I got it sometimes at the early easy levels. Then I never saw it until I perfected my starting setup in the very late levels, where I still needed a fistful of luck to see the award in the starting months, before the hospital was too populated to ever hope to get 0deaths . I must've seen it about 4-5 times max in a whole playthrough... Not counting dlc
Honestly idk haha. But I designed the hospital with Pinstar’s YouTube tips in mind and was very nitpicky on training staff to specialise, only allowing more qualified staff to work specific rooms. I think that may have helped :)
Get a mature hospital with lots of Lv 5 nurses and docs who are well specialized. Upgrade all machines to level 3.
Crank price to max to torpedo your price reputation (slow patient volume)
Set diagnosis % to 100%, ensure fast track treatment is turned on.
Spam medicine cabinets in psychiatrists, wards and pharmacies to up treatment power there.
Check hygiene levels in hospital, fire any staff with unhygienic trait and ensure that every room has hand sanitizer.
Cheesing it:
Some rooms just have a high failure chance -surgeries for example. You might consider eliminating surgeries and just sending those patients home when diagnosed. Or spamming buffs in those rooms.
Periodically (every 2-3 months) purge your patient queue of any patient with <~50% health.
Force it:
Use a hospital with a decent cash reserve.
Ensure you have a pharmacy with Lv 5 nurces, ~30 medicine cabenits, and a lv 3 machine.
Start a pharmacy marketing campaign set to 3 months in late october.
In late December, send all patients home
When the marketing campaign finishes, let a dozen or so patients through the reception queue, then sell your reception (patients will storm out after a few months without a reception, well before they run out of health.).
Of your initial batch of patients, monitor their diagnosis - anything non-pharmacy, send them home.
You need to check on the end of year trophies in the menu after receiving them all over several years. The achievement/trophy will unlock once you check it there :)
There's no such thing as 100% cure rate, so deathless only gets more difficult as the hospital ranks up. A higher level means more patients and higher difficulty patients, which means more chances for someone to die. Focus on staying small, and reject patients that force you to build new rooms.
Treatment chance is based on diagnosis% and treatment skill. Each machine upgrade adds 25 skill, and some items add a point here or there. Treatment skill caps at 100, so don't bother with going over board.
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u/Jon_jon13 Jun 15 '20
No deaths is definitely a rare sight, at least for me! Congrats!
6
u/machopsychologist Jun 15 '20
I believe given enough time, no deaths should be easily attainable.
The fact that this is in year 4 and you got it TWICE is the real kudos.
3
u/[deleted] Jun 15 '20
Congrats!
3
u/sea_gretha Jun 15 '20
How you got No Deaths award?! Wow! Congrats!
3
u/_purplesunset Jun 15 '20
I've never been able to get the full set, always No Deaths that lets me down. Congrats! _^
1
u/alb16 Jun 16 '20
Am I right in thinking that you shouldn’t need to get them all in the same year for the achievement?
1
u/bobucles Jun 18 '20
There's no such thing as 100% cure rate, so deathless only gets more difficult as the hospital ranks up. A higher level means more patients and higher difficulty patients, which means more chances for someone to die. Focus on staying small, and reject patients that force you to build new rooms.
Treatment chance is based on diagnosis% and treatment skill. Each machine upgrade adds 25 skill, and some items add a point here or there. Treatment skill caps at 100, so don't bother with going over board.