Who goes first in Dice Hospital?

Rule details

This is the multiplayer starting rule. Give that player the First Player token; starting patients are drawn from that player clockwise.

During Patient Intake, the starter rolls the patient dice and chooses an ambulance first, followed clockwise. The starter cannot choose ambulance 1. The player on their right assigns equal-valued dice of different colours to ambulances.

Hospital Improvement follows ambulance-number order. Hospital Activation may be simultaneous; the rules recommend taking turns in ambulance order for your first game.

The player who takes the lowest-numbered ambulance receives the First Player token and starts the next round. Solo play has separate rules.

If there’s a tie

The cited starting-player instruction does not specify a tie-break. We don’t infer one.

Source & edition

• Dice Hospital — Alley Cat Games rulesAlley Cat Games · Game Setup; Patient Intake; Hospital Improvement and Activation; Shift Change; Solo Game · Checked 2026-09-23

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