Custom Medical Center & University Campus Build | Cities Skylines 2

Today we're building a new major hospital/medical center, combined with a university campus, right in the heart of Downtown Riverview - with lots of custom parking, landscaping and detailing. Hope you enjoy!
Patreon with Ad-Free Early-Access to new uploads when possible other goodies! - / infrastructurist
All my Cities: Skylines Series playlists:
Cities Skylines 2 Realistic North American City - Riverview: • Cities Skylines 2 Real...
American Realistic County - Dakota Falls: • Realistic American Cou...
Crystal Reef County - Vanilla+ Florida inspired city: • Cities Skylines - Crys...
Coniferia - Realistic fictional Australia/Canada-inspired city: • Sunny coastal town! - ...
The American Dream - Realistic American City: • Cities: Skylines - The...
Project JAPAN: • Starting A Realistic J...
Building a realistic European/UK city (really old series!): • Starting A New City! -...
Map;
- Mountain Village
Mods;
- Unified Icon Library
- Better Bulldozer
- Water Features
- Tree Controller
- Anarchy
- Move It
- ExtraLib
- Map Texture Replacer
- ExtraLandscapingTools
- Plop the Growables
- PreservePhotoMode
- Line Tool
- Historical Start
- FPS Limiter
- Population Rebalance
- Prop Lights Mod
- Traffic Simulation Adjuster
- Extended Road Upgrades
- Extra networks and Areas
- I18n EveryWhere
- Water Visual Tweaks
- DependencyPack
- Gooee
- LegacyFlavour
- RealisticDensity
- Land Value Overhaul
- Find It
- ExtendedTooltip
- Weather+
- ExtraAssetsImporter
- ExtraDetailingTools
Settings;
- Everything is set to medium/high, and upscaled to 4K (3840 × 2160) resolution (mainly to fix the current TAA issues).
Hardware specs;
- 3080, 32 GB ram, I5-12600KF.
Music;
artlist.io/
www.epidemicsound.com/
#citiesskylines #citiesskylines2

[@Infrastructurist]

I am at a slight loss with these zoning issues, so if you have any ideas what might be going on, feel free to share in the comments! UPDATE: With the helpful comments from you guys, it turns out the issue is caused by the Mixed Office Row Zone and Mixed Row Zone mods, which I have had to disable (and remove all the assets). I am thus able to fix it in the next episode, which I am working on right now.

[@sokkenmakers]

New patch?

[@ursmersmann6736]

I think you're seriously underestimating the effect your broken education system has. I'd guess that the outside connections and other mechanisms the Devs added to make the game more easy are trying to compensate. But it only makes sense that if only half of all eligible students gain a high school education they can't afford to live in the city at all no matter what density you build... Edit: you should also check the citywide affects your unique buildings have. I believe they stack so if you placed a large number of the same unique building that might also break your city...

[@user-jj4ww5fq3f]

Your tax is too high!

[@Infrastructurist]

That might be the case Ursmersmann - It's going to be interesting to see if more education will fix or alleviate the issue, because currently companies don't really have any issues finding highly educated workers. I could do some tests to see if those highly educated workers are primarily commuting from outside connections though :-)

[@Infrastructurist]

@@user-jj4ww5fq3f Taxation isn't the issue - the current rate is noted as a plus when I check zoning effects :-)

[@luke5837]

"can you go be homeless somewhere else?" Spoken like a true real estate developer! 😂

[@nealjroberts4050]

Dezoning might help in case they're confused their house might get rebuilt 😆

[@jjknovacane]

I think fixing the education problem will resolve most part of the population growth problem, you could build a campus right outside the city mixing college and university and since you have so many assets of smaller elementary and high schools you should plop them around the city

[@yourmumspatron3585]

May I suggest you replace the surface painted parking at the hospital with a multi-storey parking garage. It would suit the high density needs of the city and look nice and flush next to all those big buildings. It's also what is usually done in real life and provides a direct channel for ambulances to reach any floor of the hospital.

[@emcuks11]

In the port you should create a short bus line that collects people from all around the port factories and offices and brings them to the trainstop next to the new offices. This would relieve traffic as people could just travel downtown with a train and then a bus to their job.

[@nathanbell2618]

You should honestly build 2-3 college / university's around the greater metro area. There is plenty of lore you can build into the builds and tons of precedent in the US for that many in a major metro.

[@highground66]

57MINUTES OF RIVERVIEW. This day couldnt end better

[@reeganmestre9521]

I really love the idea of integrating university assets into other buildings. Maybe you can add another university building around the shipyard , it’s big enough to look like a warehouse and then you can add some low cost housing in the area to incentivize people moving to those areas.

[@jonathanvandenklaassenvrie4022]

Good idea, and maybe a mueseum and an art school!

[@nauji]

Now that you have a great new hospital, it's time you change up the clinic that's right in front of it !

[@melissaharris3389]

I'd use anarchy to place it next to/ within the footprint of the hospital.

[@jflooby]

I’ve had some success with welfare offices helping out with residential demand when the cost of living starts becoming a problem

[@BlazingsNL]

The parking around the hospital is like 5/10 American. You could add so much more concrete instead of that nasty green stuff you need to maintain ;) Maybe it's a good idea to add a direct bus line to that place from the station. I'd also love to see some cinematic shots of the city in the dark!

[@moparmeanmachines9194]

*Displaces tons of families from their long standing homes* "them just standing here is quite annoying. Can you go be homeless somewhere else please" Ahhh yes, the diplmoat 💀

[@morricansoupkids]

This killed me 😂

[@thegaelicgladiator665]

I think the city needs to have what we in Ireland would call a council estate or a social housing estate... Which is when we build a full neighborhood of cookie cutter terraced single family homes which are designed in a way that everyone gets their own small house but its relatively dense to reduce urban sprawl but keep people happy by providing SFHs... The areas are also designed to be walkable but dont make the mistake that Southill made in the 80s and build 2000 houses but pretty much no public facilities or commercial zoned areas

[@bluered9350]

One thing you could do is set up a gondola, Portland OR has one and Denver CO is looking into setting one up in the future. Also, There is a blog called Denver Infill that has been tracking development in Denver for years now and you may get some good ideas from those guys. They are from a local university's urban planning department.

[@bjroo]

You could call the new neighborhood Luxuria to try and entice people to move in 😉

[@thejoker3151]

I think you should add more vanilla service buildings. The harbor would for example be a good are for the large fire station, as it has very dense industry and a nearby highway

[@filipbogusz]

I think that you have to wait it out until the Economy 2.0 patch is released and then fix the population/demand/jobs issues, as when the patch comes everything you do rn is going to be unbalanced anyway.

[@dezwollenaartjes]

4:55 Tip for aligning buildings with roads when you don’t want to snap to them: the game saves the last thing it snapped to as alignment, so when you enable snapping, snap to a road and move your mouse to the UI a without letting it snap onto anything else it will just save that alignment when you turn off snapping. Much more accurate and a lot faster.

[@klotznachklotz]

When he sad: “the architect went crazy”, I instantly got the little John music in my head… (min. ~14)

[@theorixlux2605]

youtube allows linkable timestamps by using the hh:mm:ss format. Example: 14:32

[@circlePulse]

A custom police and/or fire headquarters would be soo cool!!

[@solal_ww]

22:25 I've refrained myself from comenting on how weird I find it that your pavement perfectly meets the parking spaces... which I thought was mostly for the sake surface snaping convenience... But now you think having them bigger is weird ?! I am pretty sure that is how it's done everywhere irl xD

[@solal_ww]

Especially in the US they don't skimp on concrete

[@morganjsmith1710]

The build reminds me of St George’s University London/St George’s Hospital

[@addisonbaker8211]

If you want to make the medical university idea a bigger part of the city, I'd recommend taking a look at Rochester Minnesota. It's a pretty similar city to what you're going for with Riverview, I think, and its current state is very much defined by the famous and extremely high quality Mayo Clinic facilities. The clinic is actually investing a bunch of money in building up the downtown right now, I think.

[@bjroo]

You could probably delete the little health clinic right by the hospital if you wanted to

[@jursz6938]

I love the new hospital, but I believe right next to it is also a health clinic. I dont know if its needed but couldnt that just be deleted to render the new hospital more useful? On 6:37 on the right side

[@BigKy-Mart]

This hospital theme for a big American city is VERY Cleveland Clinic / University Case looking and I'm here for it!

[@CDiPaola04]

The hospital in my city is located close to the downtown and has a parking garage attached by a skybridge to the lobby. I think that would be really cool to include into a downtown medical center without much space for parking lots, perhaps not for Riverview but a future city! (Are parking garages in the game? I assume not, but maybe one day?)

[@hemalalwani3544]

Every district in a metropolitan has different issues so I suggest you should put some entertainment in the city for citizens and check district wise all household and make a aggregate of it so deal with average issue

[@kslart8174]

Not sure if it's been suggested, but adding a few smaller, specialized medical buildings in the same style as the old hospital wing in the smaller spaces surrounding the hospital (i.e. podiatrist, dentist, physio, psych) would be a nice addition. While the hospital has extensions that look more modern, having a handful of older properties in the immediate area might help sell it even more. I'm not sure if we have assets to do it or not. Thanks for the content, I'll be jumping back into CS2 with mods soon thanks to you ^^

[@minotaursgamezone]

glad you combined the two! first?

[@LuizPauloMedeiros-dj3xk]

A good way of distress this central station would be do some regional hubs of transport in the regional centers

[@TheSpangster]

I would say it could help to force building smaller low density homes for less cost of living at least for those people, same with row houses. Also I assume there is something like a welfare office that could rather help with the cost of living issue. Also the lack of entertainment and the crime could be 2 things to be improved as both still seem to be a big issue...

[@FigureInMind]

This happens alot knocking down house for a hospital. Glad to see it done. Relocated the old hospital across from the new hospital.

[@arnobarnard4288]

I think you should move the intercity tram deported and roadside deported to the outside of the cbd and use the new space for a new development

[@theo-avl]

Murals on the big white walls of the hospital might be nice.

[@stevengalloway8052]

Perhaps the most realistic-looking CS2 cities you have. Very good work... 👍

[@bjroo]

I feel like hospitals usually have large murals on them so you could use those new murals

[@christianfelipedossantossi378]

You've created a Frankenstein monster building, and i love it

[@melissaharris3389]

Real hospitals tend to be Frankenstein's as they're added to, expanded and updated over time.

[@coelthomas]

You should build a university campus outside the city with all its own services like health centers, police, student housing, offices etc.

[@YukonAdmiral]

Still hoping to see a custom fire and police area in the future!

[@TheNowerianRaven]

Like two sides of a coin. 1) I dont want to detail one area too much to keep the game playable 2) Im gonna terraform and detail a mountain that takes up a significant portion of the map in the future.

[@Jan-lj6ej]

People actually only count as a citizen of the city when they reached the house for the first time. That way it sometimes takes a lot of time when they have to get to their house from an outside connection. If you click on some people their status is "Moving in" and those don't count as citizens. That's why theres usually a delay between zoning a building and it actually having people live in there.

[@lordsleepyhead]

You should check out the UMCG university hospital in Groningen, NL. It's a large plot of land right up against the city centre, chock full of buildings spanning over a hundred years, employing over 13,000 people.

[@jorgedasilva2054]

I subscribed a month ago and love this series ❤❤

[@tomascampos7872]

the living problem is maybe because you have to create a few college buildings, the demand for lowcost residencial will activate, remember the devs dairy that the new patch want low residential houses with schools nearby, i think that will resolve some issues

[@gavin-721]

Maybe deleting the clinic across the street would help with the big empty hospital

[@nilhock2072]

This university could be like the ETH and University Zürich. They have their historical campus in downtown Zürich, but their medical school is right by the famous Unispital (University Hospital). The Rest of the Campus is located on the outskirt of the city.

[@sarthak_vnair]

You are amazing please do post many more of this!

[@adriannn1180]

You asked a few episodes back about what to do if you decide to remove the small river around the inner Riverview city areas... An actual sunken highway could be nice, would also fix some of the traffic issues you have had for a long time over the main bridge into Downtown... also if you have space, put down more zoning, free time activities, and parks in the mix as well... again a sunken highway would be the best because then you can have bridges going across sorta connecting the inner and outer city areas better... About the zoning issues, i sorta get the same thing... what i do is just let the simulation run for a bit (yes might loose some citizens) but eventually the demand and everything will go up, and it'll let you build more houses, etc. which in the end brings more people back into your city... but idk rly hopefully the reworked economy fixes it, fingers crossed!

[@mitsuya_mi]

Infrastructurist, I really love your videos. high picture quality and great detailing of cities are style and nobody do this like you! but I really really want to see not only American type cities! it will be the best thing I ever see if you'll build something European for example. I know there aren't bicycles lanes or good quality pedestrian infrastructure etc in cs 2. but I know you can make most of the things yourself!

[@juris6878]

Lovely Build but honestly i like the old grass theme more

[@nihal5634]

Maybe you could try tweaking the taxes on high and mid residential to fix the demand. It's also possible the special buildings are affecting demand.

[@MillanSingh]

Fwiw, I love this series overall, and I think a lot of your builds are really cool, but I think this one really missed the mark. I know I may be on an island here, but I also put a lot of emphasis on builds being functional and not purely cosmetic, and this build had a lot of cosmetic-focused development (mixing non-functional buildings together to build the campus). I know that you didn't want to carve up too much of the downtown (which I totally get), but I would've liked to see more of a combination of functional structures (without overlapping). Maybe even just using the hospital and a smaller college/university and then creating a larger education/medical complex on the outskirts of the core metro area where you have cheaper land for eminent domain. Just my opinion. I will still keep watching the series regardless and obviously don't expect you to go back and change any of this build, but maybe to keep it in mind for future builds.

[@user-hm5ez7zp6m]

You should delete the clinic next to the hospital

[@user-gp5zd2ik5g]

I think this city need a center piece building, something that tops the skyline like the sears tower in Chicago. Otherwise beautiful build!

[@michaswitua5891]

i think you should play with seasons on, it would be nice to see the city in snow or with yellow leaves

[@S-54_]

The practice clinic , it's not an extension of the hospital. And can you make some villages in the mountain range

[@dummyxl]

If you don't want trees on trees, disable that left blue icon. (I think you eventually did btw) And i think that you could move the hospital with move-it after placing the helipad. Maar verder lekker bezig 🔥

[@Ja13nBrunson]

Love it

[@anirudhp1104]

Can you start a hill station kind of a thing with those mountains? Like with the hairpin bends and fancy resorts?

[@dankindasucks]

Homeless people just standing outside on the pavement after their house is demolished seems to be a bug. They used to just move out, but recently I demolished a whole neighbourhood in my city (To make way for a motorway, dont @ me) and they've just been stuck on the pavement for months now, had to bulldoze them with the better bulldozer mod.

[@Williamnesbit-qv1qr]

I couldn't have waited any longer for an update on Riverveiw

[@MayorDesu]

I just realized, winter at the transit hub would have been pain. The cold + right next to the water T-T

[@zecordeiro99]

You should build a big campus and more welfare offices around the campus and town, also when are you starting a European themed city? Would love to

[@tyeueyu]

trees look so real

[@justmeagainjajaja]

Nice video. I really liked the way you used the assets. I have a question. There are some mods that dont load, I restart the game, but it doesnt work anyway.

[@heathkinzer7772]

Your refusal to just spam public services kinda infuriates me, but it’s also so respectably realistic!

[@markmir6141]

you need public transportation in the 3rd city

[@shrekboylover]

lesgo new video

[@superafins]

"Just noticed these displaced homeless people whose homes I've demolished aren't going anywhere. That's quite annoying." Every conservative mayor ever.

[@gp5313]

Since you put the big hospital, you could place the small one elsewhere

[@Alex.tmpltn]

Really like the modern hospital buildings spliced together but the old university building looks odd. Was better with the first building you then deleted. Maybe just have them not spliced together ? Or find a modern looking university ?

[@tobbakken2911]

You have a small hostpital right by the new big hospital. Maybe delete that?

[@tiagocorreia1690]

You have population issues because of the Mixed Office Row Zone mod. It's a bug causing homelessness.

[@Infrastructurist]

Hi Tiago - thank you so much for the comment. It helped me do some debugging and it seems that both the mixed office row zone mod and the mixed-use row zone mod is causing the issue. I am now able to fix it, thanks!

[@adishrinivasan7398]

@@Infrastructurist Did you have an issue with empty buildings after deleting the mod? I had the same problem as you, deleted this mod, and now notice that although my population numbers have recovered, very few of my residential units have any people in them. So, I have a city of 400,000 with only 1169 occupied units. Any ideas?

[@sene2779]

please build iconic city

[@ddjgame833]

Очень похоже на Больницу №1 имени Очаповского в Краснодаре, такое же нагромождение разных зданий (похоже не по виду, по сути)

[@chrisw443]

"Well we can just take out a couple homes." *10 minutes later* "Who are these people.... Ohh.... Homeless...." "Lets get back to that garden!"

[@crisp_0o]

19:08 Proper American city

[@nashwagemakers]

In honor to Barlow Lane, name it Barlow Medical University

[@rthomp03]

I would disable your balance mods if you're playing on the economy 2.0 beta. Those mods were designed for the original game balance.

[@antorseax9492]

Are you able to change the colour of the university roof tiles?

[@Saurion1]

The helipad did cause some terrain issues in the backyards of the people across the street tho. It's been bugged since day 1.

[@sammyp8647]

I believe you are running into the homelessness bug hence the "Cost of Living" demand factor. Check you welfare coverage, and police coverage as well as prison availability but I think this is the save breaking spiral thats happened to me a few times. I'd also get info loom and check the detailed demand factors as well as the population demographics to see what is really going on. I found to recover from this bug it takes alot of work, and you should try and solve asap if you want to save the city. For me I believe it was the pop rebalance mod which allows too many citizens at the higher ages which then leads to tons of homeless. I had a population of 200k with an additional 130k homeless sucking up all the jobs. I had also had the economy rebalance mod which put extra emphasis on homelessness which made the problems for me even worse. The slow way to recover is i think is to pause the game and find all the homeless in your city and remove them. For some reason they don't want to find a new home but they also are usually well educated and are wealthy and have a job in your city. They don't count to the population but they still live in your city which is weird. I did find you could get some sims to start moving in but the welfare offices only do so much as most of the homeless are already max happiness and have no need to be homed or leave the city as they have a job and are happy. Not sure what the underlying cause is. I wish you luck. Hopefully someone will create a mod that gives the option to remove all homeless sims. ^ this would free up jobs and fix those sims standing next your hospital doing nothing

[@solidXxXtuna]

Gotta believe education is the culprit. Elementary (although that's not as big a problem) and high schools attract families with kids and teens. Colleges and universities bring in young adults. An absence of those drive such residents away. Are there any schools near Sunset Corner? It may be that all the childless families and elderly in the city already have a home with no education nearby so there is no demand for a new neighborhood with no education. With all that said, I'm surprised your industrial demand isn't higher. There must be other issues as well. Does the importation of goods have some kind of soft limit to how much of a given good can be imported? I'll be real curious to see how the economy patch changes things. But like all of us I'm not real excited to see what it does to all our mods.

[@bramwul]

I think it's a bit of a shame that the parking of the hospital is facing sunnyside avenue. This heavily reduces the density of that avenue. Would have prefered to see you remove the parking there and place a larger asset as a new facade.

[@user-th3vr1oi8k]

Cause all this new development I feel like you said cut taxes and leopard running for a couple of weeks for your reboot taxes to usual because all this new development what you're doing put some new house and down then put some house and down lower taxes let it auto player and then reborn up the tax encourage birth rate😊😊😊😊

[@Morkeoth]

Nice video as always. Though - I'm sorry but the implementation of the Medical Research Institute inside the Hospital and the 'university' ... it's quite ugly. :/ As for the structural problem, it's maybe education level of people. Since you have put so much building manually at high level a lot of people cannot work at those places because they don't have the education level for that.

[@squifftopher]

I'd get rid of that medical clinic right next to the hospital. Otherwise, i hope the econony update can fix the glaring demand issues in this game -- i've experienced them myself.

[@bradtaylor2127]

They’re only adults for a super short period of time that’ll impact growth

[@Medicenbeltran]

How did you get those University buildings?

[@Endureth]

I like turtles.

[@BrokeHungarian]

Guess we're on the same boat then.

[@tidianeberthier1797]

I liked it too but especially with salt and mustard

[@theanarchist4312]

Choking on plastic

[@prestongarvey7014]

I like trains

[@raymondhughes2269]

I like feet

[@TheBladedMarshmallow]

When is Newhaven county coming back?

[@zvigomez8152]

maybe you could lower residential taxes to lower the cost of living? I wonder if that could help

[@Saft_Pizza_0]

How do you add the custom buildings? I know that its a mod but do you have to download these buildings and put them in a folder or how foes it work?

[@who_is_artis]

The assets already exist in the game, the mod called Find It simply displays them all to you. Download the mod and you're good to go :)

[@DJ-uj7te]

how do you reveal the hiddens?

[@sussymapping3360]

episode 5 of asking to do some tourism!

[@konstiiii]

I think you have the same problem like me in my new city. It's some kind of problem with the mods, but I coudn't find the mod causing it. I tried to run the game without RealisticDensity and a few other mods. And I couldn't find any solution on the internet. But it might be the assets for schools etc., since the problems have been occurring since then.

[@Infrastructurist]

That is very interesting! I assume you haven't found a solution yet? :-)

[@konstiiii]

@@Infrastructurist Now I found the problem. It's one of the Assets from Washi776!! I can't tell which one, but deactivated all of them and now the population is growing again. If I have time tomorrow I could check each one to find the one causing the bug.

[@konstiiii]

@@Infrastructurist I found the problem causing mod!!! It's one of the Washi776 Asset Packs. Not sure which one, but if I have time tomorrow I could try to find out exactly which one is causing the problems. But for now, you have to deactivate the mods and then delete all broken buildings. In my case shortly afterwards the population increased again.

[@konstiiii]

So I tried a few combinations with the Row Zoning. I think you can use "More Education Buildings", "Corners for row zones" and "Row Services Pack" without any concerns! I think "Mixed Office Row Zone" with "Mixed Row Zone" could cause you problems! But it's hard to say exactly what the problem is since I can't get it replicated.

[@Infrastructurist]

Hi Konstiiii - thank you so much for the comment! You are completely right, both office row and mixed row are causing the issue in Riverview, and I am now able to fix it, thanks!!

[@kashanqa]

what is your dream car?

[@larschristianlundstrseth3028]

Your population problems will not be resolved until you meet all the education needs in the city. I've built many 250k+ cities in CS:II and until education is resolved the population will keep going through these cyclical troubles of growth and degrowth. It also will halt the growth of high density and office demand.

[@kuntryzoe633]

Quick name for the hospital FairView Medical Center 🤔