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Two Point Hospital Unable To Initialize Steam API, Crash At Launch, Borderless Window And Fixes

Two Point Hospital is a PC exclusive title, however, despite that the game is facing issues like unable to initialize Steam API, crash at launch, Black screen and more.

Here we have compiled a list of errors and issues that players have been experiencing with Two Point Hospital along with their fixes and workarounds so that you can play the game.

Two Point Hospital Black Screen, Stuttering And Fixes

Two Point Hospital is a business simulation game developed by Two Point Studios that sees players operate and expand a Hospital with a goal of finding cures with comedic elements.

Following are the errors and issues that players have been experiencing with the game along with their fixes and workarounds.

Unable to initialize Steam.api

This an Two Point Hospital error that PC players have reported. However, the solution to this problem is very simple.

Verify the integrity of the game files and once that is done close Steam and restart your system. When the system starts back on this issue should be resolved.

If the above solution didn’t work for you then disable your antivirus or Windows Defender as they are potentially blocking the game from launching. Disabling your anti-virus should let you play the game.

Black Screen Fix

Black Screen is an issue which has common occurrence on PC. To resolve this issue start the game and press “Alt + Enter” and the game will go into windowed mode.

Not change the game’s resolution to your monitor’s native resolution and you will be able to play the game in Fullscreen mode.

How To Enable Borderless Window

Players are frustrated over the lack of in-game borderless window option. While the devs might not have put it in there, there are a couple of ways in which you can enable the Borderless Windowed mode for Two Point Hospital.

All you need to do is go the game’s options and untick the “Fullscreen” and the game will go into Windowed Mode. Now all you need to do is press “ALT + Enter” and the game will go into Borderless Windowed mode.

Another way you can achieve the Borderless Windowed mode is by unticking the “Fullscreen” in the options and then closing the game. Right-click on the game and select properties and click on launch options and type “-popupwindow” and press ok. This will allow you to play the game in Windowed Mode.

Stuttering Fix, Low FPS Fix

To play Two Point Hospital with minimal fps drops and stuttering, make sure there is no background program running using too much of your HDD or CPU.

Those who own a Nvidia GTX 10 series GPU open Nvidia Control Panel and select “Manage 3D Settings” and select “Program settings”. Select the game from the list and from the options set V-sync to “Fast”. This will potentially remove the stuttering and will help you with FPS drops.

Game Not Launching On Mac

Mac users have noted that Two Point Hospital is not working for them as the game just crashes at launch.

There is a possible fix for this issue open Steam and verify the game file integrity. Chances are Steam will download a couple of files which might be corrupt. Now start the game and the issue should resolve.

That is all for our Two Point Hospital errors and issues along with fixes and workarounds. Did we miss anything or have a better solution to a problem? Let us know in the comments.