NickyH
Bismarck with lipstick…
The problem with that statement right there is that, the CxxC strategies that players here are talking about rarely get to the point that hospitals are even available. Maybe with diety or sid -- I have no clue about those.
But I'm not talking about time in the game, I'm talking about real time. When you win the game, it's gonna tell you how many hours and minutes you've spent. It doesn't matter if you win the game during early middle ages or by the end of the modern era. If every turn takes 30 minutes or more, as it tends to do when you wage wars and manage lots of cities, the game is gonna take time even if you win by an early date. My latest game was won in only 7 hours 30 minutes, and I was five or six techs into the modern era. (Try to beat that time with tight city placement and domination victory!) This was a 20K game on chieftain level, so you can't really compare it to "standard" games, but that's besides the point. The point is that the availability of hospitals, or historic progress in the game, says absolutely nothing about how long a game takes to play.
Still, I'm not sure how much difference it makes to choose different city placements, but I believe that fewer, widely spaced, cities means less micromanagement, meaning that the game doesn't take as much time. One thing I'm sure of though, is that games with lots of wars take long time, compared to relatively peaceful games.