Learn Royal Hospital
Learn the game in 5 short steps. Everything links to the full rules.
Set up the hospital
Set out the shared board, shuffled Medical and Patient decks, resource supply and player boards. Put your Quality of Care marker on 6, your other scoring markers at 0, and production at 5 and 10 Credits plus 1 each of Diagnostics, Healing, Research and Staff. Draw 10 Medical cards, keep 5, and discard 5.
Prepare each round
Draw Medical cards first, then the Patients shown for the round. Quality of Care adds extra Medical draws; discard the same number after drawing. Draw Patients from the bottom of their deck with their treatment sides hidden. Take your production and ready used action cards.
Improve your hospital
Take turns playing Medical cards, activating action cards or passing. On your turn, you may also sell a hand card or spend Research for 3 Credits. Card effects can raise production, develop Insurance Companies, improve Quality of Care and add patient capacity.
Diagnose and treat
Pay Diagnostics to reveal Patients, then Healing to cure them. Staff can substitute for either treatment resource; Congress Doctors can be Staff or Research. Check Patient priority before deciding who can wait, and remember Terminal Patients need a Healing each round once treated.
Clean up and score
Add Time to unresolved Patients and check which cases die. Lower Quality of Care for deaths, score half your Prestige, check whether Congress Doctors have triggered the end, then pass the first-player marker and advance the round. After the final round, compare Quality of Care, Prestige, Insurance and production for final points.