
- BGG rank
- BGG #4,937
- BGG rating
- 7.1
Wishland
- 1–4 players
- 75 min
- Complexity 2.5/5
- 2021

2025
Rules assistance for Royal Hospital
Plain-language explanations of turns, card effects and disputed situations, with official source references and saved question history.
For 2 players

What would you like to know?
Answers come from the official rulebook, with the page to check.
Royal Hospital is a board game released in 2025 for 2–4 players, 90–180 minutes per game, and ages 12 and up. It was designed by Carlos Michán Amado and its main mechanics are Income, End Game Bonuses, and Open Drafting.
Royal Hospital is the premier hospital in the world—a place where the globe’s most infirm patients come to seek the very best medical treatments on the cutting edge of science. At the heart of Royal Hospital’s success is a worldclass medical team, led by the world’s premier physician, The Director. Change is in the air, and Royal Hospital is in need of a new director. The board is considering a small list of candidates who are currently running high-end facilities around the globe. You and a small group of the world’s best hospital managers will be put to the test to identify the next leader of this storied institution. In Royal Hospital, each player oversees the management of a hospital. Players make decisions about how to structure their hospital, how to treat their patients and where to invest their resources. At the end of the game, the player with the most victory points will be chosen as the new director to lead the Royal Hospital project.
Royal Hospital supports 2–4 players according to the catalogue. This range comes from the publisher’s listed player count, so the game can be set up for any group size within it. Some setups, rules and scoring details may still vary by player count, so check your edition’s rulebook for the exact configuration.
The listed playing time for Royal Hospital is 90–180 minutes. This is the publisher’s estimate for a full game. The actual duration depends on the group, the player count and familiarity with the rules: first sessions usually run longer, while experienced groups often finish faster. Setup and teaching time are not included in this estimate.
The catalogue lists Royal Hospital for ages 12 and up. This is the publisher’s recommendation and reflects reading demands, rule complexity and small components rather than theme alone. Younger players can often join with help from an adult, so check the age guidance on your edition and consider your group’s experience with board games.
Royal Hospital has a complexity rating of 3.0 out of 5 from BoardGameGeek players, which makes it a medium-weight game. The rating reflects how much rules knowledge, planning and decision-making a typical game demands. Expect a longer first teach for heavier games, and use a preparation guide before game night.
Royal Hospital belongs to these categories: Economic and Medical. Its main mechanics are Income, End Game Bonuses, and Open Drafting. Categories describe the theme and setting of a game, while mechanics describe what players actually do on their turns. Each mechanic links to a catalogue hub with similar games, which helps when you want something comparable.
The credited designers of Royal Hospital are: Carlos Michán Amado. These credits come from the published game data and name the people responsible for the game’s design, not its illustrators or publishers. Designer pages on MeepleRules collect other titles by the same designers, which helps when you enjoy a game and want to find similar ones.
The catalogue lists Royal Hospital as a base game. It can be played on its own with the components in the box and does not require any other title. Expansions, if any exist, add new content or rules on top of it and are listed separately in the catalogue with a link back to this base game.