In Idle Mental Hospital Tycoon, you become the Manager, ready to renovate, upgrade and manage your first site, City Mental Hospital. Here is how to rehabilitate your patients and upgrade your mental hospital.
What to expect
This tycoon game requires you to focus on more than simply making money, you have to make the patients happy and manage your spending between making money and serving your patients. In Idle Mental Hospital Tycoon, you will receive money as patients enter, and as they leave through rehabilitation. Your main income, however, will come from their stay. Every in-game hour, you will profit off the state of the blocks each patient is staying in. You will have to upgrade individual aspects of each block to earn more money from each head, such as upgrading their beds, their radios, to even the lights or toilets. Each different mental hospital you will go on to manage will be vastly different in terms of block furnishings, however, the basic principle will stay the same. The better the block, the more money you gain.
However, You can not be solely focused on upgrading their blocks, as you will have a multitude of other departments to upgrade to maintain the patients’ satisfaction, through good food, health, entertainment, security, hygiene, and comfortability. So keeping the showers, canteen, courtyard, and other such areas well equipped is important.
Your progression through Idle Mental Hospital Tycoon won’t be dependent on how much money you make, but on how many patients you rehabilitate, as the higher your rehabilitation score, the more challenging mental hospitals you unlock.

How to build the mental hospital
So, with that in mind, how would you go about building the hospital, to manage profit and patient satisfaction?
Firstly, the patient’s blocks do not only serve to increase your profits, but they can also increase a few of the patient’s satisfaction levels through a comfortable bed and clean toilet, so prioritizing their blocks from the get-go will increase your profits whilst also making the patients happy. If possible, upgrade evenly and as much as you can. The more profits you make, the quicker you can upgrade the rest of the hospital and the more staff you can hire.
Once the blocks are about halfway upgraded, as indicated through the bar above each block’s menu, I would start to look elsewhere. Do not build new blocks yet, as tempting as it may be. You must check these things first before you build any new block at any point in the game:
- Can my kitchen provide enough servings for my patients?
- Are my janitors managing to clean the hospital?
- Are there enough showers for my patients?
- Are there enough activities in my courtyard for each patient?
You may want to check these things regularly even whilst upgrading the blocks. If these factors falter, then you’ll have insane patients on your hands in no time. If your nurses cannot contain the insane prisoners, then a special team will extract the patients. You will not get paid for the departure of insane patients, nor will you get paid upfront for their replacements. Additionally, you will have to hire new nurses, so making sure you meet those requirements is paramount.
The kitchen is one of the most important things on that list, so make sure that there are enough servings. Hungry patients are never good news! Hygiene is easy to control, provided each prisoner has access to something in the shower block during their allocated showering time. If not, then they won’t get a chance to seriously increase their hygiene for the day.
With the yard, at the early stages, don’t worry about upgrading things, just build new activities for all of the patients to be occupied. As long as each patient can do something, their happiness will increase. I would heavily suggest that, for the first hospital, you only build a new block when all of your previous blocks have been fully upgraded. That way, your revenue can support the new mouths to feed and bodies to wash, and you can support a larger number of workers to keep up with the demands.

How to manage the workforce
There are four types of staff available to you in the first mental hospital, builders, nurses, cooks, and janitors. Builders are purely for your own convenience, allowing you to build things faster. Early in the game, there is no need to worry about this, so don’t waste money hiring more.
Nurses are responsible for bringing new prisoners in and showing prisoners out, as well as taking care of insane patients. I would suggest, for a safe and efficient hospital, having around at least half of your patient’s worth in nurses. If you are tight on money, and your patients are satisfied, then you can get away with only a quarter of your patient’s worth in nurses, as long as you invest in the nurse’s lounge to prepare them for potential conflict down the line.
Cooks will prepare and deliver food to your patients. As long as you can see the cooks managing to prepare enough servings, then you won’t have to worry about the number of cooks. Just don’t buy a whole bunch of cooking stoves for only two cooks!
Janitors clean the prison. This is imperative for maintaining a high hygiene rating for the prisoners. They will also sort out the laundry when you construct the laundry building. For starters, don’t worry about them too much, but do invest in them if your patients’ hygiene stays low and if you need more hands to help with the laundry.

So, there you have it, an in-depth guide to everything you need to know before starting your journey in Idle Mental Hospital Tycoon. Interested in the game? You can download it on Google Play. If you like tycoon games, you can check out my beginner’s guide to Overcrowded Tycoon.
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