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Can you run Two Point Hospital? PC requirements and settings
Two Point Hospital, by Two Point Studios (Indie, Simulation), came out on Steam on August 29, 2018.
Here are the official specs, and what they mean on the most common graphics cards.
Publisher's recommended cardNVIDIA Geforce GTX 1060, 3 GB (Legacy: NVIDIA Geforce GTX 780, 4GB) or AMD RX 580, 4 GB (Legacy: AMD R9 290X, 4GB)
Minimum cardNVIDIA Geforce GT 1030, 2GB (Legacy: NVIDIA GeForce GTX 460), AMD RX550, 2GB (Legacy: AMD Radeon HD 6850), Integrated: Intel HD Graphics 630
Recommended RAM8 GB
Our conservative estimate60 fps at 1080p, high settings, with a Radeon RX 580
Estimate per graphics card
Which settings to aim for with your card
For each card: the highest settings level that stays smooth, and the expected frame-rate
range. This is a conservative estimate worked out from the publisher's recommended specs, not a
measurement: your processor, drivers and game updates move it.
Without DLSS, FSR or frame generation: turning them on raises the frame rate noticeably
when the game offers them.
Best settings
Best graphics settings for Two Point Hospital by graphics card
The setting ORION's “Recommended” profile would pick to play at 60 frames per second: the
best-looking detail level that stays smooth, with upscaling when it lets you go one step up (DLSS
on GeForce RTX, XeSS on Intel Arc, FSR on other cards). If Two Point Hospital doesn't offer it, use the
level from the previous table.
| Graphics card | 1080p | 1440p |
| GeForce RTX 5070 | Highover 237 fps | High154–212 fps |
| GeForce RTX 4070 | High208–286 fps | High135–185 fps |
| Radeon RX 7800 XT | Highover 226 fps | High147–202 fps |
| GeForce RTX 4060 Ti | High162–223 fps | High105–145 fps |
| GeForce RTX 3070 | High162–223 fps | High105–145 fps |
| Intel Arc B580 | High139–191 fps | High90–124 fps |
| GeForce RTX 4060 | High135–186 fps | High87–120 fps |
| Radeon RX 7600 | High131–180 fps | High85–117 fps |
| GeForce RTX 3060 | High115–158 fps | High75–103 fps |
| Radeon RX 6600 | High107–147 fps | High69–95 fps |
| GeForce GTX 1660 Super | High74–102 fps | High + FSR Quality64–89 fps |
At these levels, ORION keeps textures on high from 8 GB of video memory (they cost memory,
hardly any frames), sets the frame cap on the target for steady pacing, turns off motion blur and
film grain, and leaves vertical sync off. This is a conservative estimate, not a measurement: in
ORION, the first measured session corrects the setting.
Official specs
Minimum and recommended requirements
Minimum
- OS
- Windows 7 64-bit
- Processor
- Intel Core i3 6100 or AMD FX-4350
- Memory
- 4 GB RAM
- Graphics
- NVIDIA Geforce GT 1030, 2GB (Legacy: NVIDIA GeForce GTX 460), AMD RX550, 2GB (Legacy: AMD Radeon HD 6850), Integrated: Intel HD Graphics 630
- DirectX
- Version 11
- Storage
- 6 GB
- Publisher's note
- Microsoft no longer supports Windows 10 or older versions
Recommended
- OS
- Windows 10 64-bit
- Processor
- Intel Core i5 6600 or AMD Ryzen 1600x
- Memory
- 8 GB RAM
- Graphics
- NVIDIA Geforce GTX 1060, 3 GB (Legacy: NVIDIA Geforce GTX 780, 4GB) or AMD RX 580, 4 GB (Legacy: AMD R9 290X, 4GB)
- DirectX
- Version 11
- Storage
- 6 GB
- Publisher's note
- Microsoft no longer supports Windows 10 or older versions
Source: the
game's Steam page, read on October 7, 2026.
Where to buy
Buy Two Point Hospital
The official page first. In ORION, the Store tab compares prices across shops, with the
official stores listed before key resellers.
On your PC
The same estimate with your own hardware, and the settings applied for you
ORION is a free game launcher for Windows. It reads your graphics card, processor and
screen, estimates every game in your library, then measures the real frame rate while you
play and sets the game up with its "Recommended" profile. No account, no ads.
Questions
Two Point Hospital at a glance
Which graphics card do I need for Two Point Hospital at 1080p?
The publisher recommends: NVIDIA Geforce GTX 1060, 3 GB (Legacy: NVIDIA Geforce GTX 780, 4GB) or AMD RX 580, 4 GB (Legacy: AMD R9 290X, 4GB). By our conservative estimate, high settings hold 60 frames per second at 1080p with a Radeon RX 580, and a GeForce GTX 1060 gets there with lower settings.
What are the best graphics settings for Two Point Hospital on an RTX 4060?
For 60 frames per second at 1080p, ORION's “Recommended” profile would pick High settings: between 135 and 186 frames per second according to our conservative estimate.
Can I run Two Point Hospital on an RTX 3060?
By our estimate, a GeForce RTX 3060 runs Two Point Hospital at 1080p on high settings, between 115 and 158 frames per second.
Can I run Two Point Hospital on an RTX 4060?
By our estimate, a GeForce RTX 4060 runs Two Point Hospital at 1080p on high settings, between 135 and 186 frames per second.
How much RAM does Two Point Hospital need?
The publisher recommends 8 GB of RAM (minimum: 4 GB).
How much storage does Two Point Hospital take?
The official page asks for 6 GB of storage.
How are these estimates worked out?
The publisher's
recommended specs are the reference point (about 60 frames per second at 1080p on high
settings, unless the publisher says otherwise). Each card's power is compared with the
recommended card (the average when the publisher names several), then adjusted to the screen
resolution. A low margin is kept, and less video memory than recommended drops one level.