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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.

Graphics card1080p 1440p4K
GeForce RTX 5080 16 GBHighover 300 fpsHigh215–296 fpsHigh117–161 fps
Radeon RX 9070 XT 16 GBHighover 288 fpsHigh187–258 fpsHigh102–140 fps
GeForce RTX 5070 12 GBHighover 237 fpsHigh154–212 fpsHigh84–115 fps
GeForce RTX 4070 Super 12 GBHighover 237 fpsHigh154–212 fpsHigh84–115 fps
Radeon RX 7800 XT 16 GBHighover 226 fpsHigh147–202 fpsHigh80–110 fps
GeForce RTX 4070 12 GBHigh208–286 fpsHigh135–185 fpsHigh73–101 fps
GeForce RTX 3080 10 GBHigh204–280 fpsHigh132–182 fpsHigh72–99 fps
Radeon RX 9060 XT 16 GBHigh170–234 fpsHigh110–152 fpsHigh60–82 fps
GeForce RTX 4060 Ti 8 GBHigh162–223 fpsHigh105–145 fpsHigh57–79 fps
GeForce RTX 3070 8 GBHigh162–223 fpsHigh105–145 fpsHigh57–79 fps
Radeon RX 6700 XT 12 GBHigh154–212 fpsHigh100–138 fpsMedium71–97 fps
GeForce RTX 5060 8 GBHigh150–207 fpsHigh98–134 fpsMedium69–95 fps
Intel Arc B580 12 GBHigh139–191 fpsHigh90–124 fpsMedium63–87 fps
GeForce RTX 4060 8 GBHigh135–186 fpsHigh87–120 fpsMedium62–85 fps
Radeon RX 7600 8 GBHigh131–180 fpsHigh85–117 fpsMedium60–83 fps
GeForce RTX 3060 12 GBHigh115–158 fpsHigh75–103 fpsLow71–98 fps
Radeon RX 6600 8 GBHigh107–147 fpsHigh69–95 fpsLow66–91 fps
GeForce RTX 2060 6 GBHigh87–119 fpsHigh56–77 fpsLow53–74 fps
GeForce GTX 1660 Super 6 GBHigh74–102 fpsMedium63–86 fpsLow46–63 fps
Radeon RX 580 8 GBHigh57–79 fpsLow65–90 fpsLow35–49 fps
GeForce GTX 1060 6 GBMedium69–95 fpsLow60–83 fpsLow32–45 fps

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 card1080p1440p
GeForce RTX 5070Highover 237 fpsHigh154–212 fps
GeForce RTX 4070High208–286 fpsHigh135–185 fps
Radeon RX 7800 XTHighover 226 fpsHigh147–202 fps
GeForce RTX 4060 TiHigh162–223 fpsHigh105–145 fps
GeForce RTX 3070High162–223 fpsHigh105–145 fps
Intel Arc B580High139–191 fpsHigh90–124 fps
GeForce RTX 4060High135–186 fpsHigh87–120 fps
Radeon RX 7600High131–180 fpsHigh85–117 fps
GeForce RTX 3060High115–158 fpsHigh75–103 fps
Radeon RX 6600High107–147 fpsHigh69–95 fps
GeForce GTX 1660 SuperHigh74–102 fpsHigh + 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.

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By genre: Indie games · Simulation games