The Expansive Hospital is a board game in which players collaborate and compete to build a hospital with plastic blocks. The game design is based on a research conducted by PhD researcher Frederick van Amstel with three healthcare construction projects in the Netherlands commissioned by Pioneering. The research found that hospital design is often over schedule due to the conflicts of interests between the multiple parties involved. The game reproduces some of these conflicts, such as the engineer wanting to build more pipes than needed whiles the architect wanting to build a high rise building. If the conflict is not resolved between the players, patient satisfaction drops, together with the hospital income. Playing the game is an opportunity to learn the importance and the difficulties of designing for healthcare performance while having fun with the artificial conflict enactment.