Ludexv2026.11.01-65114139Royal HospitalOfficial rulebook ↗

Visitors

Loading…

Cards & Components

Reference the boards, card families, markers and resources used in Royal Hospital.

Boards

The shared board holds the seven-round track, Ambulance rewards, Quality of Care, Prestige, Victory Points, four Insurance Company tracks and resource production. Each player has a Hospital board with four starting Patient spaces.

The Royal Hospital main board with numbered areas

  1. Round track · 2. Ambulance rewards · 3. Quality of Care · 4. Conversion reminder · 5. Prestige and Victory Points · 6. Insurance Companies · 7. Resource production.

Cards

Medical cards

The Medical deck has 11 families: Starting cards, Insurance Companies, Research Projects, Resident Programs, Specialists, Medical Direction, Consultations, Suppliers, Outpatient Clinics, Clinical Sessions and Facilities. Card rewards may be immediate, ongoing or activated once per round.

Medical card example showing cost, family and reward areas

  1. Cost · 2. Card family · 3. Immediate, ongoing or action rewards.

The released rules show example faces, but not a complete catalogue of each distinct card. Full face names, effects and images are To be added. Specialist 21’s corrected cost is on the Medical Cards page.

Patient cards

Patient cards have a diagnosis side and a hidden treatment side. Critical and Terminal Patients show the necessary information on both sides; other priorities reveal their condition when diagnosed. A face-by-face Patient catalogue is To be added.

Promo cards

The game includes eight Promo cards in a separate box. Shuffle them into the Medical deck; the designer confirms they are normal special cards with no play cost. A German card translation lists 196 cards, matching the 184 listed Medical cards, four Starting cards and eight Promos. Individual face names, effects and images are To be added.

Tiles

The rulebook does not list separate tiles. To be added if a tile component is identified in the released set.

Tokens & pieces

The game includes 40 resource-production counters, 16 Insurance Company counters, four each of the Victory Point, Prestige, Quality of Care and Ambulance counters, a round counter, a starting-player token, Congress Doctors, and the resource supply. Resource tokens: 32 Diagnostics, 32 Healing, 35 Research, 35 Staff, 28 Time and 36 Congress Doctors. Credit coins: twenty 1-Credit, ten 3-Credit, twelve 5-Credit and fourteen 10-Credit pieces.

Icons

SymbolUse
diagnostic resourceDiagnose a Patient.
healing resourceHeal or maintain a Patient.
research resourcePay a Medical card cost or trade for Credits.
staff resourceSubstitute for Diagnostics or Healing in treatment.
treated patientTrack Patients treated; spend progress on Clinical Trials.
CreditsPay costs or receive income.
Congress DoctorFlexible resource used as Staff or Research.
Medical cardDraw or play a Medical card.
Insurance CompanyAdvance an Insurance Company.
PrestigeScore points during Cleanup.
HelicopterRemove a Patient or make all players draw one.
AmbulanceAdvance on the Ambulance track.
Quality of CareTrack Quality of Care.
Victory PointTrack Victory Points.
TimeTrack delays on untreated Patients.
Rules

↑↓ to move · Enter to open · Esc to close

Drag to move · tap to close