How to increase/attract more patients organically?

[Blebekblebek]

Before you start telling me how to modified the xml file, I know that already, that's not the point.

I believe every game maker had their idea/imagination of how their game should run.
However in this game if I start everything by default and start saving money from scratch, when I build every department and facilities, the patients number actually starts to go down significantly, I'm on my hundreds try right now and it's always end up in with the same results, even if I start building it one by one gradually, it's all the same thing.

So far there is only 2 definite way to solve the issues

1. Only build the first 3 categories and ignore the rests (Emergencies, Radiology, Medical Labs)
   
2. Editing PatientsPerDay in XML file.

Does anyone ever get patients more than 200 by default?

I know it's 2023, and I guess everyone who loves to play this game knew this and have their own way to work around this issue, it just that If only the dev care about the game, this game is actually masterpiece in my opinion.

Btw If you have succesful gameplay, please share it to my please. Thank you.

[LionelCG]

Do you play with mods? Do you have a savefile as example? Did you change any setting in the XMLs that would be relevant? You can also use the dev´s forums for reporting bugs.

[Blebekblebek]

1. No Mods
   
2. I change first 3 insurances PatientsPerDay from default 10 to 50 (Uninsured, CheapOCare, LiveYT) but I don't use first two anymore.
   
   Right now if I didn't toggle/accept any events I barely get 80/90's patients per day.
   The save file is here: https://drive.google.com/file/d/1aLrVhGuXo67we53o_riexaueIT4Dck7y/view?usp=drive_link

[LionelCG]

I took a look at your savegame without changing anything at the insurance company settings and you should get 68+7 patients to be seen if you check the insurance company tab. There the patients sent are shown. so getting 75+x patients is actually quite accurate. Also the numbers check out even though I don´t know which insurance provider is which as I play the game in a different language and was to lazy to switch :D

I am currently at about 130 patients with some mods but nothing that unexpectedly changes patient numbers except some supplementary insurance providers. This is consistent with the patients I should receive. I get almost every day the number expected give or take up to five patients. The only thing that did not work for me were those xx% more patients due to flu season. That did not change anything.

What I suggest is checking and improving your reputation. You have only two stars. I have five full stars but I micromanage my patients and doctors a bit. Also you do have every 20th patient untreated and actually quite a bit of mistreated patients. Those might be reasons for your issue. Let us know if you figure out a solution.

[LionelCG]

Took a bit of a deeper look. Thanks for your question. I am still learning due to the lack of a manual for this game :D. I was right with my suggestion that prestige and overall happiness of staff and patients is the key to your success I think. You can check the overall rating of your hospital at the star rating on the bottom of the screen. You can check per department in the department overview.

So basically you hospital seems to be utterly ugly, your staff is grumpy and your patients cannot fulfill their needs is what a consultant would say. :D

Now how to fix it? I still need to look at what factors can be addressed by what actions but if you look at your department statistics one by one you should get a good idea on what is wrong. The only thing ist, that a lack of factors is not only a lack of factors for complaint but also a lack of factors for happiness. Now it is not as easy to find them if you don´t know them. Remember, there was no manual.

Just google for project hospital prestige. I found a neat guide serving a starting point on Youtube.

Some examples that I figured out for my clinic:
Put some staff with the pleasant modifier at choking points such as the information or pharmacy and watch how the patients get this modifier.

Lots of objects are only for decoration, but not all of them (even though not all work properly). Place decorations, couches and bookshelves in patient areas. Make sure you do have enough toilets. Also check whether you can shorten walking distances and waiting times for your patients.

Make sure your staff can fulfil their needs and they also work in a nice environment. If they are grumpy they work really slow and then the patients have to wait.

P.S.: Oh and one other thing, your changes to patients per day might not be in effect if you have DLCs. They sometimes change the values back. I noticed it when installing a mod for more selectable insurance companies.

[Blebekblebek]

I used to think prestige ties to patients numbers, but after playing almost 500hours in this game, I don't think so.

The reason I'm playing the way it is because I Min-Maxing patients, the faster it goes out, more I can take in (most games usually play out like that), and it certainly do, it doesn't even increase the payout.

However sure, you can argue you can boost staff morales, and make them perform better.
That's why I start new games with Prestige on MAX. While it's not exactly easy thing to do, but by far it's far easier to MAXING prestige instead of maxing your hospitality services, btw it's actually look uglier because of those posters spamming.

The save game: https://drive.google.com/file/d/1_jpu9RcjgQ_47RAolCgCdfj9c-fPTnLB/view?usp=sharing

[Blebekblebek]

I forgot to add the after that part saves.
So here is the next step with cardiology department, icu/emergency hospitality.
https://drive.google.com/file/d/1_jpu9RcjgQ_47RAolCgCdfj9c-fPTnLB/view?usp=drive_link

5 Star, btw if you didn't realize the prestige will drops at 00.00 to 3 star every single day, and usually it will go up harder if there's someone died.

Anyway, back to original discusiion, even at this point I never get any more than 135 patients, and it's averages at 90 patient/day.

The reason isn't necesarily income, but with almost 200 staffs, it just kinda weird just catering 90 people/day while you can do the same with less staffs, 90 staffs to be exact, you just need to open Emergency, Radiology, Labs, Janitors, and Pharmacy, No Need to open any department, and Hospitality services.

[LionelCG]

I am playing a game where I will open lots of / probably all departments eventually but as for now I do have played some games with three or four medical departments and usually the stream of patients levels out a bit between departments and you still make lots of money while you do have exactly the numbers of patients coming that the insurrances send.

So far I got around 200+ patients no problem but with only emergency opened and 58 staff (where around 18-25 are only there for training custom hired staff for departments I plan to open so the real number is close to 35-40).

With three medical departments I got like 130 patients (also limit of insurrance companies) of reliable patient flow every day. I even had to turn off insurrances as I could not cope with all patients :D.

I can tell you a bit more in a while as I am playing a slow paced game currently and take my time to figure out how everything works and also I use staff training & perks to my advantage. This time I only hired custom staff with chosen perks that I think are best for my departments overall. I modded perks slightly so I get to pick three good and one bad perk. Also modded training to reducing all training stats to half of their original valu.

As for my other game with four departments opened I serve around 130 Patients with about 90 staff plus 30 trainees. What I noticed is that the game hospitalizes lots of outpatients for ridiculous reasons which exponentially increases your staff numbers. That might level out a bit once I have more departments.

[Blebekblebek]

Share your save file pls those who had 200+ patients.

[LionelCG]

I have some custom mods, nothing out of the ordinary but still. I also have all DLCs and changed value for max selectable insurrances to 32 within the DLC tweakables. I will look into it and share maybe with mods included.

Or I will share a mod with you that gives you a galore of patients just so you get confirmation that the issue is normal behaviour on your end. Won´t have time today though.