Two Point Hospital: Off the Grid

The Off the Grid DLC for Two Point Hospital was developed by Two Point Studios and published by SEGA. It was released on March 25, 2020, initially for PC, with later availability on consoles as part of the Jumbo Edition. This expansion introduces players to a fresh narrative centered around environmental sustainability, challenging them to manage hospitals in remote locations while balancing eco-friendly practices. The DLC adds a new dimension to the hospital management gameplay by focusing on resourcefulness and green initiatives.

Inspired by contemporary concerns about the environment and sustainable living, Off the Grid tasks players with building hospitals that operate with minimal impact on their surroundings. The storyline involves the mayor of Two Point County launching the “Department of Green Things,” pushing players to innovate within the constraints of off-the-grid conditions. This thematic approach adds unique challenges that differ from previous expansions, encouraging players to rethink their management strategies in the face of new obstacles.

Gameplay in Off the Grid expands on the core mechanics of Two Point Hospital by introducing 35 new diseases, many related to environmental factors, and three new hospital locations designed to test players’ ability to adapt. The expansion includes new treatment rooms, specialized staff roles, and equipment tailored for sustainable operations. Players must carefully manage resources such as power and water, often relying on renewable sources, while ensuring patient care standards remain high. The soundtrack continues the series’ lighthearted and upbeat tone, with new music tracks that complement the eco-conscious theme.

Promotion for Off the Grid featured a launch trailer and offered an early adopter discount, which helped build anticipation among the game’s community. Upon release, the DLC was praised for its innovative take on hospital simulation, with many players appreciating the fresh environmental focus and the strategic depth it added. Critics and fans alike highlighted how the expansion balanced challenge and humor while maintaining the charm that defines Two Point Hospital. Overall, Off the Grid was regarded as a strong addition that broadened the scope and replayability of the game.