Building pre-requisite requirement discussion

  • Many buildings within Missionchief have extensions that are locked behind having built enough of said stations. For example:







    Likewise certain buildings such as Large Police Depots have the same



    I personally find some of these very frustrating at times if im looking to deploy them in a realstic manner, but I am blocked from doing so until I expand more, whilst some are naturally not that big of an issue, such as the Large Ambulance stations as i build enough small stations to easily cover the few large ones I actually want. Others such as the Hospitals are very frustrating at times. For a realistic coverage of extensions locked behind Large and Major I would need to expand far more aggresively than I have done so so far and I am tempted to build a large number of essentially empty hospitals somewhere just to acrue enough slots to upgrade the hospitals I have got deployed properly up to the required sizes to get the correct extensions. I have the capital for this, but I dont really want to do it.

    So I want to discuss any rationale behind this gatekeeping and whether it should be reduced heavily or even maybe removed outright in some cases?

    At the very least, in regard to Hopsitals, whether extensions (wards) should be restricted as they are to building size?

    Edited 2 times, last by Morvran (July 28, 2026 at 3:50 PM).

  • I understand why certain extentions such as the "major trauma centre" are restricted. But I, within my personal setup. I do not simulate UTCs (Urgent Treatment Centres, Smaller hospitals, without ED/A&E) as realistically an ambulances wouldn't transport here (with some exceptions), furthermore I do not simulate non-NHS hospitals for the same reason. Which means I only have a few hospitals (because I enjoy the challenge of beds, so I also dont use alliance ones). I just find it so silly to lock all of them, all hospitals with an ED here have maternity/central delivery suite, children's and some even have critical care even a UTC has a children's dept and a acute stroke centre!

    This makes it impossible for me, to have realistic depts within my hospitals, and often makes me disregard the specialist extensions as I'm not building hospitals, utcs for the sake of it.

    Edited once, last by Gooochy (July 28, 2026 at 3:58 PM).

  • I understand why certain extentions such as the "major trauma centre" are restricted. But I, within my personal setup. I do not simulate UTCs (Urgent Treatment Centres, Smaller hospitals, without ED/A&E) as realistically an ambulances wouldn't transport here (with some exceptions), furthermore I do not simulate non-NHS hospitals for the same reason. Which means I only have a few hospitals (because I enjoy the challenge of beds, so I also dont use alliance ones). I just find it so silly to lock all of them, all hospitals with an ED here have maternity/central delivery suite, children's and some even have critical care even a UTC has a maternity, and children's dept and a acute stroke centre!

    This makes it impossible for me, to have realistic depts within my hospitals, and often makes me disregard the specialist extensions as I'm not building hospitals, utcs for the sake of it.

    Yeah, it was adding burn wards to my setup realistically that first caught me out, as there are actually only a few of those across the entirety of the south-west that I could find, but I had to build 20 additional hospitals just to get those built.

  • DepartmentTimePerquisites (if any)

    General Internal

    +15% Credit Reward

    7 days

    General Surgeon

    +15% Credit Reward

    7 days

    Gynecology

    +50% Credit Reward

    7 days
    • General Surgeon

    Urology

    +50% Credit Reward

    7 days
    • General Internal

    Traumatology

    +15% Credit Reward

    7 days
    • General Surgeon

    Neurology

    +50% Credit Reward

    7 days
    • General Internal

    Neurosurgery

    +50% Credit Reward

    7 days
    • General Surgeon

    Cardiology

    +50% Credit Reward

    7 days
    • General Internal

    Cardiac Surgery

    +50% Credit Reward

    7 days
    • General Surgeon

    PPCI

    +50% Credit Reward

    7 days
    • Large Hospital

    Stroke Center

    +50% Credit Reward

    7 days
    • Large Hospital

    Burns

    +50% Credit Reward

    7 days
    • Large Hospital

    Children

    +50% Credit Reward

    7 days
    • Large Hospital

    Critical Care

    +50% Credit Reward

    7 days
    • Large Hospital

    Central Delivery Suite

    +50% Credit Reward

    7 days
    • Large Hospital

    Major Trauma Centre

    +50% Credit Reward

    7 days
    • Major Hospital


    You get one Large Hospital per 3 hospitals (with 10+ beds)
    You get one Major Hospital Per 9 Hospitals (with an additoonal 10+ beds)

Participate now!

Don’t have an account yet? Register yourself now and be a part of our community!