Clinic Deluxe: The Big Box
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FroGames — Moments You'll Remember
Three hours later, you're still there, moving doctors between departments, calculating optimizations, fitting rooms together. In the end, someone asks: "Who won?" And no one feels like answering.
WHAT IT'S ABOUT
The definitive edition of the most ambitious hospital management game
Clinic Deluxe is the second chapter of Alban Viard's Small City Trilogy, re-released in 2019 with graphics by Ian O'Toole and Todd Sanders. This Big Box collects everything: the base game, expansions published from 2019 to 2026, and the new, unreleased 911th expansion. Five giant plastic trays with clear lids to organize components, boards, rooms, patients, staff.
Each player builds their own hospital, room by room, floor by floor. You hire doctors, nurses, orderlies. You admit patients from the waiting room, treat them, move them between departments. The 911th expansion adds a second building to construct next to the main clinic, with new mechanics and new patient flows.
What they say abroad
This isn't an expansion. It's the testament to a project Viard has refined for years.
— FroGames
The Big Box is for those who understand that Clinic isn't a game. It's a system.
— FroGames
Clinic Deluxe: The Big Box
Clinic in solo is complete: you build the hospital, optimize flows, solve logistical puzzles without external pressure. The absence of direct interaction makes the experience identical to multiplayer, perhaps even purer. Designed to be played this way.
FrogScore · FroGames editorial rating · based on rules, international reviews, and play sessionsThe system components
What you'll find in the Big Box
Three-dimensional room tiles
Build the hospital by stacking rooms: operating theaters, laboratories, departments, elevators. Each tile has costs, prerequisites, bonuses. The second building of the 911th adds new types and flows.
Specialized staff
Doctors, nurses, orderlies, specialists. Each has skills, costs, limitations. Hiring the right staff at the right time is half the game. The other half is not running out of money.
Patients and pathologies
Patients with different pathologies enter from the waiting room. You must treat them in the correct departments, with the right staff, respecting deadlines. Each treated patient earns points and money. Each neglected patient is a problem.
Five organizer trays
Giant rigid plastic trays with transparent lids. They contain everything: base game, expansions published from 2019 to 2026, new 911th. Setup in minutes, not hours. Huge amount of material, perfect organization.
In a few hours, you'll have a functioning hospital, a chain of perfect optimizations, and the knowledge that you could have done better. It always happens with Clinic.
📜 REGOLAMENTO
A game in five moments
What happens at the table
Not the rules. The experience.
First rooms, first patients
Everyone builds the first two or three rooms. Waiting room, basic ward, maybe a lab. The first patients come in, the first treatments. Everything seems manageable. Everyone thinks: "Okay, I understand the system." Nobody understands the system.
The bottleneck
Patients accumulate. Staff are insufficient. Someone realizes they built a useless ward, someone discovers they're missing an elevator, someone has run out of money. The table falls silent. Everyone tries to solve their own jam.
Vertical and horizontal expansion
Those who understand how to optimize begin to build upper floors. Those with the 911th start a second building. Flows become complicated: patients moving from one ward to another, shared staff, tight timings. Every move is calculated three turns in advance.
The moment everything clicks
There's always that one turn when the machine runs perfectly. Patients enter, are treated, leave. Staff move smoothly between departments. Money comes back. It lasts one round, maybe two. Then someone draws a complex patient and the system goes into crisis again.
Final count and regrets
At the end, points are counted: patients treated, staff hired, rooms built, secret objectives. The winner optimized best. The loser has a mental list of five wrong choices. Someone suggests a rematch. Someone says: "Never again." Someone lies.
How to play
The flow of each round
Each round is divided into synchronous phases: everyone does the same thing at the same time, then moves to the next phase.
New patients enter the waiting room. New staff available for hire. Everyone draws event cards or adjusts their resources. This is the input phase: fresh material enters the system.
Everyone performs actions: building rooms, hiring staff, moving patients between wards, treating illnesses, buying equipment. Each action costs money or resources. Play order matters, but it's not always clear which action is best.
Patients in wards are treated: each treatment requires specific staff, equipment, and time. Treated patients are discharged and yield points and money. Untreated patients accumulate and create problems.
Staff salaries are paid, events are resolved, trackers are updated. This is the administrative phase: here you find out if your hospital is financially stable or in the red. Then the next round begins.
Why it's different from others
Six mechanics that make a difference
Real three-dimensional construction
It's not a flat board with tokens. You build physical stacked rooms, rising floors, elevators connecting wards. Each tile is a 3D component. Watching the hospital grow on the table is half the experience. The other half is realizing you built everything crooked.
Pick-up and Deliver patient flows
Patients are not static tokens. They enter from the waiting room, are physically moved between wards, go through elevators, arrive in the operating room, and leave healed or worse. Every movement has costs, timings, prerequisites. It's real hospital logistics.
911th expansion with double building
The novelty of this Big Box: you build a second building next to the main clinic. New types of rooms, new patient flows, unprecedented mechanics of interaction between the two buildings. It's not a variant: it's a module that doubles the complexity and strategic possibilities.
Tight economic management
Every action costs. Hiring staff costs fixed salaries each round. Building rooms drains the budget. Treating patients brings in money, but it takes rounds to do so. Economic pressure is constant: you can't do everything, you have to choose what to sacrifice. Those who make budget mistakes fail.
Secret and public objectives
Each player has secret objectives to complete: build certain wards, treat certain pathologies, hire certain specialists. There are also competitive public objectives. It's not enough to build an efficient hospital: you have to build the hospital that scores points. Two different things.
Everything in one box, organized
Base, The Facility Expansion, The Glasshouse Expansion, EMS 911 Expansion, all promos, the new unpublished 911th. Giant trays with transparent lids for each expansion. Quick setup, quick teardown, no broken zip bags. Collector's material, German production organization.
How it ends
How to win and how to lose
Clinic is won by optimizing better than others. There are no eliminations, but there is economic failure.
Victory
- Whoever has the most points at the end of the last round wins. Points from treated patients, built rooms, completed objectives.
- Bonuses for efficient hospitals: few waiting patients, well-distributed staff, active balance.
- Completed secret objectives are worth heavy points. Those who planned them from the beginning have an advantage.
Failure
- If you run out of money and can't pay salaries, your hospital goes into crisis. You're not eliminated, but you accumulate huge penalties.
- Untreated or poorly managed patients lead to penalties. An inefficient hospital loses points every round.
- Those who build wrong rooms or hire useless staff waste resources. In Clinic, waste comes at a high price: those who make structural mistakes cannot recover.
Clinic Deluxe: The Big Box is for those who want the most layered and complete management experience a board game can offer. It's not for everyone. It's for those who know three hours fly by when the puzzle is perfect.
Frequently Asked Questions
FAQ about Clinic Deluxe: The Big Box
Does this Big Box contain the base game or do I need to buy it separately?
It contains everything: base game Clinic Deluxe Edition (2019), all expansions released up to 2026, and the new unpublished 911th expansion. No need to buy anything else. It's the definitive and self-sufficient edition. Trays included to organize every component.
Can I play without the expansions or do I have to use everything right away?
The expansions are modular. You can play with just the base for the first few games, then add one module at a time: The Facility, The Glasshouse, EMS 911, and finally the 911th with the double building. Recommended: learn the core before adding complexity. The 911th is for experienced Clinic players.
How long does a game really last? Are 180 minutes realistic?
With only the base and experienced players, 90-120 minutes. With all expansions and 4 players, easily 180 minutes or more. The first game with a full setup can break three hours. It's not a game for quick evenings: it's a project for an afternoon or dedicated evening.
Is it too complex for those unfamiliar with Clinic?
Yes, if you start with everything active. No, if you start with the base and add expansions gradually. Clinic has layered but logical rules: every mechanic makes thematic sense (patients move, staff cost salaries, rooms have prerequisites). The problem isn't understanding the rules, it's managing optimization. If you like heavy management games like Kanban or Anachrony, Clinic is accessible. If you're looking for a gateway, no.
Is the edition in Italian?
This edition is in Italian, with all components, cards, rulebooks, and texts localized. AVStudioGames material with Ian O'Toole graphics.
Clinic Deluxe: The Big Box is the definitive hospital management game designed by Alban Viard, the second chapter of the Small City Trilogy. For 1-4 players, ages 14+, duration 60-180 minutes. It combines three-dimensional tile placement, pick-up and deliver, and tight economic management. This Big Box contains the base game Clinic Deluxe Edition (2019) with graphics by Ian O'Toole and Todd Sanders, all expansions published from 2019 to 2026 (The Facility, The Glasshouse, EMS 911), and the new unpublished 911th expansion with double building. Includes five giant plastic trays with transparent lids to organize all material. Published by AVStudioGames. Available on FroGames.it.
Clinic Deluxe: The Big Box
Frequently Asked Questions
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