How much revenue did Two Point Hospital make?

$8.8M–$23.6M after Steam's roughly 30% cut, derived from the copies estimate and its price.

How many copies did Two Point Hospital sell?

Q: How many copies did Two Point Hospital sell?

1.1M to 1.7M copies, based on its 35k Steam reviews. This is a labeled estimate from the review count, not exact sales.

Estimated copies sold: ≈ 1.1M–1.7M; $8.8M–$23.6M after Steam's cut $15.9M–$36.2M before the cut; from 35k reviews (Very Positive)

A labeled estimate from the public review count (adjusted for release year), not exact sales. Owner data cross-checked with SteamSpy.

Does this actually work?

We left Two Point Hospital out and predicted the genre from its 8 similar games. Every figure here, including Two Point Hospital's, is estimated from Steam reviews, not self-reported sales.

Copies, estimated from reviews

typical (middle half) 35k–109k

best case 373k (Project Hospital)

Games like Two Point Hospital

The middle of these games

≈ 35k–109k copies

≈ $493k–$646k after Steam's cut

from ~2k reviews

Only the top fifth of 2019’s Steam releases earned about $34k gross, so plan for that or less.

7 of your 8 similar games are hits.

Best case: Project Hospital at ≈ 284k–462k copies, ≈ $2.0M–$5.3M after Steam's cut. A breakout hit, far above a typical game.

What it took to get here

About half the games that made it here had over 730 reviews in their first month; the spread ran 528 to 3k.

The genre you'd be entering

Your set: Your set clusters on Simulation (8 of 8) and Medical Sim (7 of 8).
The winners: Winners here lead with Medical Sim + City Builder, priced around $22. The breakout hits carry City Builder + Education + Job Simulator; a typical game here doesn't.
The era: The games you compared span 2015 to 2025, and 2 of your 8 shipped in the last two years.

How these numbers were worked out

A hit here: 1,000+ reviews, roughly $150k+ before Steam's cut (a standard indie benchmark).

Copies come from each game's reviews times a sales-per-review rate that falls with release age, from about 31 for the most recent game here to about 61 for the oldest, then widened into a range; revenue rides on that estimate times price. Source: GameDiscoverCo (2020) and VG Insights (2021).

Similar games

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Weedcraft Inc 2019	Est. copies ≈ 49k–79k SteamSpy 100k–200k	Est. revenue $268k–$719k after Steam's cut $486k–$1.1M before the cut	$19.99	2k reviews Mostly Positive	SimulationStrategy
Big Pharma 2015	Est. copies ≈ 95k–154k SteamSpy 200k–500k	Est. revenue $650k–$1.7M after Steam's cut $1.2M–$2.7M before the cut	$24.99	2k reviews Mostly Positive	Management Simulation
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Ambulance Life: A Paramedic Simulator 2025	Est. copies ≈ 33k–53k SteamSpy 20k–50k	Est. revenue $270k–$726k after Steam's cut $491k–$1.1M before the cut	$29.99	1k reviews Mixed	SimulationDriving
Let's School Homeroom 2023	Est. copies ≈ 25k–40k SteamSpy 100k–200k	Est. revenue Free	Free	1k reviews Very Positive	CasualSimulation
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Project Hospital 2018	Est. copies ≈ 284k–462k 6.2x vs typical SteamSpy 200k–500k	Est. revenue $2.0M–$5.3M after Steam's cut $3.6M–$8.1M before the cut	$24.99	9k reviews Very Positive	Medical SimCity Builder
Let's School 2023	Est. copies ≈ 184k–300k 4.9x vs typical SteamSpy 200k–500k	Est. revenue $1.0M–$2.7M after Steam's cut $1.8M–$4.2M before the cut	$19.99	7k reviews Very Positive	Management City Builder