- In the build phase, you can get a headstart on your competition and first dibs on the staff pool by reducing the game speed to minimum.

- The default "tiredness % before allowed to rest" setting is too high. If left as is, your doctors and nurses will eventually get mad and demand insane wages before resigning. Reduce it to 25-30 percent from policy menu and they won't make a peep.

- Research all machines first.

- Leave room for more GP's offices for when the hospital gets busy.

- The effectiveness of specialist training is divided between all students present. 1-on-1 instruction with lots of bookshelves is the fastest method.

- Avoid casualties; don't botch emergencies or guess with the diagnosis. If you go the whole year without any patient deaths, you get a fat $10,000 bonus.

- Putting consultants in the GP's office will solve 90% of cases, or get you 90% of a full diagnosis. It's great for weeding out the cheap and easy diseases.