Ludexv2026.11.01-65114139Royal HospitalOfficial rulebook ↗

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FAQ

12 answered questions11 official

Rules questions from the BoardGameGeek forum. Answers marked Official were confirmed by Lost Games Entertainment Ltd. or the designers.

Common mistakes

  • Paying Clinical Trial costs by lowering Quality of Care. Ruling · Rule
  • Assuming the printed cost on Specialist 21 is correct. Ruling · Rule
  • Looking at a hidden patient’s treatment side when checking it in solo play. Ruling · Rule

Showing 12 of 12

What does Specialist card 21 cost? Official

It costs 40 Credits. The printed cost of 10 is a card error.

Source: BGG Rules forum, Gamefound update

Medical cardsMedical Cards › clinical trialsMedical Cards › specialist 21 erratum

How do I pay for Clinical Trial cards? Official

Spend the number of treated patients shown in the cost; move the treated-patient marker back by that amount. It is not a Quality of Care cost.

Source: BGG Rules forum

Medical cardsMedical Cards › clinical trialsMedical Cards › specialist 21 erratum

Specialist card 13 has no play cost. When do I pay? Official

There is no cost to play it. Pay 5 Research or 10 Credits each time you activate its effect.

Source: BGG Rules forum

Medical cardsMedical Cards › clinical trialsMedical Cards › specialist 21 erratum

Can diagnosis and healing be mixed during treatment? Official

Yes. You may diagnose and heal in any order during the treatment phase, but a diagnosed patient cannot be turned back to its hidden side.

Source: BGG Rules forum

Patients and treatmentPatients and Treatment › diagnosing and healingPatients and Treatment › patient deaths

How do I check an undiagnosed patient in solo play? Official

Check the priority information in the card's top corner without looking at the treatment side.

Source: BGG Rules forum, BGG Rules forum

Patients and treatmentPatients and Treatment › diagnosing and healingPatients and Treatment › patient deaths

Which deck do I draw from first during Preparation? Official

Draw Medical cards first, then draw Patient cards.

Source: BGG Rules forum

Patients and treatmentPatients and Treatment › diagnosing and healingPatients and Treatment › patient deaths

Do I advance the treated-patient track when I cure someone? Official

Yes, advance it for each cured patient except a Terminal patient. Use this track to pay for Clinical Trials.

Source: BGG Rules forum

Patients and treatmentPatients and Treatment › diagnosing and healingPatients and Treatment › patient deaths

Where do the Quality of Care Congress Doctors start? Official

Place them on spaces 9 and 12.

Source: BGG Rules forum

Tracks and setupRounds and Actions › preparationGame End and Scoring › quality of careMedical Cards › insurance companies

What happens if Quality of Care is already at its maximum, or would fall below its track? Official

Ignore further increases at the maximum and further decreases below the lowest space. There is no extra reward for reaching the maximum.

Source: BGG Rules forum, BGG Rules forum

Tracks and setupRounds and Actions › preparationGame End and Scoring › quality of careMedical Cards › insurance companies

Can an Insurance Company advance past level 5? Official

No. If an effect would advance an Insurance Company already at level 5, it does not advance and gains no reward.

Source: BGG Rules forum

Tracks and setupRounds and Actions › preparationGame End and Scoring › quality of careMedical Cards › insurance companies

Should I use the setup draft shown in older tutorial videos?

No. For the released rules, each player draws 10 Medical cards, keeps 5, and discards the rest. Some older tutorial videos show prototype setup instead. (Current rules, p. 11.)

Source: BGG English rules file

Tracks and setupRounds and Actions › preparationGame End and Scoring › quality of careMedical Cards › insurance companies

How do I use the eight Promo cards in the separate box? Official

Shuffle them into the Medical deck. They are normal special cards with no cost to play; follow any resource cost shown in their effect.

Source: BGG Rules forum

Promo cardsCards & Components › promo cards

Rules

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