The game was officially announced on 10 June 2021, though the game was leaked via the Xbox store on 31 May. The game features city-building game mechanics more extensively than Hospital as the team wanted to cater to players who are more interested in building creatively than actually managing the campus. According to game director Gary Carr, 'the byproduct we want is when you say goodbye to your first enrollment, if we can make you have a little tear in your eye as you're waving them off into the great wide world, that's awesome'. The system was added as the team was influenced by other simulation games, such as The Sims series. The team believed that by allowing players to see how the students evolve throughout the in-game academic years, they will start to care for them. The team added a 'trait' system, which allows students to form relationships. The studio was inspired by Animal House, Pitch Perfect, Grease and Harry Potter. Two Point Campus is the successor of Two Point Hospital and the second game developed by British developer Two Point Studios. As with Hospital, the game features a light-hearted tone and allows players to set up various exotic courses such as 'Knight School', in which students study ancient literature and learn to become a Medieval knight. Financial management remains an important gameplay pillar, as constructing new buildings and maintaining the happiness of the students would all cost money. A clean environment would attract more students, which would then bring the player more income. The game features a sandbox mode where the players can build their school freely. At the beginning of the game, the player are given a plot of land and players can freely plan out and build the campus, lay down paths, and place decorations both inside and outside of the campus. Like Two Point Hospital, the game is set in Two Point County, and some characters from Hospital also return in Campus. Each student also has their own specific needs, and they will either succeed, fail or drop out of school depending on how they were guided during their time in the campus. These students would interact with each other and develop relationships with other characters in the game. Graduation ceremonies would be held, and a new cohort of students would arrive. Each in-game year lasts for around 20 minutes. Unlike Two Point Hospital, in which patients leave the hospital once they are cured, the students in Campus will stay for a much longer time. The pupils fall into different archetypes, and their personalities are procedurally generated. If a student enjoys their nightlife too much, they may not attend classes in the following day. In addition to maintaining the operation of the campus, the player also need to take care of the well-being of the students. The player also need to appoint staff, such as lecturers, teaching assistants and janitors. The player must build various educational rooms such as classrooms, lecture halls and libraries, as well as organizing different cultural events and extra-curricular activities.

In Two Point Campus, the player must build and manage a university campus.

Two point hospital platforms