This product is a brand new and unused Two Point Hospital: Off the Grid Digital Download Key for Xbox One / Series X.  After your payment, you will receive an unused activation key, which can be entered into your Xbox in order to get a full digital download of the game.

This is an unused CD Key for the game, which you can enter into the Xbox Live website / store, in order to redeem a full download of the game.

We sell this game code for various regions around the world.  Please select your own region when purchasing the key, or choose a region-specific key from the available region options.

Regional Availability

We sell this product for all regions.  Please select your region when adding to cart.  We also offer discounted region-specific keys that require activation from specific countries.

Region Specific Option:

We also offer discounted region-specific keys (e.g. Brazil, Argentina). These keys can only be activated and played from their designated region. After activation, most titles will work globally.

Unique and Unused:

This activation key can only be activated once.  Once activated, it will be permanently bound to your online Xbox Live account. You can download this game using Xbox Live as many times as you want.

A fully functional product key, or your money back!

CJS Keys are commited to delivering genuine games at the best possible prices, with 100% customer satisfaction rate.  We will ensure that all customers receive a fully working CD Key, or a full refund.

About the Game

From Hogsport to Blighton, from Flemington to Smogley, from here to remote corners of the Wanderoff County Park, everyone is talking about Mother Nature.

Tabitha Windsock, Two Point County’s every-present mayor, has put rivers and forests back on the map with her sudden concern for ‘green-issues’. She’s got morals, integrity and, above all else, a cloying desperation to stay in office.

That’s right, voter research has repeatedly suggested that the environment is the No. 1 issue on everyone’s mind, here in Two Point County, and Ms Windsock is more than willing to fall on the sword of extensive positive press by founding the Department of Green Things.

You’ll face new illnesses, some of them bizarre, even by your standards, and manage new gameplay mechanics on your route to eco-friendly success. We believe in you, and Tabitha does too (sort of).