StixsworldHD · Ungodly AI Overhaul Two Point Hospital · install guide BepInEx ↗ v1.2.0
BepInEx 5  ·  Mono x64  ·  v1.2.0  ·  base game + all DLC

Make your hospital
ungodly.

A complete, no-guesswork guide to installing BepInEx 5 (x64) into Two Point Hospital and dropping in the Ungodly AI, Job, Epidemic & Pay Overhaul — 160 documented settings, a closed-loop difficulty director, and three hands-free helpers, all driven through the game's own AI.

01 What this overhaul does

Two Point Hospital's whole simulation runs off a single master balance table and a handful of per-frame AI loops. This mod hooks the exact decision points the game itself uses — patient need decay, room and queue scoring, the staff job director, treatment and diagnosis rolls, machine wear, navigation, the economy clock — and exposes every one of them as a safe, ranged, plain-language setting.

On top of that sits a Dynamic Difficulty Director: a closed feedback loop that watches your hospital in real time and gently tightens or loosens the screws to keep the game exactly as challenging as you want. Everything runs through the game's real, shipped method signatures, so behaviour stays faithful — it re-uses the game's own treatment math, its own Tough-Luck pity-timer, and its own staff scheduler. It just lets you tune them.

160Documented settings
17Config sections
90Balance fields wired live
0Placeholders

02 Four systems under the hood

Beyond the per-setting tuning, the overhaul ships four standalone systems. Each one works through the game's own logic rather than replacing it, so it stays compatible with the base game, all DLC, and other mods.

03 Three steps to a running mod

The whole job is short. Install the loader, run the game once, drop in one file. Follow these in order:

Safe by design

The whole mod has a master switch. Flip MasterEnabled off and the game behaves 100% vanilla with no restart — so nothing here is a one-way door. Uninstalling is just deleting one file.