Rhine Hospital — Guide

First steps

Three things, and you are in business:

• 1. Buy the licence (12,000 €): Without the health-insurance licence the hospital stays closed — no patients arrive, but your reputation does not suffer either. The state simply rests. After the purchase the admission committee reviews your application: one hour of real time. Only then do patients arrive. The review carries on even if you close the game — play another business in the meantime, and you will get a push message as soon as the licence is granted (if you have notifications switched on).
• That review hour is not dead time: building rooms, hiring staff, setting shifts, assigning doctors to rooms and buying supplies all work right away. Use the hour and your team is fully set up when the first patient walks in. And it costs you nothing: the practice rent only starts once the licence has been granted.
• 2. Hire a doctor: Nobody treats without a doctor. There is always at least one doctor among the applications that you can afford — if need be a modest country doctor at 8 €/hr (hiring fee then only 192 €). Important: assign the doctor to a room, otherwise he earns nothing.
• 3. Patients arrive by themselves. Each one brings a treatment plan (e.g. consulting room, then lab). Tap them in the waiting room and send them to the room. You only get paid on discharge — so always discharge finished patients!

With the licence and the cheapest doctor you are looking at roughly 15,000–16,000 € in start-up costs. Keep some reserve for wages and supplies.

Practice rent

From the moment the licence is granted, the practice rent of 150 € per day is deducted, second by second, around the clock — even when nobody is on duty. During the one-hour review after the purchase you pay nothing yet.

Reassuring: you can never go into debt. If the cash box is empty, deductions stop at 0 and you only get a warning. The same applies to wages — your team then waives part of their pay. Still: an empty cash box is not a state your reputation deserves.

Staff: doctors, nurses, cleaners

Three professions, three jobs:

• Doctor (wage 75 + 45 × speed, i.e. about 97–140 €/hr): treats everywhere. In some rooms (consulting room, orthopaedics, psychotherapy, operating theatre, intensive care, emergency room) only a doctor treats.
• Nurse (35 + 70 × speed, about 50–70 €/hr): cheaper and slower; in doctor-only rooms she just speeds things up, in all other rooms she treats patients herself.
• Cleaner (13 + 1.1 × hygiene points, about 19–27 €/hr): keeps hygiene up and thereby prevents losses.
• Doctor in training (from level 25, once you have bought the training accreditation): counts as a doctor, but is slow and cheap at first and gets better over thousands of cases. Own section further down.
• Infection control specialist (55 €/hr, from level 22): does not clean but halves the hygiene loss per treatment. Gets no room. Own section further down.

The one-off hiring fee is hourly wage × 24 — a 120 € doctor costs 2,880 € up front. New applications arrive every 20 minutes on their own; re-advertising immediately costs 200 €.

Character traits matter: a “rookie” is cheap but slow — ideal for the start. An “old hand” is expensive and fast. “Good with kids” and the “clinic comedian” bring extra reputation, “grumpy” costs some, “meticulously tidy” goes easy on hygiene.

Training (3 levels: 3,000 / 9,000 / 22,500 €) makes a staff member permanently faster (+0.15 / +0.18 / +0.22 speed) and slightly better for your reputation. During the 8 / 16 / 24 hours they are out of the building while their wage keeps running.

Shifts: staff every room per shift!

Nobody works 24 hours straight. Every staff member has a shift: early 6–14, late 14–22, night 22–6 or day 8–18. You only pay wages for duty time (including the 5-minute break per hour).

• Whoever is off duty treats nobody — but costs you nothing either.
• If nobody is on duty, the hospital is closed: no new patients arrive, and there are no reputation penalties. Sleeping is never punished.
• A room’s slots count per shift: each shift can hold as many staff as the room has upgrade levels. Two doctors on different shifts therefore always fit into the same consulting room — that is how you cover a room early, late and at night with one person each. One consulting room carries up to three doctors — one per shift.
• A second doctor on the same shift treats nobody extra — treatment slots count per shift (a level-1 consulting room has one). The game tells you so on the application card and when you pick a shift. Put them on a different shift (late/night) and they treat patients there — or build a second consulting room.
• At night (22–6) only about 35 % as many patients arrive — a night shift only pays off once daytime runs smoothly.

Rooms and floors

Every floor has 4 building plots. New floors are unlocked by level and then purchased:

The treatment rooms (base income per treatment at level 1 — tripled since 15 Aug 2026 so that expansion pays realistically; 🩺 = only a doctor treats here):

⭐ = These four work differently from the other ten — they do not get their patients from the normal flow. The section “The four special rooms” below explains each one. Important if you played earlier: until 2 Aug 2026 these four received no patients at all. If you built them back then, you lose nothing — they simply start working now.

Upgrading pays twice: level 2 gives speed ×1.18 and +8 % income, level 3 speed ×1.39 and +18 % income (treatment time ×0.85 and ×0.72). And: treatment slots = room level AND staff. Each person on duty enables one slot — a level-2 room with only one doctor still treats one patient at a time. Without staff a room crawls along at speed 0.45.

Floor 6 holds pure comfort rooms (café, kiosk, winter garden, mini golf, levels 40–45): no treatment income, but attractiveness, patience and premium services (own section below). The lift (upgrades 75,000 / 300,000 / 1,000,000 €) cuts the walk per floor from 26 to 18 / 12 / 7 seconds — the higher you build, the more it matters.

The four special rooms (from level 24)

From level 24 you stop building “just another treatment room”. The four rooms on floors 4 and 5 each have their own job:

• 🛏️ Recovery room (475,000 €, from level 24): nobody goes straight home from anaesthesia. Once a recovery room exists, every case involving an operation automatically gets one final step — one more room, around +930 € on the bill. In a large hospital that is about 8.5 % of all patients; the room pays for itself in roughly 2 days. If you have none, the surgical case ends as before — nothing is lost.
• 🧼 Sterilisation (350,000 €, from level 26): the only room without patients — instruments are reprocessed here, people are not treated. In return it needs no staff. Effect: an operation consumes only 18 instead of 30 supply units and takes 15 % less time. That is why the statistics table shows dashes for it — quite rightly, it earns its money in the operating theatre.
• 💗 Intensive care (1,750,000 €, from level 32): two jobs. First: after every operation there is a 4 % chance of a complication (double that below 50 % hygiene). With an intensive care unit the patient is transferred there — one more step, 1,620 € base income, all well. Without one the case still ends, but without that income and with −1.5 reputation. Second: the two most severe emergencies (acute shortness of breath, heart flutter) only arrive if it exists. Nobody dies — a complication costs income and reputation, never more.
• 🚨 Emergency room (1,300,000 €, from level 35): not a room you pass through but an entrance. Emergency patients start their journey here (1,260 € instead of 27 € in the consulting room) — and it is the prerequisite for the standby allowance. Both are covered in the next section.

Emergencies and emergency care (from level 35)

Patient flow is capped at 140 per hour — that is your catchment area, and from level 24 it is exhausted. An ambulance, however, does not drive past because of that.

🚑 Emergencies arrive on top. They appear at the very top of the waiting room, outlined in red, and behave unlike anything else:

• They take no waiting-room seat (they are on a stretcher) and are never turned away, even when everything is full.
• In return they only wait 90 to 180 seconds. If the clock runs out the patient is taken elsewhere — that costs 3.0 reputation instead of the usual 0.3. Emergencies are the only thing in this game that truly is urgent.
• Their bill carries a 15 % emergency surcharge. The real reason they pay off, though, is their route: through the emergency room and partly via intensive care, the two most expensive rooms in the building. On average an emergency brings around 6,600 € — a normal patient around 720 €.
• At night just as many arrive as during the day (a heart attack does not keep opening hours). That is what finally makes the night shift worthwhile. But: if nobody is on duty the ambulance drives on — sleeping is never punished.

🚨 The emergency care level — your first income without a single click. Your hospital can join the tiered emergency care system. The level is not bought but earned, and it is re-checked continuously: dismiss your night doctor and you drop back.

The allowance runs around the clock, second by second — even while you are away, even if not a single patient arrives. What is paid for is readiness, not the case. It is the only income your hospital earns without you.

About the shift plan: for “a doctor on at least 2 shifts” every doctor assigned to a room counts. The day shift (8–18) covers early and late at once — so a single day-shift doctor is enough for levels 1 and 2. For level 3 you additionally need a doctor on the night shift; there is no substitute for that.

Premium services: what floor 6 is for (from level 40)

Honestly, the comfort floor was a bad deal until 2 Aug 2026. It only affected attractiveness — which saturates and is capped at 140 patients anyway. In a hospital from level 24 onwards, 6.7 million euros bought exactly zero extra patients there.

Now the four rooms additionally bring premium services — single rooms, consultant of your choice, comfort ward. That is a surcharge on the payment factor, so it applies to every bill:

Together +15 % on every bill, and with all four rooms fully upgraded up to +25.5 % (30 % is the hard ceiling). They keep bringing attractiveness and patience on top — those never hurt.

Specialist departments: the care mandate (from level 20)

You may only treat what you hold the care mandate for. You can apply for five departments — each demands equipment, each costs a one-off application fee and a running standby fee, and each brings a surcharge on every bill in its group plus new, heavy conditions.

What each one requires: Internal medicine needs a lab at tier 2, an ECG room and ultrasound. Orthopaedics needs X-ray at tier 2, orthopaedics at tier 2 and an operating theatre. Psychiatry needs psychotherapy at tier 2 and two doctors on staff. Surgery needs the theatre at tier 2, a recovery room and a sterilisation unit. Intensive care needs the ICU at tier 2, an emergency room and a doctor on all three shifts.

The minimum case count is not a punishment, it is a rest. If the number of cases in that group over the last 7 days drops below the line, the mandate goes dormant: the surcharge stops and the heavy cases stay away until the number is back up. There is no loss of money and no loss of reputation. But: the standby fee keeps running — readiness nobody needs still costs money. That is why you can hand a mandate back at any time (the application fee is not refunded).

Grace period: for the first seven days after the application the case count does not matter yet — otherwise every freshly granted department would go dormant straight away.

Do the maths before you apply: the card in the shop tells you what the department brings with your current case mix and what it costs. If it shows a minus, wait. A small hospital cannot do everything — and five dormant mandates are five standby fees for nothing.

Your own training: the hospital makes its own doctors (from level 25)

With the training accreditation (400,000 €, from level 25) doctors in training start applying as well. They are slow and cheap at first and become as good as a consultant over thousands of cases:

Every case your hospital discharges counts, as long as that person is in the building — so during their shift, including while you are away.

Honestly calculated: in the end they cost exactly as much as a consultant hired from outside. The gain is the road there: across all 4,000 cases you pay 113.50 €/hr instead of 138 €/hr, so roughly 18 % less. This is not a savings plan — it is a second progression curve that carries you for weeks.

• ⚠️ In the first year, at speed 0.35, they are slower than a nurse. Put them in the consulting room alone and your waiting room backs up.
• ⚠️ Letting them go wipes the progress. Training cannot be taken along, and there is no buy-back. The game warns you first.
• A doctor in training counts as a doctor — so they may treat in the theatre, in intensive care and in the emergency room.
• There is no further training course for them: their speed comes from the training ladder, and two sources for the same number would be one too many.

University teaching hospital (1,200,000 €, from level 40): requires three running specialist departments and four consultants trained in-house. After that you get twice as many applications, training needs about a third fewer cases, and word gets around (+0.05 reputation per case).

Infection control specialist (from level 22)

A large hospital has a hygiene problem nobody ever wrote down: every treatment costs 0.26 percentage points, and a fully built hospital does around 283 treatments per hour — that is 73.5 points of dirt per hour. One cleaner manages 13 at most. You would need six per shift.

The infection control specialist (55 €/hr, appears in applications from level 22) does not clean — they prevent: while one is on duty, the hygiene loss per treatment is halved to 0.13 points. One per shift is enough; several do not work any harder. They are not assigned to a room, exactly like the cleaners.

Shift plan: the table in the staff tab

A built-up hospital needs around fifty people. That is why a room × shift table now sits above the staff list: every cell shows who is there on that shift, and one click opens the assignment for exactly that room.

• Red background = the room is empty on that shift.
• Amber background = somebody is there, but no doctor — and this room requires one.
• Below it says in plain words how many rooms are unstaffed on which shift. If no room at all is staffed on a shift, the hospital is closed during that time.

You will need this at the latest for the emergency care levels (level 3 requires a doctor on all three shifts) and for intensive care medicine.

What pays off where — the honest numbers

In the game every room and every piece of decoration carries an estimate: what it brings per hour and after how many days it has paid for itself. These numbers are actually calculated, not guessed — and they also tell you when something is not worth it any more.

• Decoration gets thin fast. The first house plant pays for itself within a few hours. The third artwork (231,200 €) takes over a year. From 60 days on the game warns you in red; once your catchment area is exhausted it says plainly that not one extra patient will arrive.
• The statistics show two numbers instead of one. “Operating result” is the running business without buildings. “Invested” is everything sitting in rooms, floors and furnishing. Before, both were a single figure — buy a floor for 2.5 million and you saw a deep red result forever, even though your hospital was doing splendidly.

Supplies

Every treatment consumes supplies (see the table above: consulting room 1 unit, operating theatre 30, intensive care 45). You start with 90 units; the store initially holds 500 (upgrades to 850 / 1,200 / 1,800 / 2,600 units for 12,500 / 40,000 / 120,000 / 325,000 €).

• Packages: 100 units for 130 € (1.30 €/unit) · 500 for 575 € (1.15 €) · 2,000 for 2,000 € (1.00 €) — bulk pays off.
• No supplies means improvising: every treatment takes ×1.8 as long and earns only ×0.6. That is the most expensive mistake in the game — never let the store run dry.
• Supply contract (25,000 €, from level 3, after 5 manual orders): a permanent −5 % on every order, and the supply service automatically reorders once the store drops below 25 %.

Canteen & supply deal (linked with the farm)

From the moment you own the licence, your hospital has a canteen: every arriving patient gets a little something — 1 egg and 0.26 l of milk, goods value around 0.54 € in total (wholesale base prices: egg 0.30 €, milk 0.90 €/l).

• Without a deal everything is automatic: the bulk caterer delivers at a +25 % markup, i.e. about 0.67 € per patient. Nothing for you to do — the canteen is optional comfort, never a chore.
• What does it cost? A young hospital (reputation 20, ~19 patients per hour) pays about 12–13 € per operating hour via the caterer; with one day shift (10 duty hours) that is roughly 125–130 € per day. Billing is per patient: if only a third as many people arrive at night, you only pay a third. As with rent and wages: no debt is ever created — if the cash box runs dry, deductions stop at 0.
• Supply deal with a player farm (shop tab, card “🚚 Canteen supply deal”): farms offer eggs and milk; you pick a daily amount, after which deliveries arrive automatically every day, paid from the hospital cash box. Sign once and you are done — cancel any time, one deal per good.
• Savings are capped: compared with the caterer you save at most 25 % (at the full need of a 10-hour hospital up to about 32 € per day). If the deal price is even lower, the difference goes into the kitchen’s own effort — the deal stays a bonus, never a must.
• Cash box empty on booking day? The deal is suspended (clear notice in the game, the caterer steps in). As soon as there is money again, the farm delivers on; after 7 missed days in a row the deal ends by itself.
• Bonus: if the deal covers the full daily need of both goods, you get +0.04 reputation per discharged case (0.29 instead of 0.25) — reputation grows about a sixth faster. Buying more than you need achieves nothing: the surplus goes uneaten.
• 🥐 Breakfast service (optional, since 30 Jul 2026): a switch on the canteen card — strictly optional, off = everything exactly as before. When on, every arriving patient gets half a bread roll on top (base price 0.52 € each): via the caterer 0.325 € per patient, so about 62 € per day for a young 10-hour hospital (~19 patients/hr). A bread-roll supply deal with a farm makes that up to 25 % cheaper, just like eggs and milk (saves up to ~15.60 €/day) — and, as long as the service is running AND the deal covers the need, adds another +0.04 reputation per case: together with the canteen bonus +0.08, reputation then grows at 0.20 instead of 0.12 per case.

Reputation: your star rating

You start with reputation 20 (one star) — nobody knows your hospital yet. Reputation decides three things at once: how many patients arrive, how much they pay (payment factor 0.85 to 1.20) and how patiently they wait.

The “patients/hr” column applies without decoration and level bonus, during the day. With full furnishing even one star brings around 84 patients per hour. The ceiling is 140 — that is your catchment area, and it cannot be bought. Which is exactly why the whole late game is about what a single case is worth.

How it rises: +0.25 per treated case (staff like “good with kids” add extra, good hygiene +0.05). Anyone who waited longer than half their patience only brings +0.20. How it falls: a patient walks out −0.3 · waiting room full, patient turned away −0.25 · poor hygiene −0.12 per case. A walk-out therefore eats the reputation of a good one treatment — waiting times cost you, but they no longer ruin you.

Below one star (reputation 20) patient patience does not shrink any further — so whoever has dropped low can climb out again.

Next to the stars you also see the raw value (“8/100”): the stars round to tenths and only move after a number of cases, the raw value moves at once.

High reputation also attracts the heavier, more lucrative cases.

Hygiene and cleaning

Every treatment makes a mess (−0.26 percentage points). If hygiene drops below 50 %, treatments take 10 % longer; below 30 % it is 22 % — and your reputation suffers on top.

• Your own cleaner: permanently adds +5 to +13 percentage points per hour — the long-term solution.
• External firm (“deep clean”): 0.65 € per missing percentage point, paid on ordering. They do not work magic but clean their way up at 5 percentage points per minute while the hospital keeps running.

Waiting room

You start with 2 seats; every additional chair is bought individually and gets more expensive: 500 → 1,000 → 1,750 → 2,750 → 4,000 € and so on, up to a maximum of 16 seats (the last chair costs 120,000 €).

If the waiting room is full, new patients turn away — every rejection costs 0.25 reputation. Each additional seat also makes the people waiting a little more patient (+4 % per chair).

🚚 A chair you buy is not there right away. The purchase is the order; it is delivered and set up after 5 minutes. Only then does it count as a seat. While one is on its way you cannot order a second — only one chair is ever on the way at a time. The delivery keeps running even if you close the game: if you leave in between, you will find the chair set up when you come back.

Self-intake and reception: the hospital without you

Without any upgrades you assign every patient yourself — and while you are away, the hospital only manages a minimal 5 % of its output. Two upgrade paths change that:

• Self-intake, 4 levels (500 / 1,000 / 2,500 / 5,000 €, from level 1 / 2 / 3 / 4): your team picks up waiting patients on its own — the higher the level, the faster it reacts, and the more keeps running in your absence: 10 / 20 / 30 / 40 % output. Note: as long as you are watching, YOU keep assigning (adjustable grace period).
• Reception assistant (12,500 €, in practice from level 4): she requires fully upgraded self-intake, and its fourth tier only unlocks at level 4 — the button says “from level 2”, but she is unreachable before level 4. Plus 20 manual assignments of your own. She sends patients off by herself whenever exactly one suitable room is free — and keeps the hospital at 70 % while you are offline.
• Experienced receptionist (45,000 €, from level 8, after 150 total assignments): full automation — sorts by urgency, picks the fastest room, discharges on her own. Offline: 100 %.

Offline rules: the first 12 hours of absence run at full (automation) output, after that only the night crew at a quarter. For anything to be treated offline, staff must be on duty and assigned to rooms!

Without you, costs run at the same fraction. If your hospital manages 5 % of its output while you are away, you also pay only 5 % of the wages — your team is only working that much, after all. Otherwise every break would be a loss-maker by construction: full salaries against a fraction of the income. Practice rent and standby keep running, though, because they depend on the building and on readiness, not on work done. On balance the hospital roughly carries itself even without you — and with every tier you buy it earns a little more on top.

At some point the hospital stands still — and you decide when. If you have not been active for a while, only the pause time you set is worked out — after that operations are halted until you carry on playing. Halted really means halted: during that time no patients and no money come in, but neither do wages, practice rent, department standby, supply use or canteen costs. Both sides stand still together — so staying away longer can never cost you anything.

You set this on the start page: below the game tiles sits the collapsible box “⏸️ Pause setting per game”, and there you choose it for each business separately. If you set nothing, the default of 6 hours applies. For the hospital you can choose 3, 6, 12, 18 or 24 hours — deliberately no longer: its running costs do not depend on the game clock but on the payroll, and in a fully built hospital wages run into the thousands per real day. Your choice takes effect the next time you open the game.

And when does the night crew come in? The first 12 hours of your absence are always worked out in full. Only after that does the night crew take over at a quarter of the output. With the default of 6 hours your hospital therefore halts long before that — the night crew never comes up at all, and that is not a fault. Only from the 18 hour step does your pause time reach past those 12 hours; the last 6 hours are then counted as night crew, and at 24 hours the last 12. Only in those two cases does the night-crew line appear in your welcome report as well.

The count starts at your last click — not at your last page load. Leaving a window open therefore gains you nothing: if you only watch without clicking, your hospital halts just the same. If the game is open at the time it tells you so with a note at the bottom of the screen (“⏸ Paused”). Every click restarts the clock — including a click on that note; there is no need to reload. The paused time is not paid out afterwards: you carry on exactly where you left off.

And what if you are there but not doing anything? Then the same applies as when you are away — only sooner: if you click nothing for longer than the grace period you set (“Who assigns?” in Purchasing, default 15 minutes), or the game is in the background (phone locked, another tab, another app), your team takes over assigning by itself — at the same output as offline, and without reputation penalties for anyone who leaves the waiting room in that time. A note at the bottom of the screen (“💤 Your team is taking over”) tells you so; your next click brings you back and you assign yourself again. If the grace period is set to “right away”, the team always steps in anyway. So merely watching is no longer punished — before, in an open but unattended window every waiting patient walked out with the full reputation deduction.

Nothing is ever lost: money, supplies, staff and all rooms are untouched when you come back, and the hospital carries on normally from the first second. The welcome report tells you how much of your absence was worked out — with the default, for example “Your hospital ran for 6 hours out of 23 days”. If you drop in daily, or every other day, you will never notice this limit.

The waiting area: queue the next patient up front

A consultation-room treatment takes about ninety seconds. Without help you would have to click every ninety seconds or the room stands idle — right at the start, where every case counts.

That is why you can place one patient into the waiting area in front of each room: tap someone in the waiting room and pick the room, even while it is busy. The button then reads “📋 Into the waiting area”.

• Whoever stands in the waiting area will not walk out. Their patience clock is paused — they are next in line and they know it.
• They move up by themselves as soon as the room frees up. Nothing else for you to do — not even while you are watching and have not bought any automation yet.
• With one room that keeps two people safe at once: one in treatment, one in front of it. Instead of every ninety seconds you only need to look in every three minutes.
• The waiting area does not raise throughput — no more patients arrive because of it. It only means fewer of them slip through your fingers.

They still occupy a waiting-room seat. And anyone already in a waiting area cannot be queued somewhere else on top.

Patient patience

Every patient carries a patience clock. When it runs out, they leave — taking 0.3 reputation with them. Patience depends mainly on reputation (6:50 min at one star, 13:30 at five; below one star it does not shrink any further), plus small boosts from waiting-room seats and above all from decoration:

• House plant (2,250 €), magazine rack (4,500 €), radio (8,000 €), kids’ play corner (21,000 €), aquarium (32,500 €), coffee machine (45,000 €), art (80,000 €), indoor fountain (140,000 €).
• Decoration adds attractiveness (more patients) and patience (they stay longer). Buying the same item again costs ×1.7 more for each one you already own.

❄️ When the till drops below −500 €: the business freezes

Your business till may go into the red — but not without limit. If it drops below −500 €, the hospital halts and stands still.

It starts again as soon as you have topped it up from your current account so the till is back at 0 €. Neither the 24-hour window nor any waiting time applies to that — that is exactly what this exception is for.

Standing still really means standing still, in both directions:

• no income — no patient arrives, no case is billed,
• but no costs either: nothing is debited while the business is halted,
• no deadline is used up and nothing expires: whatever was pending when it stopped is waiting for you with the same time left,
• and time itself stands still. The hours the business was frozen are not charged to you afterwards.

That is the whole point of the rule: you should be able to buy your way out once and then carry on normally — not drop back below −500 € in the same moment because the standstill gets billed retrospectively.

⚠️ Your current account is not affected: rent, cost of living and loan instalments keep running. It is the business that halts, not your account.

Tips for starting out

• Cheap doctor first: a “rookie” in the consulting room is plenty. Expensive “old hands” only pay off once the patients are streaming in.
• Second doctor? Then on a different shift. On the same shift in the same consulting room they treat nobody extra (one slot per shift). Late or night shift — or a second consulting room.
• Reputation is your growth engine: from 20 to 100 takes about 320 happy patients — played actively that is a good many hours, on the side it is days. Still avoid walk-outs and rejections: each of them costs at least as much as a treated case earns.
• Never fully empty the cash box: wages and rent keep running. There is no debt, but an unpaid team and an empty supply store slow you down twice over.
• Do not forget to discharge: the money only arrives on discharge — the “discharge all” button is your friend.
• Collect the tasks: the task list pays decent bonuses (250 € to 40,000 €) and walks you through the game in the right order. Nothing expires.
• Smaller businesses first: with around 15,000 € to get going and 150 € rent per day, the hospital is not for your first day of play. Earn the cushion in the farm, the haulage firm or the apartments — then move up. A bank loan for the licence works too, but wants to be repaid (see the “Current account & bank” help).