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This studio focused on optimizing the energy performance of an ECBC-compliant, G+11 outpatient healthcare building in Hyderabad through a Whole Building Design approach. The study involved optimizing the building envelope, HVAC systems, and daylighting, with a focus on balancing energy efficiency, thermal comfort, cost-effectiveness, and carbon impact. Daylight analysis and façade modifications improved daylight quality, and minimized glare. Key envelope elements were analyzed to reduce cooling loads while addressing cost considerations. HVAC optimization strategies, including chiller sequencing, adaptive setpoints, and mixed-mode operation, significantly reduced the EPI by 23%. Additionally, Solar PV integration could offset 38% of the building’s energy consumption, significantly reducing its operational carbon footprint. Overall, this studio underscored the importance of an integrated design approach in delivering energy-efficient, cost-effective, and low-carbon building solutions.