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This download looks like a map. You need to place it in your maps folder inside the Garry's Mod folder.

You should end up with a directory structure similar to below

  • steamapps
    • common
      • garrysmod
        • garrysmod
          • maps
            • zs_infected_hospital_v2.bsp

Don't know where the Garry's Mod folder is or how to extract zip files? See more useful installation tips.

  • zs_infected_hospital_v2.bsp