Royal Hospital is the premier hospital in the world—a place where the globe’s most infirm patients come to seek the very best medical treatments on the cutting edge of science.
At the heart of Royal Hospital’s success is a worldclass medical team, led by the world’s premier physician, The Director.
Change is in the air, and Royal Hospital is in need of a new director. The board is considering a small list of candidates who are currently running high-end facilities around the globe.
You and a small group of the world’s best hospital managers will be put to the test to identify the next leader of this storied institution.
In Royal Hospital, each player oversees the management of a hospital. Players make decisions about how to structure their hospital, how to treat their patients and where to invest their resources.
At the end of the game, the player with the most victory points will be chosen as the new director to lead the Royal Hospital project.
- Engine-building core with hospital/healing theme
- Beautiful components (coils? coins) noted early
- Ambulance track bonuses and track-based progression
- Poor/opaque rulebook making play difficult
- Significant luck due to card draw
- Symbology and track rules confusing
- Medical care, diagnosing patients, resource management
- Hospital management with patient diagnosis and healing in a competitive board game setting.
- Gameplay-centered, mechanism-driven
- Terraforming Mars
- Race for the Galaxy
Mechanics (from transcript analysis)
- ambulance track bonuses — Moving the ambulance track grants bonuses and influences scoring.
- card play with costs — Cards have costs (money or research tokens) and may move tracks or provide effects.
- Deck Building — Players start with a deck of cards and draw at the start of the game, using cards to move up resource tracks and perform actions.
- deck-building — Players start with a deck of cards and draw at the start of the game, using cards to move up resource tracks and perform actions.
- diagnosis and healing loop — Patients are diagnosed and healed or face penalties if not treated, affecting reputation and points.
- instant vs repeat-use cards — Some cards are instantaneous; some can be used once per round; many push tracks.
- Multi-Use Cards — Cards have costs (money or research tokens) and may move tracks or provide effects.
- Resource Management — Balancing money, research, and tokens to optimize card plays and track advancement.
- round-based structure — Game plays over seven rounds with increasing patient flows and more cards.
- Track Advancement — Advancing on multiple tracks yields resources like science, clipboard, doctors, hearts, money.
- track-based resource generation — Advancing on multiple tracks yields resources like science, clipboard, doctors, hearts, money.
Video topics + discussion points
Quotes (from this video)
- Royal Hospital is a game theme that I can definitely get behind.
- Five out of 10.
- That rule book's just atrocious.
- but man, that deck is so huge.
- the feel of if you fall behind, you ain't catching up.
- I applaud that this game was attempted.
References (from this video)
- Simplicity of the rule set
- Clear engine-building core
- Tension around timely patient treatment
- Card recycling creates a fresh market each round
- Snappy solo mode and brisk pacing
- Luck of the draw can influence outcomes
- Limited ability to specialize compared to Ark Nova
- Early two plays feel similar, offering less variety
- Card art/visuals are not standout (subjective)
- patient care, resource management, and timely treatment
- Hospital management in a modern setting
- engine-driven tableau-building that builds tension around treating patients
- Ark Nova
- Terraforming Mars
Mechanics (from transcript analysis)
- Deck Building — build and cycle a large deck to access actions and resources
- deck-building — build and cycle a large deck to access actions and resources
- Engine Building — progressively enhance your engine to convert resources into points
- engine-building — progressively enhance your engine to convert resources into points
- Hand Management — select and sequence plays from a hand to optimize turns
- hand-management — select and sequence plays from a hand to optimize turns
- Resource Management — balance resources to treat patients and power end-game scoring
- resource-management — balance resources to treat patients and power end-game scoring
- Tableau Building — assemble a personal engine from revealed cards for ongoing benefits
- tableau-building — assemble a personal engine from revealed cards for ongoing benefits
Video topics + discussion points
Quotes (from this video)
- solid seven out of 10
- Simplicity of the rule set
- the way that it recycles cards every round is pretty neat
- Arc NOA
- they've got a really solid idea here
- I'm excited to see what comes with the Royal Hospital