The Elite mode is tougher to beat. Here are some cool new features in the Elite mode : - Super fans ( 1 per level) who once checked out , will ask for more treatments - Diamond patients - There are 3 in total in the Elite mode vs 1 in normal mode - Extra levels. 2 per room - Special upgrade cards - Ability to upgrade the living room - Special mini games - Bonus content - Elite Oliver, Elly - 2 new puzzles