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Do they not work in the campaign mode or do I need the Bigfoot DLC to access them?
You'll get a new menu that pops up. It will have wall patterns. You can switch to floor patterns from the button on the top.
https://i.imgur.com/4G8Ef9K.jpg
Copy folders from
C:\Program Files (x86)\Steam\steamapps\workshop\content\535930
to
C:\Users\*\AppData\LocalLow\Two Point Studios\Two Point Hospital\LocalMods
You currently need to be online for the Workshop items to appear, as the games does a check to see which items you are subscribed to (you can be in offline mode in Steam though)
We will take a look at improving this in a future update :)
Thanks,
Jo