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Game InfoEdit

Advanced growth-enhancing building of the Industrial Era. Requires Aqueduct.

  • +5 20xFood5 Food
  • +1 20xHappiness5 Happiness with Urbanization Freedom tenet


The Hospital is vital for continued growth of the population in already big cities. Even with all the advancements in contemporary farming, further means are necessary to make really big cities. The Hospital comes along, directly bumping 20xFood5 Food production in the city.

The use of a Hospital can vary based on your empire, and also when the city was built. In a wide empire, you usually settle on highly productive lands; building a Hospital allows you to work one Mine instead of a Farm for bonus 20xProduction5 Production while still slightly aiding growth (which is useful for a city whose population you intend to keep small, as it allows higher 20xProduction5 Production with fewer 20xPopulation5 Citizens).

In a tall empire, the Hospital can support 5 specialists, provided you have taken the Civil Society tenet in Freedom. This allows you to replace two Farms with Trading Posts if you can already support all the specialists, which gives you more 20xGold5 Gold than the maintenance cost of a Hospital, a small boost to growth and a small bonus to 20xScience5 Science as well.

Finally, if you have the finances to do so, you can buy a Hospital to grow a newly settled city tall very quickly. However, if the city is coastal, an internal 20xFood5 Food trade route can do that much more effectively. Still, if you're at your trade route limit, want super growth or expect the city to work lots of specialists, the Hospital provides a more permanent solution.

Civilopedia entryEdit

A hospital is an institution for diagnosing and treating the sick or injured, and for housing them during their recovery. Many hospitals are also teaching institutions, where student doctors and nurses learn their trade. The earliest hospitals were temples to certain gods associated with health and healing. Religious hospitals were established in Sri Lanka by 430 BC, and King Asoka of India created a chain of hospitals across Hindustan around 230 BC.

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