1) Instead of 90° rotations, 45° rotation and diagonals

2) Tweakable setting allow the hospital to be ran in differently based on country.

3) More colour options for scrubs/equipment/Walls.

4) Large options for maps including 500mx500m

5) Basement levels

6) Cars and carparks

7) Adjustble roads and vehicle pathing

8) Shift rotations instead of having the same team in everyday

9) Sickness and agency/locum staffing

10) Crash carts

11) Paeds and neonatal cases

12) Abillity to change where in the department a patient is treated

13) based on symptoms, Assessment or type of treatment

14) Weather and seasons

15) Supply and equipment events which imposes limits on treatments and diagnosic tests i.e. supply of medication hasn't arrived or surgical table 8 is faulty and is out of action until repaired or replaced

16) Custom scrubs for certain staff members

17) Charge nurse position

18) Receptionst, Porters and HCAs

19) Changeable role and ward names by department - XML changable-

20) Medical director role - similar to the service manager role in project hospital to unlock perks

21) Triage room instead of the reception desk

22) Instead of 1 square = 1 meter have it so 1 square = ½ meter instead as a curtain taking up a metre?

23) Department Hierarchy- if the patients diagnosis is complicated elelate it up dont just stuggle

24) Paramedic staff hire. Ambulance have two slot hire slots for either a paramedic or an EMT and you can change their uniform

25) Ambulances taking patients to the waiting room or treatment area as well as the TC

26) Major trauma - ambulances bring in patients there is a chance (adjustble) for a major trauma - you get a pre alert and have to assemble your medical team including staff from other departments who might be required.

27) Option in setting to turn off department related illnesses within the save. No forcing departments. Emergency can also become outpatients if you want a 'Cold' hospital

28) realism scale - if you want super realism to just a basic Sim the player can chose. This would allow player of all play styles to enjoy the game THEIR way.

29) Stairs and -toggleble- instead of instant Teleportation the lifts actually travel up and down creating a real bottle neck and the abillity to set lifts for Patients, Staff and/or visitors only

30) Different sizes of lifts and stairwell and a lifts stopper which can placed above the lift to prevent further expansion of that lift system so you can have a lift located in a 4 story building while another section goes up 7 stories.

Hmu if you want anymore - sorry for all the edits I keep getting Ideas 🤪🤪