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Animal Crossing: New Horizons


Seren Morgan-Roberts

This page offers a guide on how to unlock the Hospital in the Happy Home Paradise DLC. You’ll also find some ideas on how to decorate your Hospital, making sure that you also include all the required items whilst creating a safe environment for the poorly.

If you haven’t started the DLC, check out our guide on how to begin Happy Home Paradise.

Time to make a hospital for the vacationers!

How to Unlock the Hospital

To unlock the Hospital, you’ll need to design 24 Vacation Homes to unlock the Hospital. Lottie gets the idea to open up a hospital because she had a bad tummy after the 20 Vacation Home Milestone Party.

Designing the Hospital


When designing the hospital, as with every other facility, you’ll begin by revamping the exterior. This time you’ll be able to recolor the roof, exterior walls, door and change the hospital cross flag.

The Hospital’s exterior can be remodelled too!


Once that’s finished, you’ll be able to head inside. Lottie will ask you to remodel both a Waiting Area, where patients can wait to be examined, and then an Examination Room, where a doctor can make patients better!

Below you’ll find some information on the required items for each room, as well as a couple of helpful tips on how to decorate, using partition walls and pillars.

Waiting Room Design Ideas

The Waiting Area in a Hospital typically has a lot of chairs to seat patients who need to wait to see the doctor. The required items, listed below, reflect this.

Waiting Area Required Items

Within your Waiting Area design, you must include the following: x1 Counter, x4 Chairs. The counter is already supplied and set up in the room when you first enter, but you can move it wherever you like!

In addition to the required items, you’ll want to add some extra things that can sometimes be found in real life waiting rooms, such as a bookshelf or some magazines as well as some bulletin boards.

The waiting area should have lots of chairs but you could add some entertainment like books or a play area.

The original room size is fairly big so you could definitely add some extra chairs for patients to sit in, and we also added a small designated play area for young patients. Whilst there are, of course, no children or baby animals in ACNH, there are play areas often found in hospital/doctor’s surgery waiting areas so we thought it was a nice use of the space! We put some colorful block furniture as well as a few different toys.

We decided to keep the original flooring and wallpaper because it is pretty fitting for a hospital! We did, however, add an accent wall and some rugs that helped make the play area look a little more kid-friendly and inviting.

Examination Room Design Ideas

In the catalogue you’re going to find an absolute ton of new hospital-themed furniture and medical equipment that can be used to decorate the examination room. First though,u you’ll want to place the required items, which can be found below.

Examination Room Required Items

Within your examination room design, you must include the following: x1 Doctor’s Desk, x1 Doctor’s Chair, x1 Patient’s Chair. The Doctor’s Desk and Chair can be found already set up in the room.

(1 of 2) You could use partition walls to split the room

You could use partition walls to split the room (left), and then have a few beds to act as a patient ward. (right)

You’ll probably also want to add some beds! There’s a choice of four different beds - a hospital bed, modern hospital bed, a stretcher and an examining bed. In addition, you’ll also find a fair few different medical machines that could serve as suitable decoration for a hospital. In our examination room, we added a patient ward area complete with curtain partitions.

Expanding the Hospital

In addition to receiving medical attention, you can also donate money to help the hospital expand and build a Patient Ward. You’ll need to donate 120,000 Poki, which you should have, given you’ve designed at least 24 Vacation Homes as well as design numerous facilities that also give you lots of Poki.

Once the donation goal has been reached, you’ll have to wait until the next day to speak to Lottie and then ask about the facilities. From there you’ll be able to return to the hospital and build a patient ward on the second floor!

Donate 120,000 Poki to expand the Hospital.

Patient Ward Design Ideas

Required Items

The Patient Ward is on the second floor and it requires x3 beds of your choosing. There are a few hospital beds you can pick from or you can just use normal beds.

(1 of 2) Speak to Lottie to begin the Patient Ward expansion

Speak to Lottie to begin the Patient Ward expansion (left), all you need are three beds! (right)

Typically, patient wards just consist of beds and medical equipment. So you may just find it easiest to fill the room up with beds and then place some different equipment around the room. Adding some of the hospital chairs and stools will also add some pops of color to your patient ward.

The original size of the patient ward is pretty narrow and small. You might want to increase the room’s size to fit some extra beds in.

(1 of 2) Use curtain dividers to split up the room

Use curtain dividers to split up the room (left), and add medical equipment. (right)

Don’t forget to add some wallpaper and flooring to the ward - there’s a fair few different hospital options, like the operating room wallpaper and the rubber flooring. Lighting fixtures and wall hangings can also add depth to your design!

Once you’re finished up, speak to Lottie to take some pictures and head back to Paradise Planning HQ.

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Guide Information
  • Publisher
  • Platforms,
  • Genre
    Social simulation
  • Guide Release
    7 August 2020
  • Last Updated
    20 January 2022
    Version History
  • Guide Author
    Seren Morgan-Roberts

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The guide for Animal Crossing: New Horizons offers a walkthrough on how to make the most of your time on your deserted island. This guide will show you how to make tools, earn bells, achieve a five-star island, and more.

Inside this guide you will find:

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