Player Actions

Perform up to 4 actions per turn from the selections listed below.

• Move
  • Drive/Ferry: Move to a city connected to the one you are in.
  • Direct Flight: Discard a City card to move to the city named on the card.
  • Charter Flight: Discard a City card with the name of the city you are in to move to any city.
  • Shuttle Flight: Move from a city with a Research Station to any other city with a Research Station.
• Build a Research Station
• Discard a City card with the name of the city you are in to build a Research Station there. (Max of 6)
• Treat Disease
  • Remove 1 disease cube from the city you are in. (If this disease has been cured, remove all cubes of that color.)
  • Note: If the last cube of a cured disease is removed from the board, this disease is eradicated. Eradicated diseases are ignored when infection cards are drawn.
• Share Knowledge
  • Either give the City card that matches the city you are in to another player or take the City card that matches the city you are in from another player.
  • The other player must also be in the city with you.
    Both players must agree to do this.
  • If the player who gets the card now has more than 7 cards, that player must immediately discard a card or play an Event card.
• Discover a Cure
  • Discard 5 City cards of the same color from your hand to cure the disease of that color. A "cure token" will be placed on that disease's indicator on the board.
  • You must be at a city with a Research Station, discard 5 City cards of the same colour from your hand to cure the disease of that color.
  • If no cubes of that color are on the board, the disease is eradicated. The "cure token" is flipped to its "NO" side.
  • Cured diseases still need to be treated. But during the "Treat Disease" action, you can remove all cubes of that disease from a city instead of just 1.

Draw Cards

After performed actions, draw two cards from the City pile into your hand.

If your hand contains more than seven cards, discard cards or play Events until you have only seven.

If the City pile runs out, the game ends and the players lose.

Epidemic Card

If you draw an EPIDEMIC! card, the following happens immediately:

1. Infection Rate indicator is increased by 1. If this reaches the end, the game is over and the players lose.
2. The bottom card of the Infection deck is drawn and its city is infected with three disease cubes of its color. The card is placed in the Infection discard pile.
   • If the city already has 3 cubes in it, an Outbreak occurs.
3. The Infection discard pile is shuffled and placed on top of the Infection draw pile.

A replacement card is not drawn after the Epidemic card resolves.

Infection

Draw cards from the top of the Infection deck (the number is indicated by the Infection rate). A disease cube is placed on that city.

If the city already has 3 disease cubes, an Outbreak occurs.

If the disease is eradicated, no cube is placed.

Outbreak

An Outbreak occurs when a disease cube must be placed on a city, but it already has its max of 3 cubes. The following happens:

1. Outbreak indicator moves forward one. (When it reaches the end, the game is over and the players lose).
2. One disease cube of that color is placed on every city connected to the origin city.
• If any connected city also already has its max of 3 cubes, an Outbreak occurs in that city as well. (But not in cities that already had an Outbreak in that turn.)
• This can cause a chain reaction which can quickly lead to the game ending.
• A city may have diseases of different colored cubes on it. Three max cubes per color.

Events

Event cards may be used at any time, iincluding during other players' turns.

Events cannot be used between drawing and resolving a card.

Playing an Event does not count as one of your four player actions.

Roles

Each player chooses or is assigned a role at the beginning of the game. These roles grant special abilities and advantages outside the normal rules.

Contingency Planner

Reserve an Event Card from the discard pile. This event can be played like any normal event, but is removed from the game (instead of discarded).

Dispatcher

Move any pawn to a city containing another pawn OR Move another player's pawn as if it were their own. (Can discard City cards in their turn to use Shuttle Flight & Charter Flight on another player)

Medic:

"Treat Disease" removes all cubes of a color instead of just one. If the Medic enters a city with cubes of a cured disease, all cubes are removed. New cubes or outbreaks of cured diseases cannot occur at their location.

Operations Expert

Can build a Research Station without discarding a City card. Can move from one Research Station to any city once per turn by discarding any city card.

Quarantine Specialist

Outbreaks and disease cube placement cannot occur in Quarantine Specialist's location or connecting locations.

Researcher

"Share Knowledge" allows giving any City card to a player. Also applies to player taking a card from a Researcher.

Scientist

"Cure Disease" needs 4 cards discarded (not 5) of the same color.

Game End

The players win when:

• All 4 diseases are cured. (They do not have to be eradicated. Disease cubes may still be on the board.)

The players lose when:

• An eighth outbreak occurs
• A disease cube needs to be placed and there are no more cubes available in the supply.
• A player must draw a City card from the city deck and the deck has run out.

Errata and Gotchas

You do not draw a replacement card after drawing an EPIDEMIC! card.

The "Discover Cure" action may be taken at any research station. Its city color does not have to match the color of the disease being cured.

To use the "Share Knowledge" action (unless you are the Researcher), you must A) be in the same city as the other player and B) the card must match the name of that city.

The hand limit immediately applies after receiving a card from another player.

If a disease has been cured, the Medic's ability to remove cubes by being in a location can be used by the Dispatcher's special action or the Airlift Event.

A player can play an Event between 2 EPIDEMIC! cards, but not while their steps are being resolved.

When a disease is cured, its cubes remain on the board and new cubes can be placed on the board during the Infection phase or an Epidemic. However, treating the disease becomes easier.

Removing the last cube of a disease that is not eradicated has no effect.

Only six Research Stations can be built on the board, so place them well.