Where Are Two Point Hospital Save Files Located?
Two Point Hospital Cloud save folder on Windows and Linux, localpreferences.json beside it, and Store variant.
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Two Point Hospital stores saves in a Cloud subfolder under LocalLow, one numbered folder per Steam user, with localpreferences.json beside it for options. The Cloud name refers to the sync mechanism, not a web folder you can browse.
Linux uses the Unity config home with the same interior. The Microsoft Store version seals saves in its Xbox container instead. Steam Cloud covers the desktop builds. Copy the whole Two Point Hospital folder with the game closed for backups.
Where Two Point Hospital stores this, by platform
%userprofile%\AppData\LocalLow\Two Point Studios\Two Point Hospital\Cloud
One numbered user subfolder inside. localpreferences.json sits one level up for options. The Store edition instead uses its Packages container with Xbox cloud sync.
~/.config/unity3d/Two Point Studios/Two Point Hospital/Cloud
Unity config home layout with the same numbered user folder inside. Respects XDG_CONFIG_HOME if set. Transfers to Windows work when cloud sync stays paused.
Frequently asked questions
Where is the Two Point Hospital options file?
localpreferences.json in the Two Point Hospital folder, one level above Cloud. Deleting it resets graphics and options without touching any hospital.
Can I move Two Point Hospital saves to another PC?
Yes. Copy the numbered user folder into Cloud on the target machine with the game closed. Confirm the hospitals load before re-enabling cloud sync, which can overwrite fresh transfers.
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