Theme Hospital on your Mac
This post is all about how to play a DOS game on your mac. If you want to play a classic game and you are on Windows 7, there is a great guide on dancolestudios for you folks.
After a session at work this week, my students and I were discussing some of these classic games and in particular Theme Hospital came up. This is a game I totally loved and could easily see myself getting back into that fabulous addiction… but how, could this still be possible to play.
One member in the group came across Dos Box, which is an open source DOS emulator for BeOS, Linux, Mac OS X, OS/2, and Windows. It is primarily focused on running DOS Games. One of which is Theme Hospital!
If you aren’t aware of the game – here is a little bit of information about it:
Theme Hospital is a simulation computer game developed by Bullfrog Productions and published by Electronic Arts in 1997, in which the player designs and operates a hospital. Like most of Bullfrog’s games, Theme Hospital is permeated by an eccentric sense of humour. The game is the thematic successor to Theme Park, a game also produced by Bullfrog.
So to get this to work, you need to have a copy of Dos Box (free) and you can get a copy here: dosbox

The DMG file as downloaded from the site.
The file was downloaded into my personal downloads folder, so have a look there and you can click it to mount it.
Once this is mounted, just click on the disk, and open the DOSBox file, you can move it into your Applications folder if you like, but I’ve just used mine this way and it works fine.
This will then open your dos window.
You then need to grab yourself a copy of Theme Hospital, which you should already have. If you can’t find it, there are copies available in a few locations, including a free trial from CNET which is here: theme-hospital-full-version. I went for a different version of the full game which I got from searching, and these were a few options:
- http://sourceforge.net/projects/dosbox/files/dosbox/0.74/DOSBox-0.74_Universal.dmg
- http://rapidshare.com/#!download|135l32|311566050|THEME_HOSPITAL.dmg|189708
- Download Theme Hospital [Full Version Download + Multiplayer Patch + Windows XP/Vista Support]
While that downloads, create yourself a folder that will be the new home for this game (and any others you may download).
I created this folder in my home folder > username > and I called it games. Be sure to just use one word and no spaces folks.
When the download is complete, copy the folder of the game into the games folder, which you created in your user area.
You then need to make a minor change to the config file within it. This is inside the HOSPITAL folder, the file HOSPITAL.CFG > open it with TextEdit.app
Make the following changes to the file:
INSTALL_PATH=C:\hospital\ (note the \ after the folder name) INSTALL_TYPE=MAX LANGUAGE=ENG
The install path is the path where you are putting this file. I kept mine the same as above.
Now you need to do a few steps to get this to install into your C: drive.
Create the C drive:
Open DOSBox.app
You then need to mount the games folder you created as a C: drive so it can install the game.
Type
MOUNT C ~/games [EDIT: Note there is a space after typing C]
This will make the drive accessible. You then will Change Directory to use that disk.
Type
C:
Your Prompt should now start with the letter C: and NOT Z:
Now you need to install the game. At this prompt type the install file which is called SETUP.EXE
So just type that filename at the prompt.
This will launch the file and start setup within that small DOS window.
Install the game as you would normally, set your language, and then they ask you to choose your sound set up.
Once it is all installed, you can then exit and I closed down the window to start new.
So, the following steps that you’ll need to do each time to play the game:
- OPEN DOSBox
- MOUNT C~/games
- C:
- CD HOSPITAL (change the directory in the drive to be where the game is saved, in this case it’s in HOSPITAL)
- hospital.exe (launch the game file)
This will launch the game! Dr.Moz is in the house, happy playing.
Would love to hear if you’ve found any other great classics & got them to work!
No related posts.






How do you mount a C drive on a mac??
Please help! I am so close.
Hey, make sure you have DosBox app – open it and at the prompt, so when it starts, type in
MOUNT C ~/games
Christine this is an absolutely superb website.
Huge thanks for allowing me to rekindle some of the simple pleasures i enjoyed in the 90s!
I was a massive fan of Bullfrog games and will now try and dig out Dungeon Keeper to keep me occupied for hours on end…again!
I was so so so excited to find this as I have been trying to play for ages!
I am however having a problem making it work. All appears to be going well til the part where I have to type SETUP.EXE. It says this command is illegal. Then when i look in my games folder there is no setup.exe. In fact the only .exe file is called Hospital so i tried typing hospital.exe and it just came up with the copyright stuff. Please help as I feel so close!
Thanks x
Have you installed it or is this to run it?
If it’s at the install phase is the folder unzipped so you can see all the files? hmm if it’s coming up with the copyright stuff it sounds like it is running that file. It has to be run from within that DosBox program – are you running that already?
Have you made access to the C: drive by typing C: at the prompt?
Sorry so many questions it’s one of those things where it take a little work and then it’s some pretty great fun! Hope I can help.
I hope you can too!!! I am a bit of a technical nightmare to be honest!
The download I had was not zipped, I can see all the files and they are more or less the same as yours but there is no setup.exe. I have now deleted those ones and am trying to find a different downlad of the game to try again. Yes I was typing the C:
Oh and sorry this is at the install phase where you have written that
“This will launch the file and start setup within that small DOS window.”
I think you have the right idea to maybe try to find another file. If you haven’t done the setup phase we really need that file to be able to install it into the drive we are creating :/ Let me know if you have any success. I’ll see if I still have my original install file myself that I could post, only I just had to clear off that mac that I used.
On a side note – are you in Leeds??? Not that I am a stalker or anything, just thought it a coincidence!
lol ya near there is that where you are based?
Yeah in Headingley!
I can’t find another download now that doesnt want my bloody credit card number
I’ll have a look tomorrow if you want to send me your email addy, if I find any I can post a zip.
Thanks, it is kneehigh85@hotmail.com. I will keep trying. . .
I have found a site but it downloads it as a .rar file???
http://www.rarlab.com/download.htm maybe see if one of these can be downloaded to open it?
Maybe, If my boyfriend has a desktop mac but it is partitioned to run windows and OS, could I load it up as windows and download and play it on that or would I still need the dosbox thing?
Yup it’s a windows file so that would save you all the hassle, DosBox is so we can run a windows file so it will be much easier – http://dancolestudios.co.uk/college_blog/?p=4090 has a post for win 7 users that you might find useful.
http://blog.depold.com/post/2072111779/theme-hospital-on-mac-os-x
Bah I just found this amazing thing, and it works with my rubbish download (minus the setup.exe file) but it is only a bloody one level demo!
Hey,
I’ve done everything but there is no SETUP.exe instead there is a Hospital.exe. I tried to install this and it says it won’t run in DOS mode. Any suggestions? I’ve downloaded a couple of versions and all have hospital.exe instead of setup.exe. Any help would be appreciated. This is my favorite childhood game.
Hey I hope you managed to figure out about the file. I had this on a first attempt install and I can not remember what fixed it. If anyone knows please leave a reply that would be great.
gr8 advise i got it eventually, it is working however it keeps saying it cant save! how do i fix this?
thanks
Hi.
This is most likely a dumb question, but how do you make the sign : ??
Everything is different when you’re in the dosbox.. I’ve succeeded in mounting the c-drive, but now i can’t seem to find the shortcut i need on the keyboard to proceed..
hey, just on your keyboard – I’m using a British keyboard, but for me it’s on the right hand side, by the shift key – hold shift and ; that key at the same time will give you :
I am almost there! it says the word install is an illegal command? HELP!
hi, thanks for this , but i have a problem i can’t type on dosbox the tilde ~ , this is really weird because i am usually able to do it on other app, what can i do? i already checked a millions times my keyboard settings and try different language, and also put the tilde by the POPCHAR application but nothing works
Thanks a lot for your help, i wish i could be able to play at theme hospital on my mac
I get through every step, except when I type in setup.exe into the dosbox it says it is an illegal command. I’ve double checked and I’ve done every other step correctly. I’ve tried just setup, hospital.exe, and hospital and nothing works. Any ideas?
Hey, curious if you figured this out and what the issue was…
I have it all downloaded but it keeps asking me for the full install path? do anyone know what it is and could you give it to me..? i don’t have a disk anymore… thanks.
Full install path will depend on your computer set up, it could be for example
home folder > your username > games
where those are replaced by what your details are.
I followed all the steps and it opened saying i needed the disk to play it? I dont have a disk, i had downloaded it.
You won’t need the disk, if you open it always from the directory where you installed it, it shouldn’t need it. I don’t have the disk.
Hi, i’ve followed your steps and it works. but if i wanna play this again, i need to reinstall and overwrite the entire game? doing this will delete my saved games…?
No, don’t redo any of the steps above, just load the game as that final step. Load it as you want to play it and the game will be saved just where you left it
but it will require a CD-ROM to play…?
Not at all.
Just follow the last few steps every time you want to play the game:
So, the following steps that you’ll need to do each time to play the game:
OPEN DOSBox
MOUNT C~/games
C:
CD HOSPITAL (change the directory in the drive to be where the game is saved, in this case it’s in HOSPITAL)
hospital.exe (launch the game file)
Holy cow! Really didn’t think I’d be able to play this tonight. Now I am.
Thanks Christine!
Not sure what to set the sound on though… And can I play it on a bigger window?
Unfortunately that is the max window size. I really wish they would bring this title out again! So glad you got it working
Hi sorry but when I try to start the game it always write me that i need original CD
i don’t understand this step:
(change the directory in the drive to be where the game is saved, in this case it’s in HOSPITAL)
Hi, sorry this is a bit late of a reply, the line CD HOSPITAL (change the directory in the drive to be where the game is saved, in this case it’s in HOSPITAL) is saying that the command, CD – means change directory… all that means is that the game was installed into a folder that we called HOSPITAL, so in order for us to play the game, we need to tell it to go into that folder. we do this by making it the directory.
All you need to do is type in
CD HOSPITAL
and it will do what it needs to do, you’ll notice the prompt changes too.
do i need a crack or what?
no, this is a way to install it and run it.
I have a problem with this part:
You then need to make a minor change to the config file within it. This is inside the HOSPITAL folder, the file HOSPITAL.CFG > open it with TextEdit.app
Make the following changes to the file:
INSTALL_PATH=C:\hospital\ (note the \ after the folder name)
INSTALL_TYPE=MAX
LANGUAGE=ENGThe install path is the path where you are putting this file. I kept mine the same as above.
Is TextEdit.app a program that I need to download???
I have a problem with this part:
You then need to make a minor change to the config file within it. This is inside the HOSPITAL folder, the file HOSPITAL.CFG > open it with TextEdit.app
Make the following changes to the file:
INSTALL_PATH=C:\hospital\ (note the \ after the folder name)
INSTALL_TYPE=MAX
LANGUAGE=ENG
I can’t change it….. is TextEdit.app a special program that I need to download???
Everything else works…. only the last part install doesn’t work!!
textedit is on every mac, if you press spacebar & cmd on your keyboard it brings up spotlight, so just search for it
Hey, when I try to type in the system.exe it says illegal command to everything I have tried,I have a setup.exe file and iv changed it to C:, im not sure what to do now.
thanks
I was recently reminded of my love affair with Theme Hospital, and as a Mac user had little hope of actually being able to rekindle the flames. Not only did I find this page within moments of my search, it was incredibly clear to follow! I did stumble across an issue with the program initially informing me that a disc was required to play. When I initially installed it, I was not able to setup the game correctly as DOSbox crashed when I went to select the audio settings. I re-installed and had no problems configuring the game with my second attempt. Now all is running smooth, and my evening will be filled with nostalgia and a need to taunt all not currently playing.
Thank you Thank you CMoz!
brilliant comment Cobra, so glad there are so many theme hospital fans
hi, I managed to do the mounting bit on my mac but I cant seem to install it :s
I typed in :
C:\>theme\SETUP.EXE
and then this appeared after:
Theme Hospital Setup
(C)1997 Bullfrog Productions Ltd.
It suggests something worked but nothing happened. No installation window or anything. Any ideas what I have done wrong?
Thanks
Maybe just try the loading text now?
Hi Christine,
Huge thanks, this tutorial has stopped me giving up completely! My original CD was scratched to bits so was trying to run without and kept missing the CD Hospital part to no avail. Now happily curing weird headed folk.
Thanks!
Thanks so much for saying! I love this game so much!!
Every time I enter in MOUNT C ~/games, it pops up saying Directory /Users/Alex/games doesn’t exist.
I made a games folder, but I don’t know why I can’t create the C: Drive.
GENIUS!!! I LOVE YOU!
Everything is running smooth, but then when I need to make a chang to the .cfg file it says it is a read only file and that I can’t change it. What to do?
Are you modifying the config file on your disk and not the one actually included on the files you downloaded? If it’s on your personal HDD there shouldn’t be permission errors. You could look for the file in Finder, and then right click it, to see “info” and there check the permissions for the file.
I have the dos box app but it wont let me mount the c drive says: The directory has to exist! But it does!
Have you created the directory in the right place and are looking for it in the exact same place? It may just be a slash is missing? Check your path?
about how big is the file supposed to be? some of those links download in 5 seconds, and others were going to take over an hour…
I loved this game when I was young and I’m so excited to play it again
They are all pretty small and if you have a good connection they shouldn’t take too long. An hour sounds too long. Maybe try from somewhere else?
Can you help with some questions??
Hi, thanks for the tutorial. But, do you know of anywhere I can download the setup.exe file? The one you linked to at the top doesn’t include it, just hospital.exe and patch.exe…
Thanks.
OMG. I never ever think that one day I could play again this childhood game, because of using MacOs. Even having WinOs, it is Windows 7. Now I can play smoothly in my Mac. You are stunning! Thank you for your lovely instructions. xX.
Hi,
I am having trouble with the last step ( SETUP.EXE)
I just doesn’t wanna work. It says illegal command:-(
So I’m pretty stuck right now.
Help please!!
I was so looking forward to play TH
this is great but i have a couple of problems.
ive got up to the part where i need to install setup.exe, but i seem to be doing something wrong. what exactly do you type into on Dos?
plus there is an asbesence of hospital file from my download i got from rapidshare, is that a problem also?
cant wait to get playing, help please please please
Hi i just wanted to firstly say…THANKYOU THANKYOU THANKYOU for sharing this! my game worked a treat and i ended up playing it for 6 hours haha! Just one thing, i saved the game last night and wanted to get back to the same level i was at but once i load the game through DOS again it asks to install it??
Is there a way to get around this so i can continue playing where i left off?
Thanks again for this, if you have Theme Park i would love to try that one too.
Cheers
You don’t need to install it again at all, just load it up as you do in the last step – your game will have been saved and you can carry on where you were
Sorry been a bit behind on the replies folks! I got a new mac so am thinking of installing it there too
Thanks so much for the help but I’m having the same problem as everyone else… my download didn’t come with a setup.exe file, only hospital.exe, which makes it seem like it’s installed already and I just have to run hospital.exe… any ideas?
I seem to have no hosptial file in my download, i have a hops file but thats it. Also when i open the hosp file and click hospital.cfg and open textedit it wont let me save the changes what can i do to change this?!! thanks!!
EXCUSE ME I HAVE PROBLEMS DURING THE INSTALL OF THEME HOSPITAL. CAN U HELP ME? WHEN I TYPE INSTALL.EXE IN C: SAYS ME “ILLEGAL COMAND”. IT’S DRIVING ME CRAZY! PLEASE CONTACT ME AT THIS EMAIL:
KIMDINOTTE@HOTMAIL.COM
THANK U VERY VERY MUCH
P.S. EXCUSE FOR MY ENGLISH I’M AN ITALIAN GIRL