Launched on 24 July 2009, the project named CorsixTH is another open source attempt to make a modern clone of Theme Hospital. It is coded in C++ and Lua, with a stronger focus on Lua than OpenTH and is licensed under the MIT License.

The first official release was Playable Beta 1 on December 24, 2009 and the current stable version, 0.40, was released on December 18, 2014. As of August 18, 2015, release candidates continue to be developed. It is necessary to have a copy of the original game as a CD or mounted disk image in order to use CorsixTH as the original files are used by the engine. It is also possible to play the game with the original demo files, whilst these offer limited functionality only (i.e. no research).

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