The business simulation genre seems to have been dominated by SimCity and Rollercoaster Tycoon for a while now, but the emergence of Two Point Hospital was a refreshing take on the formula with a hospital. It was a title that showed promise with its light-hearted tone and addictive gameplay, so when a follow-up set on a university campus was announced in Summer 2021, there was a lot of anticipation about how Two Point Campus would build upon what came before.