sitting on their butts for 2 hours, doing nothing, eating my money...

- A doc (or any other staff member) goes whole way to the toilet (if you are lucky and they chosed shortest way instead of most far away toilet room). Directly near this toilet, is the common room. But this "very smart" doc, walks after his pee action the complete way back to his office, sit down, stands up in same second and goes to the common room, because of hunger. Or:

- Its very nice for the eye to offer different sweets and drinks for your staff, but when they walk to the cafeteria (or common room) and eating donuts or drinking juice, they DONT get "had good food" or "full stomach" or "had coffee" or whatelse! They just fill up 2 stars of their need, walk back to work place and very short time later... yah, they do same precedure again...

- My neuro department found out, that my patient has PCF, but one sympthom needs to examine the mouth. Okay... but why in the hell is it not possible for the doc, to look into the throat of this patient?! He know exactly what he is looking for, because this kind of desease IS part of his department! No! I have to send the patient to emergency, looking into the throat and sending back to neuro. oÔ

- Again PCF: Patient had very high body temperature, so I gave him antipyretics, temperature isnt a danger thing anymore. One sympthom left... I tried EVERYTHING... Of course, I checked the diagnostic carefully, but all I can do is differential diagnosis (senseless, when there is only one possible diagnosis) and checking body temp... so, because of desperation, I checked the body temp and... what? Founding fever?? Fever was the last sympthom? But...

- My top skilled doc in emergency department can give eye drops, nose drops... wait, no ear drops? WHY?? And WHY is this ONLY a neuro thing? But audiometer (hint: its for the ears too) is part of emergency deparment... but neuro dont has, so a migraine patient has to send to emergency for using audiometer... narf!

- Patient has only one sympthom left. I can chose "x-ray chest, "x-ray upper parts", "x-ray lower parts", "x-ray head". NO clue, what hurts, the patient give no damn clue? I send this person to the room next of it, to watch, if he is limping. At least, I can check this for the lower parts. But is he/she is walking normal, I have to x-ray totally blindy. (Yes, of course I checked possible diagnosis and their treatments and yes, I used differential diagnosis, my doc has the needed specializiation with 48%). I dont understand... the first thing what you are telling the doc, is, "my arms hurts" or something else, or not? How is it possbile, that no one knows, which body part should be x-rayed???

- Im watching much. Especially, because I want to understand. Okay, maybe my knowledge at this point is not enough, BUT: Can it be, that the specialisation % are totally useless? I ONLY just see a difference, when my doc has this extended diagnostic, so I can use the differential diagnosis. BUT if you just change one docs specilizations into exrended diagnostic (so, its 0%), he can use differential diagnosis and works perfectly.
I dont mean the traits, I really mean the % of all specialissations. Maybe its important, when you DONT control all patients yourself, but this is just a doc thing.
Let us take any radiology room or laboratory. They get ONE exactly task and they ALWAYS find the issue. It doesnt matter, if the person has 1% in its speciality or 80%. Even the examination/work speed is the same.
My cleaning staff could do ECG, x-ray and CT. It seems, everything of this has NO (or extremely little) effect.
Best example: My self created staff member is same quick and good, then one with 80%+ colleagues. Even the doc, when you control his/her patients by yourself. ONLY differential diagnosis is missing, because of no extended diaglostics.
I read often, that people only playing with self created staff. This should end in a desaster, because all of this staff members are way too bad for their jobs. But no, it works perfectly and your salary costs are dream low.

- It cracks me up all the time, seeing a patient (or staff member, als well) going to a chair, sit down and stand up same second, instead of doing the next step DIRECTLY.
I love efficiency (sorry, I am german), but when I see THAT, all... the... damn... time... ARGH! Then I go crazy!!!!

[MedJet]

yeah, as a person who has over 1400 hours in the game, you simply have to take it for what it is....I personally can't stand some of the department configurations either.