It sounds like this game is more educational regarding real diagnoses but one of the aspects of theme hospital that I loved was the funny and crazy conditions such as "Bloated head" and the bizarre characters which made it fun and entertaining as their conditions required different treatments..project hospital is more "real life" which to me seems boring as the joy in gaming is to escape reality.. a game on real conditions as the sequel to theme hospital in my opinion is a boring let down. Just my opinion..