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Frequently Asked Questions

My custom item has been replaced with a peanut jam sandwich item. What does this mean?

The peanut jam sandwich items are used to indicate to the user that a custom item is missing. It means that the game could either not find the item's file in the case of locally created content. Or in the case of published content, the user is no longer subscribed to the item in question.


What is the difference between locally created content and workshop content?

Locally created content is content the user has created through the "Two Point Hospital" application. It is stored locally on the user's computer in the "Two Point Hospital" folder and is only available on the computer it was made on. These items can be recognised in the "Items" menu via the Editbutton2.jpg icon.

Workshop content is content that has been published to the steam workshop and therefore it is stored on the steam workshop. Other users can subscribe to this content to be used in game. Unlike locally created content it will remain in the user's game until the user unsubscribes from it. Workshop content can be recognised in the "Items" menu via the Workshopbutton.jpg icon.

Note that after a user publishes locally created content to the workshop, it will still appear as locally created. They will need to subscribe to the item, via the workshop, in order to have a workshop version of that item - and then both the local and workshop versions of the item will exist.

Will my custom made content appear on another computer?

Locally created items are not saved to the game's steam cloud and therefore will not be available if the user switches computers. All locally created items will be replaced with the missing item peanut jam sandwich within hospitals. These will revert back to their original state when the user switches back to their original computer.

If the user is switching computers permanently, there are a couple of methods they can use to retain their locally created content.

Make a back up of the "Localmods" folder to transfer over to the new computer.

The folder can be found here:


C:\Users\[username]\AppData\LocalLow\Two Point Studios\Two Point Hospital


~/Library/Application Support/com.twopointstudios.twopointhospital


~/.config/unity3d/Two Point Studios/Two Point Hospital

The user can also publish their locally made content to the steam workshop so that they can subscribe to it on their new computer. There is a "Hidden" option if the user wishes for the item to not be available to the public. Please note that this method will not effect any instances of locally made content already placed within hospitals.

I've subscribed to content on the steam workshop, yet it hasn't appeared in game?

Workshop content the user subscribes to should appear immediately in game. Should the content not appear try restarting the game. If this still does not resolve the issue restart the steam client and attempt to subscribe to the content again.

I'm having an issue uploading a picture. What can I do?

It's possible that the workshop feature doesn't support the image that you are attempting to upload. For recommended image sizes and formats please see the Image Recommendations page.

Can I publish Sandbox hospitals that contain locally created items?

Due to locally made items not being saved to the cloud, any locally made items within a sandbox hospital will not be published along with the hospital. Instead, all locally created items will be replaced with the missing item peanut jam sandwich when subscribed to by other users. If the user is planning to publish a sandbox hospital, we recommend only workshop content within that hospital. When another user subscribes to a sandbox hospital, they will be informed that they are not subscribed to all the necessary workshop content that is placed within that hospital and will be given the option to do so.

Can I subscribe to my own published items?

Yes, and this is needed if you want to share Sandbox hospitals containing those items. Note that this will create *two* versions of that item within your "Items" list. The subscribed version of the item will have the Steam Workshop icon Workshopbutton.jpg next to it letting the user differentiate between the two, and the local version will still be editable, and can be used to update the Workshop version.

What is a workshop bundle?

A workshop bundle is a group of items that are published together. When a user subscribes to a bundle they will receive all the items that were included in the bundle and vice versa will lose all the items when they unsubscribe from the bundle.

When creating a bundle, can I cut and paste my item's folder rather than copying and pasting?

Copying and pasting an item's folder into a bundle folder will create a copy of that item within the "Items" menu. Cutting and pasting the item's folder can be used as an alternative to avoid this. However, in order to cut and paste, users will need to make sure that there are no instances of the item placed within any hospital in game. Once the item folder has been cut and pasted, the original item file will no longer exist. The item will then be considered missing and any instances of that item placed within hospitals will be replaced with the peanut jam sandwich.

If I've copied and pasted files into my bundle folder, can I delete the bundle folder after it's been published to avoid cluttering my "Items" list?

Users can delete the bundle's folder to avoid cluttering their "Items" list. This will remove the copies from the list, however the user will not be able to add more items to the bundle or edit the bundle through the "Two Point Hospital" application once it has been deleted. Users will still be able to edit the bundle's title and description through the steam workshop page.

A track I uploaded is showing an error message?

Unfortunately, certain tracks will not currently work when uploaded. This is a rare issue and, if encountered, we recommend deleting the track and attempting to upload a different file of the same audio.