head to head
Neither is meaningfully harder - they pose close to the same test. The widest gap is reads, and it is a single point.

Optimization · Pure Optimization
An economy and layout optimization puzzle about keeping a small simulated city solvent.

Optimization · Pure Optimization
Comic hospital tycoon optimized by room layouts and staffing.
SimCity leans Optimization (Pure Optimization); Two Point Hospital leans Optimization (Pure Optimization).
Same score on execution - which means the number cannot separate them. The difference is in what each one asks of you.
SimCity
Pause-friendly building removes any physical test
Two Point Hospital
no reflex
SimCity leans a little harder on reads, though the gap is small.
SimCity
Region multiplayer is cooperative, not adversarial prediction
Two Point Hospital
no adversary
Two Point Hospital leans a little harder on variance, though the gap is small.
SimCity
Disasters and agent simulation quirks add mild randomness
Two Point Hospital
patient illness mix
Same score on optimization - which means the number cannot separate them. The difference is in what each one asks of you.
SimCity
Zoning, traffic flow and specialisation economies are the whole game
Two Point Hospital
room layouts, staffing, training
A matching score does not mean a matching test. Two games can both sit at 10 on execution and demand completely different things of you - which is why the reasoning above matters more than the number beside it.