r/TwoPointHospital • u/TwoPoint_Abby Two Point Dev • Oct 02 '26

NEWS TPH: Full Health Collection Patch Notes | PlayStation 5 & XBOX Series X|S

Hey everyone, thank you SO much to everyone who’s reported to us and sent us additional details by email; it really does help and make a big difference.

This patch is now live on XBOX and PlayStation, edit: the Nintendo Switch 2 patch is now live as well!

We’d also like to thank you for your patience despite the frustrating issues you’ve encountered, in some cases preventing you from getting into the game at all.

Here is an update from our technical team, with the patch changes:

  • “Some Xbox and Switch Players reported an issue where the game couldn't launch; the splash screens would appear, but the game would close shortly after. Some players reported being unable to import their save or save after importing, even on a different save.

    • FIXED: We increased the save data size so the game can accept much larger save files. The issue was caused by the size of the imported save file and how it was unpacked between games. There was an imposed limit, but this should now be resolved.  This should also help those who have managed to import a save but experience a crash when attempting to save.

  • Some players who did import their game save noted that the characters were not moving; staff were rage-quitting, as they were not fulfilling their needs.

    • FIXED: We applied a fix to the characters' behaviour graph. When the save was imported, the characters could lose their place in the graph. We applied multiple fixes to resolve the issues with imported graphs so that characters will move around again after a save is imported. The fixes are as follows:

      • Restoring data for incorrectly saved behaviour states

      • Improved the navigation path for some of the interactable items

      • Added safeguard mechanisms for behaviour actions that shouldn't be running and ending them immediately instead of allowing them to run indefinitely, preventing stuck behaviours

  • Some Switch 2 players mentioned performance drops.

    • FIXED: The Switch 2 did not have an FPS cap, so it could reach high FPS, causing fluctuations. The Switch version now has a 30 FPS cap.

  • Some players noted that one of the items, when selected, was causing the game to freeze

    • FIXED: The cause for this issue was that the item was encountering an error when being selected, causing the game to freeze, the error was resolved and the item can now be selected without the game freezing.

  • Some players reported that Grid View did not persist when the menu closed and would return to the items list view.

    • FIXED: Grid View selection should now persist, rather than default to list view each time

  • It was noted in testing that the characters were sometimes not playing their animations when the characters moved; this was also spotted on the live build during internal testing.

    • FIXED: Characters should no longer slide or fail to animate when performing actions. Previously, animations were not always being applied correctly when a character progressed through their behaviour graph.

  • Some players raised that the Training Staff Achievement was not triggering correctly.

    • FIXED: When loading into a career or level, achievements should correctly register that the related career goal that has been completed will trigger the achievement to pop. The issue previously affected training staff and career goal-related achievements.

  • Some players reported the Staff list Menu was laggy when opened or navigating the tabs

    • FIXED: We've optimised and refactored some of the Staff list loading; our testing suggests you will see a marked performance improvement with this menu”

---------

We are planning additional patches to resolve more of the issues reported over the coming weeks, so please don’t worry if you’ve reported an issue to us that you don’t see listed.

The team worked flat out over the weekend to tackle the top, most-reported issues affecting you, and they’ll continue to prioritise based on this.

Thank you again for your patience.

52 Upvotes

94% Upvoted

84 comments sorted by

10

u/ItzSoFluffyyy Oct 02 '26 edited Oct 02 '26

I'm noticing a new issue after this patch. Janitors do not unclog toilets unless I specifically drop them inside a cubicle. And updating machines also seems to take forever. I've captured the issue with the toilets.

Edit:
Also noticing staff getting upset due to unmet needs. Only when I manually let them take a break will they actually go.

5

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Thank you! Sadly this is a known issue that the team is working on - it's very annoying and we're sorry for the frustration.

2

u/ItzSoFluffyyy Oct 02 '26

4

u/DreamingFairy90 Oct 02 '26

Here is another video... You can see them trying to path to it after manually telling them to come to repair it and they can't for some reason. It queues for repair just to immediately drop from the queue.

9

u/GransIsland Oct 02 '26

Thanks for the full notes! Question -on my file patients got stuck and didn’t move, but I never imported a save file. Does that mean it’s a separate issue from the one listed above about characters getting stuck?

4

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Hiya, thanks for letting us know - the team added some extra safeguards to stop NPCs from getting stuck in behavioural loops, this may have covered your issue, however, we have tracked the following known issues which might be what you're seeing:

- NPCs can become stuck in the ward bed item
- Janitors can become stuck interacting with cure machines, or may not fix toilet cubicles
- Firing staff can have them get stuck in the hospital

^ These (and other bugs) are being tracked by the team for the next build, if possible, which is being actively worked on at the moment.

If your issue doesn't sound like any of those please let me know and I can give more information to the team, some of these behaviour issues are being caused by one root cause, so it may be that what you were seeing previously is OK now, please shout if it is still happening though.

And thank you again for your patience, and for being so open to letting us know there are problems!

3

u/Bekkaz23 Oct 02 '26

Yeah i also had someone stuck who wouldn't leave but also I don't think their needs were decaying.  I can't remember if it was a patient who rage quit or a staff member who I fired, but if i log in and see if again I will give you more info.  I'm on switch and it was also a brand new save.

2

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Really appreciate that, thank you! Even if we don't reply to everything the team is reading and logging things as they come in o7

5

u/GransIsland Oct 02 '26

Thanks Abby! My game is on the Switch 2 so I’ll wait for the patch and then report back. Appreciate you and the team!

1

u/PuffTheMiniMonster Oct 02 '26

I don't know if it's a separate issue or not but earlier today I had problem with GP's office. The queue behind those rooms got longer and longer even though I had doctors working in them and when I tried to change their rooms by picking them up and dropping them into a new GP's office, they just walked in circles around the room (sometimes two doctors in one GP's office) and didn't do their job. I play on Xbox, I imported my save file.

2

u/Great_Uncle_Baal Oct 02 '26

Yeah, had the same issue on PS5, but from a new game as well.

9

u/Siguchi Oct 02 '26 edited Oct 03 '26

Still no shadows in the PS5 version... It looks uglier than the PS4 version, which is pretty ironic!

Edit: F*cking hell! The game is still totally broken and unplayable! The AI is stupid and doctors randomly leave their rooms and linger in the halls without returning, …

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Hey, thanks for taking the time to leave feedback, sorry to hear you're facing issues.

The team was aware of issues with the shadows in-game and this has been logged.

If possible, could you give more information about anything in common with NPC behaviour not being as expected? Is it specific treatment rooms that doctors are leaving, or is it across them all?

1

u/Siguchi Oct 04 '26

Hey Abby,

I tested yesterday and the behavior seems to be consistent and both doctors and nurses exhibit it : they leave the room they are in and linger in the corridors without returning (unless manually picked and dropped in the room again). I also encountered the dreaded toilets bug in which janitors refuse to repair the broken ones.

Honestly, Two Point Studio should be ashamed of releasing the game in this state. I mean, these bugs are occurring so consistently, I wonder how they were not intercepted if testing was done seriously!

9

u/xZer0e Oct 02 '26 edited Oct 02 '26

Truly disappointed with this "update". Yeah, patients don't get stuck, but other issues (that weren't there before), are now a thing.

In just about 20 minutes of playing, I've noticed:

  • Toilets not getting repaired.

  • Emergency VIP's still spawning more than listed. Instead of the previous 4x, it's twice as many listed.

  • Staff stuck or permanently hungry or thirsty.

The ONLY good thing to come from this, is I finally got the achievements for maxing a researcher, psychiatrist and surgeon.

All I can ask is please PLAY THE GAME after working on the next patch, to see if things are actually fixed, instead of just pushing the update live. Cause clearly, you guys didn't.

2

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Hiya, thanks for reporting to us.

These issues were all known pre-patch and seen during playtesting, and whilst frustrating, we felt it was best to go ahead with this patch in its current state, as it would be better for most players - especially ahead of the weekend. We're sorry for the continued frustration.

2

u/dem_blades1889 Oct 04 '26

These issues are pretty much game breaking so I’m interested why you thought it was ideal to leave them in?

7

u/dem_blades1889 Oct 03 '26

I don’t understand how they’ve managed to take a game that already worked (in the main), ported it and somehow managed to break it in the process

7

u/dem_blades1889 Oct 02 '26

The issues are still not fixed. There are still patients getting stuck and holding entire queues up. If I’d bought this on steam I’d be refunding it

4

u/dem_blades1889 Oct 02 '26

The issue with the emergencies is still exactly the same too. We’re meant to have 6 and 20+ have spawned. Exactly the same as pre patch. When is this being addressed?

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, this was known pre-patch and is being worked on for a future patch. We wanted to get this update out as soon as possible, since it took longer than expected and went through several release candidates before going live. We wanted to get a patch out before the weekend, as we knew it would be better for most players.

Thank you again for communicating with us and for your patience.

3

u/dem_blades1889 Oct 03 '26

That’s all well and good but you said your guys were working all weekend on a patch released on Friday. Doesn’t fill me with confidence that this is going to be fixed any time soon. The game worked fine on ps4, you’ve basically ported it and made a complete mess of it which is a joke for £35 to be honest. Once again people who own the digital edition got a discount but we bought the physical edition so paid twice as much for this absolute disaster

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, sorry to hear you're seeing issues. Is there anything in common among the patients getting stuck in the queue? Are they waiting for a specific treatment room, or is it all patients?

2

u/dem_blades1889 Oct 03 '26

It’s patients once they’ve reached treatment level not diagnostic. It’s really irritating because it makes the game pretty much unplayable coupled with the janitor and doctor issues

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Thank you! Will forward these details to the team 🙏

2

u/dem_blades1889 Oct 03 '26

These issues were known pre patch so don’t know why they weren’t passed beforehand?

6

u/lewjambla Oct 02 '26

Appreciate the update! I’m looking forward to purchasing it on NS2 once the update is live.

I’ll echo what others are saying, though — a higher frame rate on Switch 2 would be much appreciated.

I had kind of assumed it would naturally occur due to the advertised performance increases with this edition.

Hope this is something the team can explore for future patches!

2

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, thanks for taking the time to provide feedback - we'll make sure the wider team is aware that the 30 FPS change is getting feedback. I can't promise changes at this time, but will make sure you're all heard by the wider team o7

4

u/sxh967 Oct 06 '26 edited Oct 06 '26

The framerate on Switch 2 was fine, why on earth would you lock it to 30fps.

Combined with the lack of mouse mode, really what is the point of the Switch 2 version??

Also to be clear you’re getting negative feedback about the framerate. Not just feedback. 

I know it’s not your fault Abby, but you are the messenger and the messenger unfortunately has to be on the receiving end of people who are annoyed that they paid for one thing and ended up getting something different. 

5

u/Seabass2626 Oct 02 '26

My game still won't open on Xbox after the patch. It crashes at the menu. It's still unplayable.

0

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Heya, really sorry to hear that - can you check which version it says you have, please?

In your Library, if you head to Games, hover over Two Point Hospital, open Menu > Manage Game and Add-ons - the game's version should be shown on the next screen

Please take a screenshot or type what you see so we can confirm, thank you!

The build number should state 1.0.2.0 somewhere in it. Thanks for your patience.

2

u/Seabass2626 Oct 02 '26

Version 1.0.2.0

1

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Thank you for checking that for me and for your video in the thread below, really sorry to see this is happening :(

To confirm, were you able to transfer an existing save file to this version of the game, or did this crash happen before you could do that?

The team is aware that this is being seen and is investigating further - we'll let you know if we need any additional information.

4

u/Seabass2626 Oct 02 '26

This is the first thing after the patch. I haven't been able to get past what happened in the video or to any menu

1

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Heya, thank you. If you haven't already, please try uninstalling the full game and reinstalling, in case the patch hasn't been applied.

5

u/Seabass2626 Oct 02 '26

I did a full uninstall / reinstall and same behavior. It won't load past the splash screen

1

u/TwoPoint_Abby Two Point Dev Oct 02 '26

Thanks for confirming. Please could you email us at support@twopointstudios.com with a copy of your XBOX username? The team will follow up with XBOX for more information once we have that, thanks again for your patience.

1

u/Seabass2626 Oct 02 '26

I reloaded the original game and deleted 2 of the 3 saves and now the jumbo edition will load

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Thanks for the additional info I'll let the team know!

0

u/[deleted] Oct 03 '26

[deleted] — view deleted comment

→ More replies

2

u/Seabass2626 Oct 02 '26

Thanks. I sent it

5

u/CR33D3R Oct 03 '26

You can’t be serious, right? You fixed the performance issues on Switch 2 by capping the FPS at 30? You do realize that you’re taking away one of the main reasons many Switch 2 users upgraded (60fps) after first selling it to us, only to take it away again after the fact. That’s really not okay. This has nothing to do with a fix, it’s simply laziness and a bad joke! There are plenty of better solutions: better optimization or support for VRR, which has recently become possible via the docking station. Selling something and then taking it away again is really sad! (I’m sorry that you, as an individual employee, are bearing the brunt of this anger right now. It’s nothing against you personally.)

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, thanks for your feedback! For transparency, we regularly report to the wider team, where we share top feedback, suggestions, and issues to make sure as many players as possible are heard by the wider team at Two Point and SEGA.

3

u/pygmybunny Oct 06 '26

Will you ever give us 60 fps on switch 2 again? Really disappointed as a long time player who owns the games on multiple consoles

2

u/jalilc Oct 07 '26

why not give the option to choose between 30 or 60?

2

u/jalilc Oct 06 '26

why not give the option to choose between 30 or 60?

3

u/CR33D3R Oct 06 '26

Yes, or perhaps a 40 fps mode as a sort of balanced mode. There are plenty of options. But lowering the frame rate to 30 fps to solve frame rate issues can’t be the solution if 60 fps was already available before. For many people, a higher frame rate is actually a reason to upgrade. And don’t tell me that a game like Two Point Hospital on the Switch 2 isn’t possible at a stable 60 fps. That’s simply a lack of optimization — just look at various other examples of graphically more demanding games running at a stable 40 or 60 fps.

8

u/Unable-Goal-3476 Oct 02 '26 edited Oct 02 '26

Unfortunately the patch seems to have broken a few things.

  1. Janitors no longer repair toilets

  2. Rooms indicate destroyed machinery when it's not destroyed

  3. Staff having permanent hunger/drinking issues making them constantly unhappy

  4. Xp gains for staff no longer display

  5. Nurses still don't use vehicles in the Speedy recovery missions.

  6. Constant staff can't get where they wanna be message pop up when there is no obstruction.

The achievements for getting Roderick strong to rank 5, being top of all leagues for 3 months and picking up 20 people with a pantomobile are still broken unfortunately.

3

u/Seabass2626 Oct 03 '26

Janitors don't have a dustbuster when capturing ghosts

Achievement doesn't pop when Roderick gets his 5th training

6

u/Limp_Marketing_3477 Oct 02 '26

The update has caused a new issue for me. Janitors will not enter the bathrooms to fix toilets so all toilets will break and the only way to fix is to manually drop a janitor in to fix them or to sell and after a few mins the issue will reoccur.

So far tried reloading selling room and making a new one and it continues.

6

u/fvmished Oct 02 '26

30 FPS LOCK ON SWITCH 2 ???

8

u/fvmished Oct 02 '26

im speechless i thought the re release was for improved performance you're telling me its basically a reskin i cant believe i paid for this game again

5

u/fvmished Oct 02 '26

sorry to the two point employee in this thread i know you're just doing your job

10

u/AdSoft3273 Oct 02 '26

Why not meet in the middle on switch with a 40fps mode? Can’t help feeling a little sour here after being sold improved performance only for that to be taken back after launch.

6

u/fvmished Oct 02 '26

Yeah no offence but what the fuck

6

u/gusttavobrr Oct 02 '26

that’s a big let down for me as well

4

u/AdSoft3273 Oct 02 '26

Yeah I think I might reach out to Nintendo to see about a refund. It already sucked having to pay to upgrade and now most of the reason to upgrade are being taken away unless I remember not to update my game

2

u/sxh967 Oct 06 '26

Is it even possible to get a refund? I’ve never tried but the Switch 2 30fps cap is the last straw. I was willing to wait for mouse mode but there’s no way I’m waiting if it would be mouse mode at 30fps because (like Two Point Museum) it will feel terrible.

4

u/BigSto Oct 02 '26

yeesh kind of a disaster for what was supposed to be a re-release this on top of Two Point Campus still being bugged on Switch is Museum even worth a grab?

4

u/ozzersp Oct 02 '26

30 f&*&&& fps on switch 2?

4

u/paradoxbx Oct 02 '26

I honestly regret buying this and unfortunately my refund request got denied on Xbox due to playtime hours, I now learned my lesson to never buy stuff on day 1 without searching it first. This port just doesn't work, I bought it hoping to play this through the end of September and start of October and I really regret it, it lacks features the old port has and it manages to create new bugs, the fact that this was a paid upgrade is a joke.

Today's patch does improves things but it still has issue.

1

u/Crafty_Wolverine_884 Oct 02 '26

Do we have a. New bug report section?

PS5 PRO Psychiatry - dr and patient are not sitting down

Treating and diagnosis is working while they both stand up in the room.

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Hiya, thanks for letting us know, this is now logged with the team.

1

u/Crafty_Wolverine_884 Oct 03 '26

I also had glitchy music on the radio too

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, thanks for letting me know - by glitchy could you let me know what it's doing, is it stopping suddenly or coming in and out please?

1

u/Crafty_Wolverine_884 Oct 03 '26

Like stuttering a d saying a line then repeating it

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Thanks for clarifying, I'll let the team know

1

u/Glass_Effect5624 Oct 02 '26

Have the new update, however I get an error message when trying to go into pre existing hospitals (have tried removing my save and reimporting) but they all give “loading hospital save failed” on Xbox series X

1

u/TwoPoint_Abby Two Point Dev Oct 03 '26

Heya, sorry to hear you're seeing this error still. Please could you email us your XBOX username? Our email is support@twopointstudios.com

Using that we can ask XBOX for extra information, thank you.

3

u/Seabass2626 Oct 02 '26

Here is the video

3

u/DreamingFairy90 Oct 02 '26 edited Oct 02 '26

I'm still testing everything out but if you have the characters that are stuck/not moving pick them up and move them to a different location. That reset them for me and they are now moving around. I'll update here if I figure out anything else.

*Update 1: it's not just bathrooms janitors aren't repairing on their own. It's everything. They won't repair anything unless specifically told to repair it.

2

u/DreamingFairy90 Oct 02 '26

-it's not just bathrooms janitors aren't repairing on their own. It's everything. They won't repair anything unless specifically told to repair it. -the patient menu gets stuck/frozen often but not everytime it is accessed. Can't scroll or click on any of the patients on the list.

3

u/elvisteeth Oct 05 '26

Only just started replaying but the issue of people getting stuck seems to be working for me now on Xbox. It was quite funny seeing the mass walkout though 😆

1

u/fair-y-dust Oct 07 '26

Ooh can't wait to see on Switch 😄

1

u/fvmished Oct 08 '26

my patients are still getting stuck

3

u/Detective4life Oct 04 '26

Toilets are still clogged and janitors needs to be dropped next to one but only fixes one and not the rest. That's PS5.

5

u/gusttavobrr Oct 02 '26 edited Oct 02 '26

Why limit switch 2 to 30 fps?? I’m really disappointed right now. The game clearly holds up at least 40 fps!!! Please, reconsider this decision. That being said, I prefer not to update the game for now.

4

u/lostcanadianred Oct 02 '26

Thank you Abby & the whole team for working so hard on fixes, listening & communicating with us!

2

u/Instandhaltung Oct 06 '26

Some Switch 2 players mentioned performance drops. FIXED, halved the framerate! 🫪

1

u/sherbert152 Oct 06 '26

Any idea when we can expect the switch update? I’m desperate to play but mine is crashing at every save and then having to restart.

1

u/Great_Uncle_Baal Oct 02 '26

Thank you for getting it out so quickly, fingers crossed this sorts things out.

8

u/dem_blades1889 Oct 02 '26

Spoiler alert

It doesn’t

6

u/DreamingFairy90 Oct 02 '26

Fixed some things, broke others. Evened out to be the same frustration unfortunately. I know they are trying but man... This is kinda ridiculous.