A reimplementation of the 1997 Bullfrog business sim Theme Hospital. As well as faithfully
recreating the original, CorsixTH adds support for modern operating systems (Windows, macOS, Linux
and BSD), high resolutions and much more.
Original Features
- Single player campaign
- All diseases, objects, rooms are available (see below section for outstanding anomalies)
- All events (emergencies, earthquakes, epidemics, VIP visits)
- Management windows (managing staff, patients, policies etc.)
- Music/Jukebox and gameplay videos (see below section for outstanding anomalies)
- Cheats (naughty!)
New Features
Publisher’s description
What is CorsixTH?
CorsixTH by CorsixTH Team is open-source Windows software in the pc games category. It ranks 50th by popularity among pc games in this catalogue. It is written in Lua. Besides Windows, it is available for Linux.
Installation and requirements
The publisher provides EXE (NSIS) installers for 64-bit Windows. Installation asks for administrator rights. A silent install is possible with the installer’s documented switches.
Updates and version history
The current version is 0.70.1, released on August 27, 2026. The version history goes back to June 15, 2020: 11 releases, all linked to the official files. That is about 1.8 releases a year.
Popularity and file types
The Chocolatey package has been downloaded 2,809 times. The source code on GitHub (CorsixTH/CorsixTH) has 4,609 stars. Similar programs include OpenTTD, RetroArch and Steam.
Project description on GitHub: “Open source clone of Theme Hospital”
Pros / Cons
Pros
- Open source: the code can be inspected and built by anyone
- Documented silent install
- Also runs on Linux
Cons
- No native ARM64 build
- Installation needs administrator rights
In short: CorsixTH is an open-source pc game tool for 64-bit PCs. Administrators can deploy it unattended.
Is CorsixTH safe to download?
- The file is served by github.com, the publisher’s own domain
- The download link uses HTTPS
- A SHA256 hash is published, so you can verify the file:
598D83F00594B665703D45FD7DEDCE6F3BB4C9CD58B310480D4D57FC06155DCF· Open the VirusTotal report for this hash - The link has not been checked yet
- The source code is public
- ExeAtlas does not host, wrap or modify installers
Related guide: How to check a file’s SHA256 hash on Windows
Recent versions
All 11 versions ›11 versions over 6 years · about 1.8 a year
| Version | Date | Size | Files |
|---|---|---|---|
| 0.70.1Latest | August 27, 2026 | — | 64-bit EXE (NSIS) |
| 0.70.0 | July 6, 2026 | — | 64-bit EXE (NSIS) |
| 0.69.2 | January 9, 2026 | — | 64-bit EXE (NSIS) |
| 0.69.1 | August 16, 2025 | — | 64-bit EXE (NSIS) |
| 0.69.0 | July 19, 2025 | — | 32-bit EXE (NSIS) |
| 0.68.0 | October 6, 2024 | — | Any CPU EXE (NSIS) |
| 0.67 | August 12, 2023 | — | Any CPU EXE (NSIS) |
| 0.66 | June 25, 2022 | — | Any CPU EXE (NSIS) |
Install from the command line
Silent install ›winget install --id CorsixTH.CorsixTH -echoco install corsixth.install -yCorsixTHInstaller.exe /SRelated guide: How to use winget: install and update apps
Also for other systems
brew install corsixthflatpak install flathub com.corsixth.corsixthInformation
- Publisher
- CorsixTH Team
- Category
- PC games
- Licence
- MIT License
- Price
- Free
- Source code
- github.com/CorsixTH/CorsixTH
- Written in
- Lua
- Content rating
- 12+
- Requires
- Windows 11 / 10
- Architecture
- 64-bit
- Installer
- EXE (NSIS)
- Other platforms
- Linux
- Version
- 0.70.1
- Released
- August 27, 2026
- Added to the catalogue
- March 30, 2021
- Versions listed
- 11
- Updates / year
- 1.8
- Chocolatey downloads
- 2,809
- GitHub stars
- 4,609
- GitHub forks
- 439
- Website
- github.com
- winget ID
- CorsixTH.CorsixTH
- Chocolatey package
- corsixth.install
Ratings and reviews
No reviews yet. Be the first to rate it.
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Frequently asked questions
Is CorsixTH free?
Yes. CorsixTH is open-source software under the MIT License licence.
Is CorsixTH safe to download?
The download comes from github.com, which belongs to the publisher; ExeAtlas does not host or change the file. Compare its SHA256 hash with the one shown here, or open the VirusTotal report for that hash.
How do I install CorsixTH with winget?
Open PowerShell or Windows Terminal and run the winget command shown on this page. winget downloads the official installer and checks its SHA256 hash before running it.
Can CorsixTH be installed silently?
Yes. The silent install page lists the exact command for each installer.
Does CorsixTH run on ARM (Windows on Arm)?
There is no ARM64 build; Windows 11 on Arm can run the 64-bit version through emulation.
Where can I download an older version of CorsixTH?
The versions page lists all 11 versions with links to their official installer files, back to June 15, 2020.
What are alternatives to CorsixTH?
OpenTTD, RetroArch, Steam, PPSSPP and Celestia. The alternatives page compares them.
