Treat your first patient.
Treat 10 patients.
Treat 100 patients.
Purchase your first upgrade.
Unlock passive patient care.
Reach Clinical Medicine Level 10.
Reach Clinical Medicine Level 20.
Unlock the Emergency Department.
Unlock the Operating Room.
Hire your first staff member.
Complete your first research node.
Unlock the ICU.
Unlock the Specialty Center.
Reach Clinical Medicine Level 50.
Reach Level 99 in any skill.
Treat 1,000 patients.
Treat 10,000 patients.
Earn $1,000,000 total.
Earn $10,000,000 total.
Respond to your first hospital event.
Successfully respond to a VIP patient event.
Reach Mastery 25 on any case.
Reach Mastery 99 on any case.
Hire your first Chief of Medicine.
Hire a Quality & Safety Officer.
Purchase all 47 upgrades.
Reach Reputation 90.
Complete your first empire expansion.
Found 4 hospitals (3 expansions).
Found 8 hospitals (7 expansions) — the pinnacle of medical leadership.