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First you should create an account (assuming you haven't already got one) at Two Point County Community[community.twopointcounty.com], then go back to the community main page[community.twopointcounty.com] and login if not already, then click the present icon in the top right. On this next page you'll see a banner saying "Claim your freebies!" with a button on the right of it labelled "Synchronize". Click that and link your Steam account and you should then be given the Hospital Pass DLC on Steam and can continue on with Sandbox (as well as being able to use the Golden Shitter).