1

Components
Our once great Empire was struck by a devastating
plague… will you answer the call to save it?

Once standing tall and great, we now need to

rediscover and rebuild our fallen cities.
There are still survivors among the ruins – we must
take them in our care and cure them. In order to
stay ahead of the plague, we must implement new
inventions and technologies. Our influence will
expand as we rebuild, but the plague will still lurk in
the shadows, ready to strike when we least expect it. 1 Map Board
Once it does, it will be difficult to adapt, but we will
survive.

In addition to the procurement of important

resources, our imperative will be to get the plague
under control.

5 Player Boards 20 Assistants

(4 per player)

5 Contaiment Camp Tokens

(1 per player)

5 Shield Turn Order

Marker (1 per player)

15 Square Imperatives
Markers (3 per player)

5 Pentagon Influence
Marker (1 per player)

16 Capital City
Reward Tokens
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18 Pest Cards 10 Aid Cards 5 Capital City Cards 15 Decree Cards 30 Technology Cards

5 Plague Doctor Meeples 50 Building Meeples (1 Workshop, 1 Factory, 1 Treasury, 5 Capital City Buildings
(1 per player) 1 Castle, 6 Districts per player)

28 Destroyed/Empty 24 Renown Tokens

Location Tokens

24 Negative
42 Research Tokens
Renown Tokens

12 City Location 16 Town Location 20 Village Location 5 Starting Location Sick people
Tokens Tokens Tokens Tiles Multiplier Tokens

45 Building Resource 25 Resource Track 100 Population

5 Two Sided Help Cards Score Pad
Tokens Tokens (5 per player) Meeples

3
 Concepts
RENOWN

The House with the most Renown at the end of the game wins the game.

You will earn Renown by constructing buildings, having Healthy People among your population, completing Agendas
and Imperatives, researching Technologies, completing the Capital City Requests and having Influence.

You may also gain negative Renown if you have Dead People in your graveyard at the end of each Era.

ASSISTANTS

You will use your Assistants to play the main actions of the game by placing them on the action grid on your player board.
At the beginning of the game, you will have access to two Assistants, and at the end of each era you will receive one additional
Assistant.

RESOURCES

Lumber Stone Food Herb Coin

You will use resources mostly to construct buildings (Lumber and Stone), gather Sick People from the map (Food) and cure
Sick People (Herbs). You can also use Coins as a wild resource instead of any of the above.
Resources are produced by the buildings you you construct on the locations on the map.
All resources are gained and spent from the resource track on your player board. You cannot have more than 5 of each
resource (except with a Technology card).
The is considered as any resource. This means whenever you need to spend or gain , you can spend or gain any
resource (except Coins) instead.

4
PEST AND AID CARDS

The Pest cards are used at the start of each round and represent the different places on the map where Sick People will show up.

The Aid cards are used at the end of each round and will grant you different bonuses depending on your Influence
standing.
Pest Card Aid Card

Council Aid Rewards

After careful consideration of
the current Pest situation, the
Council has decided to provide
aid packages of additional
resources to three of the Houses
for the next season.

We believe these resources will

provide the necessary boost to
prevent the plague and bring us
one step closer to returning to
normal life.
Gain:

Locations / Roads Flavour text

PLAGUE DOCTORS

Your Plague Doctor is your main marker figure on the map. Throughout the game, you will move your Plague Doctor on the
map through different locations along roads and gather Sick People along the travels. While your Plague Doctor is at a certain
location, you may be able to construct some of the buildings that are found on your player board on that location.

CONTAINMENT CAMPS

Your Containment Camp may be used during your movement to clear or protect locations on the map.

5
 MAP

There are two main elements on the map: Locations and Roads.

Location Roads
Locations
Locations are the spaces on the map in which you will move your Plague Doctor in to gather Sick People and construct the
buildings from your player board.

There are three types of location: Villages (small size), Towns (middle size) and Cities (large size).

These markings above the location type icon mark that location’s size.

Each location will have one of the four resources on them. If you construct a building at a location, you will be able to
produce that location’s resource. A location that has a Destruction Token on the resource symbol is a destroyed location.
Destroyed locations cannot produce resources and you cannot build in these locations.
Some locations will have a Red, Blue or Black Harbour icon. This icon is only important during the Pest
phase (more on that in the gameplay section).

Roads
Each road on the map connects two locations. When you move your Plague Doctor from one location to another, you have to
pass the road between those two locations.
Some roads will have a Red, Blue or a Black Road icon. This icon is only important during the Pest phase
(more on that in the gameplay section).

6
CAPITAL CITY

This space represents the Capital City of Thokaia. It doesn’t count as a Location and you can
move through it with no cost. The Capital is used for assigning Healthy People and constructing
the Capital City buildings.
The Capital is divided in 6 sectors; 5 outer player sectors and a central sector for the city
buildings. The slots around the city hold the reward tokens.

Capital City Cards

Capital City cards are special requests from the authorities of the Capital City.

I II III
During your turn, you may send Healthy People from your player board to the Capital City of the
/ /
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21
Empire. At the end of each round, the first three players with the highest amount of People in the
Capital City will gain rewards.

7
 BUILDINGS

You start the game with 10 buildings total on your player board:
6 districts, 3 special buildings and 1 castle.
Once constructed, these buildings require a healthy person to work and
produce resources for you.

At the end of the game, you will receive Renown for the buildings
you have constructed. If you have constructed all buildings from the
same column on your player board, you will receive additional Renown
at the end of the game.

Capital City Buildings

Additionally, the Construct action allows you to place one of the Capital buildings in the Capital City. Each building can be
constructed only once each game and the player who built it will gain Renown.

I II III
/
/ / 21

8
INFLUENCE

You will gain influence by constructing buildings and completing Imperatives or Capital City Requests.
1 Mark your Influence as you gain it on the Influence track.
When you gain Influence on the Influence track, skip all the spaces where there’s already another player’s
Influence marker.
When you pass or land on a space on the Influence track containing a reward, gain that reward immediately.
The Influence points are also used to determine the turn order. The player with the most influence is the last in
the turn order, the player with the second most is second to last, and so on.

At the end of the game, gain 1 Renown for each Renown icon you have passed on the Influence track. If at
the end of game, you have the most Influence among the players, you will also gain additional Renown . 1

PEOPLE OF THE EMPIRE

2
The green meeples in this game are called People.
All the People found on the map and in your Quarantine 1 are 1
considered Sick People .
Healthy people are people who you’ve cured during the game. 3
They are located in the Healthy Population track 2 . 1
People located in the Graveyard 3 are considered Dead.

QUARANTINE
1
These slots on the player board represent the places where you put the Sick People you
take during the game. The regular Quarantine 1 has 3 slots and these don’t have any
direct downside to them.
When the slots of the regular Quarantine are filled with Sick People, you have to put
Sick People in the top row actions Quarantine 2 or the storage Quarantine 3 . These Sick People will hinder your top row
actions and/or will prevent you from having 5 resources of a type.

2 3

9
 DECREE CARDS
Decree cards represent the plans of the Empire’s Council that will restore the empire’s glory and uplift its citizens.
Each of the three Eras will have a different Decree card that will only work for that Era.
An Decree card has two parts:
Agenda
Quarantine Protocols The Agenda (top):
Gain 1 for each empty space
in your Quarantine. Depending on the Agenda’s condition and whether you have fulfilled it, gain the appropriate amount of
Renown at the end of the Era.
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Imperative
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When you fulfill the Imperative’s condition during this Era, you will move your marker on the track on
a location.
the left of the Decree card, one space up. Gain the appropriate amount of Renown and Influence
8
from that space.

TECHNOLOGIES AND RESEARCH TOKENS

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In order to acquire Technology cards you have to spend Research tokens . In addition to using the Research tokens to
acquire Technology cards, you may also spend these tokens to enhance some of your actions in the action grid (more on this in
the gameplay section).

During the game you will gain Research tokens from various sources, but mainly your Laboratories (see Produce p. 19).

10
 Setup
PLAYER BOARD SETUP

1 Choose a House and color to play with and take all the components of that color. 2 Place the buildings on the corresponding
slots on your player board. 3 Place the resource markers on the appropriate spaces on your resource track:
you start with 1 ,1 ,2 ,2 ,2 and 1 Research token .
4 Take two Assistant meeples and place them on their “ready” slot on your player board.
5 Take the Containment Camp token and place it on the appropriate slot.

1
3

11
 MAP SETUP

Place the map board at the middle of the table in reach of all players and then:
1 For your first game, play with the following map setup. For future games, you can use the Advanced Setup on page XX,
which features a variable location resource tokens.
Depending on your player count place Destroyed Location tokens on the following locations:

Player No. of Destroyed

Destroyed Locations
Count Locations

On the Villages: Jolari, Malaren, Weris, Byse, Skartin, Wards, Arler, Sithra, Lerk, Faserh;
2 22 On the Towns: Kellier, Halcor, Frocks, Milli, Metix, Nuerami, Menrei;
On the Cities: Tarius, Rittera, Haddir, Numenar, Usteris.
On the Villages: Gnall, Sobal, Tessik, Amberi, Wibrow, Sithra, Wards, Byze, Malaren, Fascerh;
3 12
On the Towns: Milessar, Tissoud.
4 5 On the Villages: Gnall, Sobal, Tessik, Amberi, Wibrow.
5 / Do not place any destruction tokens

2 Some of the location resources have a Sick People icon on them. Place a Sick Person on the corresponding location.

3 Shuffle the Decree cards by Eras decks and then draw one card from each Era deck. Place the drawn Decree cards on the
corresponding Era slot face up.
4 Shuffle the Capital City cards, draw one card and place it in on the Capital City slot face up.
5 Place the Capital City buildings on their corresponding slots. Then place the Capital City Tokens around the Capital City on
the map face-up.
6 For 3-5 players: Shuffle the Pest and Aid decks and place 6 face down cards from each deck on the corresponding slots next
to the map.
For 2 players: Take the 8 Village + Road cards and 1 white Road card (7-15) and make 3 piles separated by the road color.
Shuffle the piles and draw 1 card from each pile. Return these 3 cards to the box. Combine the piles, and shuffle them into
the rest of the Pest cards. Shuffle the Pest and Aid decks and place 6 face down cards from each deck on the corresponding
slots next to the map.
7 Shuffle the Technology cards deck, and draw 5 cards. Place these cards at their slots, face up. This is the available
Technology market.
8 Place your Influence markers on the starting slot on the Influence track.

9 Determine turn order randomly, and then place your markers on the Turn order track according to that order.
10 For 3-5 players: Draw a Starting location card and by following the turn order, choose where to place your Castle building
(starting location) from the 3 locations you were given. For 2 players: Draw 2 Starting location cards and by following the
turn order, choose where to place your Castle building (starting location) from the 2 locations you were given.
Afterwards, take the appropriate resource token and place it on the resource slot from your Castle on your player board.
If you placed your Castle on a location that already has a Sick Person, take that Sick Person and place it in your Quarantine.

12
 11 After everyone has completed step 10, following the turn order, place your Plague Doctor on a location adjacent to your
Castle. If there is a Sick Person in that location, take that Sick Person and place it in your Quarantine.
You are now ready to start playing!

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13
 Gameplay
A game of Pest is divided into three Eras and each Era lasts two rounds.
During Era 1, you will place two Assistants to play actions on your action grid per each round. For Era 2, you will place three
Assistants per round and for Era 3 you will place four Assistants per round.

Round Structure
Follow these steps for each round:
1) Pest & Aid Phase 2) Action Phase 3) Return Assistants

1. PEST & AID PHASE

At the start of every round, reveal the corresponding Pest card. This card determines where the Pest plague will strike this
round. Place Sick People on the appropriate locations or roads on the map as shown on the Pest card 1 . In Era 1, place
1 Sick Person on each corresponding location/roads as shown on the Pest card In Eras 2 and 3, place 2 Sick People on each
corresponding location and road as shown on the Pest card.
If a Sick Person is placed on a location containing exactly one building, the building’s owner must take that Sick Person and
place it in their Quarantine 2 . If that player does not have any more space in their Quarantine, they place that Sick Person in
their Graveyard (it becomes a Dead Person).
If a Sick Person or People are placed on a location contaning multiple buildings, at least one Plague Doctor or at least one
Contaiment Camp, do not place those Sick People there 3 .
More so, if Sick People are placed on a location containing ONLY a Contaiment Camp, return that Contaiment Camp to your
player board and do not place Sick People on that location 4 . If there are multiple Contaiment Camps on a location where
Sick People should place, all players return their Containment Camps to their player boards.
As mentioned before, Sick People can be placed on roads 5 . These roads however, do not have a limit for how many Sick
People they can contain.

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1 2
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14
Location Destruction
If a location has 4 or more Sick People after the Pest card is fully resolved, that location is considered destroyed.
Remove all the Sick People from that location and then place a Destroyed location token there.
Then, place 1 Sick Person on each location adjacent to the destroyed location. If after this there are 4 or more Sick
People on the adjacent locations, do not destroy those locations.
The destroyed location still counts as a location for movement purposes only. You cannot construct buildings there and no
more Sick People can be placed there.

Reminder: A location can only be destroyed from a Pest card.

After the Pest card is fully resolved, draw an Aid card and place it right of the Pest card for this
Council Aid
After careful consideration of
the current Pest situation, the
round. The Aid card will reward you depending on your Influence, and the rewards you will get are
determined by the Aid card from the previous round (the Aid card from round 1 will not award any
Council has decided to provide
aid packages of additional
resources to three of the Houses
for the next season.

bonuses to players).
We believe these resources will
provide the necessary boost to
prevent the plague and bring us
one step closer to returning to
normal life.
Gain:

The player with the most Influence will gain the leftmost reward. The player with the least
Council Aid
Influence will always gain the rightmost reward. The rest of the players will gain the middle
After careful consideration of
the current Pest situation, the
Council has decided to provide
rewards.
aid packages of additional
resources to three of the Houses
for the next season.

We believe these resources will

provide the necessary boost to
prevent the plague and bring us
one step closer to returning to
normal life.
Gain:

2. ACTION PHASE

Going according to the turn order, you must place one Assistant on one of the empty
slots on your action grid.
When you place an Assistant on the action grid, you get to play a combination of one top
row action and one left column action.
You may resolve these actions in any order you may like, however, you must resolve the
first action fully before resolving the next action. If you choose, you may also resolve
only one of the actions or neither.
As mentioned before, you may also spend 1 Research token (per turn) to enhance a
top row action in your action grid.
If an action has a Quarantined person on it, it’s referred to as a Hindered action.

15
 ACTIONS
Free action: Trade
As a free action which you can play at any time during your turn, you can trade any 2 resources to gain 1 Coin.
You can use this action multiple times during your turn, before, after or in the middle of playing your actions.

Move
Move your Plague Doctor up to two locations connected by roads. Moving through locations containing one of
your buildings cost you zero movement. However, moving through locations not containing your buildings cost
you 1 movement.
If a location you move into with your Plague Doctor contains Sick People, you have to be able to gather all of the Sick People
from that location either by spending food or placing your Containment camp (before proceeding to the next location):
The first Sick Person you gather from a location is free – spend 1 Food for each Sick Person gathered beyond the first.
Instead of spending Food to gather Sick People in a location, you may place your Contaiment Camp from your player
board on that location to gather those Sick People for free. The Contaiment Camp cannot be moved, however, you may use it
to construct a building with the Construct action (see page 18). If you are unable to spend Food for gathering the Sick
People, or don’t have an Contaiment Camp to place on a location that contains Sick People, you cannot enter that location
with your Plague Doctor.
If your Plague Doctor moves from one location to another passing a road containing Sick People, you must gather those Sick
People as well before moving onto the destination location. Spend 1 Food for each Sick Person gathered this way. If you
are unable to spend for gathering Sick People on the road, you may not pass that road.
After your Plague Doctor finishes its movement on a location, gain the resource that the location produces. If your Plague
Doctor ends its movement to a destroyed location, you do not gain any resource. Your Plague Doctor cannot move into a same
location multiple times during a turn.

Note: You cannot use the Contaiment Camp on roads to gather Sick People.

Example:
Yellow wants to move their Plague Doctor from the town Gollor to the city Gothar.
1 The yellow Plague Doctor must pass the road between these two locations. Because 2
there are three Sick People on that road, Yellow must gather them and spend 3 Food
(1 Food for each of them). Yellow spends the Food and places all of the Sick People in
their Quarantine.
2 Afterwards, the Plague Doctor continues its travel to reach the destination city Gothar.
Because there are also Sick People in the city, Yellow must spend 2 Food to gather
1
them (the first Sick Person in a location is free to gather, and the other two will cost
1 Food each). Yellow spends the Food and places all of those Sick People in their
Quarantine.

16
Quarantine
When you gather Sick People from the map or in the Pest phase, you must place them
in your Quarantine slots on your player board.
If you don’t have enough space in your regular Quarantine, you may choose to either:

A) Put Sick People in the the Quarantine slots above your top row actions or the Quarantine slot on your 5th storage slot:
Sick people placed in this part of the quarantine will hinder your actions 1 or limit your storage 2 .

1 2

B) Put them in the Graveyard from right to left (they become Dead People and they cannot be cured). If all graveyard slots are
occupied, discard the new Dead person and lose 3 Renown points immediately.

Hindered Move Action

If you play the Move action with a Sick Person in the slot above the action icon, you may move your Plague
Doctor 1 less location on the map.

Enhanced Move Action

+
When you move, you may spend 1 Research token to move your Plague Doctor 1 additional location on
the map.

17
 Construct
Spend the required resources to construct either:

A. Buildings at the locations on the map.

B. Buildings in the Capital City.

A. Constructing buildings on the map:

1 Spend the required resources to construct up to two buildings from your player board at locations on the map where
either your 2 Plague Doctor and/or your Contaiment Camp is located and you don’t already have a building.

If you construct a building where your Contaiment Camp is located, return that token
from the map to your player board for later use.

Depending on the size, locations can contain the following number of buildings:
Cities = up to 3 buildings
Towns = up to 2 buildings
Villages = 1 building

Reminder: You cannot have more than one of your own buildings in a location.

18
After constructing the building on a location, take the appropriate resource token from the supply and place it on the
corresponding building slot on your player board. This token represents the type of resource the building will produce during
the Produce action .

Additionally, if you are the first player to construct a building in:

a) A City – gain 3 Influence .
b) A Town – gain 2 Influence .
c) A Village – gain 1 Influence .
If you construct a building on a location where there are already buildings by other players, gain 1 less Influence for each
building there.

Buildings

Districts: When you play the Produce Workshop: When you play the Produce
action , a District with assigned Healthy action , the Workshop with assigned
Person will produce 1 of the resource it is Healthy Person will produce +1 extra
producing. amount of the resource it is producing (for
a total of 2 of the same resource).

Factory: When you play the Produce action Treasury: When you play the Produce
, the Factory will produce the resource action , a Treasury with assigned
without a Healthy Person assigned to it. Healthy Person will produce 1 Coin
instead of a resource.

19
 1 2
B. Constructing buildings in the Capital City:
1 Spend the required resources to construct one of the available
buildings in the Capital City, 2 then gain the corresponding
amount of Renown.

Hindered Construct Action

If you play the Construct action with a Sick Person in the slot above the action icon, you must spend one
additional / (even if you construct 2 buildings).

Enhanced Construct Action

+ When you construct, you may spend 1 Research token to pay one less / (even if you construct
2 buildings).

20
 Produce

Gain resources and move the appropriate resource marker one space forward for each of your constructed
buildings that have assigned Healthy People as well as your Castle.

Note: Constructed buildings that don’t have any assigned Healthy People to them don’t produce any resources. (Except the
Castle and the Factory)

After producing the resources gain 1 Research token for each Healthy Person that works in a Laboratory at the Healthy
Population track.

Hindered Produce Action Enhanced Produce Action

If you play the Produce action with a Sick When you produce, you may spend 1 Research
Person in the slot above the action icon, gain
+ token to gain 1 additional resource from a type
one less resource of your choice. that your buildings produce.

Storage
The track on the bottom of the player board represents the resource storage. During the game you will gain or spend
resources by moving the corresponding marker to the right or to the left respectively.
If you place a Quarantined Sick Person on the 5th slot of the storage, you can no longer use that slot until you Heal the
person. You lose all resources that are already there the moment you do this, so be careful.

21
 Research
Spend Research tokens to acquire 1 Technology card from the Technology card pool. Place that card on one of
your slots on your player board.
Some of the Technology cards have a requirement to be placed in a particular slot on your player board. These are marked
with Top, Middle or Bottom to signify which slot they must be placed in.
If a slot is already occupied by a Technology, you may discard it back to the deck, gain the appropriate number of Renown
and place the new Technology in the empty slot. Shuffle the deck afterwards.
You are limited to having only three Technology cards (1 per slot) on your player board.
Additionally, during this action you can spend 1 Research token to refresh the market. You can do this as many times as you
want before or after acquiring a Technology card. After refreshing the market, place the cards in the technology deck, shuffle
it and draw new 5 cards.

Placement requirment

Cost

Renown

Abillity

You can find the comprehensive explanation of all the Technology cards in the Glossary section (page 26).

Cure
Spend the required Herbs as indicated on the Healthy
Population track to move Sick People from any of your
Quarantine slots to your Healthy Population track.
Each Healthy Population slot requires a different number of Herbs
you’ll need to spend to cure a Sick Person.

22
 Assign
Assign any number of Healthy People from your Healthy
Population track to your constructed buildings 1 and/ 3
or your Capital City slot 2 , starting with your rightmost
Healthy Person on the track 3 .
You may also reassign Healthy People from one constructed building, to 1
another one 4 . 2 4
Each constructed building that has assigned Healthy Person to it will
produce you resources when you play the Produce action (except for
the Factory, see page 19).
Additionally, whenever you assign any number of Healthy People to
your slot in the Capital City, choose one of the Capital City reward tokens
and resolve its effect. Afterwards, flip that token face down.
At the end of the round, you may receive bonuses from the Capital
City card depending on your number of Healthy People assigned to the
Capital City.

4. Return Assistants
Return all of your Assistants to the “ready” slot on your player board.

23
 ERA END

After an Era ends, follow the next steps:

1. Score Agenda: Gain Renown tokens if you have fulfilled the Agenda condition from the Decree cards.
2. Capital City Bonus
Gain Capital City card bonuses depending if you have the first, second or third highest number of assigned Healthy People in
the Capital City.

When players tie for first place, no one will gain the Capital City reward. The tied players each receive the second reward.
When players tie for second place, they each receive the third reward. Players tying for third place receive nothing.

For two players, the player with the most assigned Healthy people in the Capital City will gain the 2nd reward and the other
player gains the 3rd reward. The 1st reward slot is not used. If the players are tied, they both get the 3rd reward.

The first reward will always give a choice for the player that should gain
it. The choice is: gain 1 Renown or return one Healthy Person to your
Healthy Population track.

3. Remove People from the Capital and flip Capital City tokens : Remove all assigned Healthy People from the Capital City
and return them to the supply. Then, flip all of the face-down Capital City tokens.

4. Negative Renown: Gain Negative Renown tokens for the Dead People in your Graveyard.
5. Gain a new Assistant.

24
 GAME END

The game ends after Era 3 is completed. Score Renown for:

• Renown Tokens
All the Renown tokens you’ve gained during the game
• Imperatives
Agenda
Political
Building
Vast
Push
Shelter
Heal War
Mastery
Emmisaries
Employment
Infrastructure
Council
Cooperation
Accumulation
for
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Efficient
Quarantine Progress
the
People
Focus
Program
Sick
Protocols
Gain
Gain
Gain
Gain
Gain
Gain
Gain
21125/4/3/2/1
122 1for
for
for
for
for
for
for
each
each
each
for
each
each
each
each
each
building
empty
depending
two
set
building
special
you
you
of
(healthy)
pair
that
basic
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have.
have
you
that
is
resources
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among
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assigned
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you
inTechnologies
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aplace
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location
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of
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tohave.
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have
your
constructed.
on
have.
Capital
the
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buildings.
. youother
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track.
own.).
players’ buildings.

Agenda
i

Era I

Count the Renown gained from Imperatives from each Era.

Imperative
Black Routes
Urban
Quarry
Containment
Settlement
Ports
Quarantine
Grove
Logging
Farm
Empire Restoration
Outposts
Planning
Collaboration
Rural
Reconstruction
Invention
Reconstruction
Rehabilitation
Restoration
Camp
Network
Lord
Expertise
Rebuilding
Protocols
Repair
When
When
When
When
Whenyou you
you
you
youconstruct
build
acquire
build
construct
build
gather in
in
inataaa
building
least
location
a building
alocation
location
2aafrom
Technology.
that
that
location.
location.
from
on
adjacent
aiswith
road.
contains
with
not
a location
a adjacent
single
to
.. an
a
location
to
opponent’s
connected
a location
already
location.tobuildig.
already
containing
a .
containingyour building.
your building.
141510131211495738621

• Healthy People
Your Healthy Population track.
• Constructed Buildings
Gain Renown for the Buildings you’ve constructed and bonus Renown if you’ve constructed all three buildings from
the same column.

Blast
Steel
Medical
Ambulance
Medical
Loading
Medical
Fenced
Constitution
Hospital
Health
Containment
Watchtower
Protective
Quarantine
Binoculars
Containers
Breathing
Contract
Syringe • Technologies
Item 20141915101713181621121149578621
Item
Furnace
Horseshoe
Journal
Gloves
House Pass Cart 31
Crane
Mask
Bed
Apparatus
Coffin
Tents
Uniform
Gain Renown from the Technologies on your player board.
Top:
21

5
Technologies 5
Middle
Bottom:
Bottom:
5
Whenever7 infected
you8pick infected, You
6you You can

• Influence
Whenever
12 can put 14 toappear 16at store
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Renown passed with your influence token.

• Highest influence
The player with the most Influence will gain 5 Renown, while the player with the second most will gain 3 Renown.
• Resources
Each combination of 3 is worth 1 Renown.
• Coins
Gain 1 Renown for 2 coins.
• Dead People
Subtract Renown if you have dead people in your graveyard.
The player with the most Renown is the winner. In the case of a tie, the player with the most Influence is the winner.

25
 Example:
After the end of era 3, the game ends and all players count their Renown one by one.
The red player had 13 in-game Renown 1 . They add 9 (7+2) Renown since they have constructed 4 buildings 2 scoring 7
Renown plus additional 2 for constructing all three buildings in the first column 3 .
They have 8 Healthy People in their Healthy Population track, which will lead to 12 Renown 4 .
They have 3 Technologies which give a total of 4 Renown 5 . They have 8 total resources and 2 Coins 6 , which will give them
a total of 3 renown. They gain 6 renown from Influence 7 and lastly, they gain additional 5 Renown from Influence since
they had the most Influence at the end of the game. They don’t have any Dead People 8 , so they do not receive any negative
Renown.
They end the game with 52 renown.

5
4

8
7

2
1

6 3

26
 Technologies

Following are the Technology cards in-depth rules 4 | MEDICAL MASK

and explanations: Before you enter a location, you can ignore 1
Sick Person in that location.
1 | BREATHING APPARATUS You can do this ability in multiple locations
Whenever you gather Sick People during the same Move action . If you
from the map (while moving), you can choose to ignore the Sick People, just leave
place one of them on the 1st slot of the 1 Sick Person in each location and continue
Breathing Apparatus. your movement. This Technology does not
apply to roads.
While you have a Sick Person on the
Breathing Apparatus and you play
Research or Cure , you have to
move that person one space to the right. 5 | DISINFECTANT
When the Sick Person reaches Whenever you enter a location that contains
the Healthy Person icon , that an opponent’s building, gain the resource
person is cured and placed on the rightmost free space of the of that location. You may gain multiple
Healthy Population track. You can only have one Sick Person on this resources during a Move action .
Technology. First you must cure this person in order to place a new However, you cannot gain more than 1
one on this Technology. resource from a location. If there are
Note: Whenever you Cure Sick People, you may choose the order multiple buildings in a location, you only
of placing people on the track. Example:. Pay 1 to cure from gain 1 resource from that location.
Quarantine, then cure the 1 from the Breathing Apparatus for free,
then pay 2 to place another from the Quarantine.
6 | CLONE EXPERIMENT
2 | BLAST FURNACE
When you Move , instead of moving
Whenever you Construct in you may place your Plague Doctor in
Villages gain 1 additional Influence. any location of the same size the current
This way, instead of the usua1 1, you location of the Plague Doctor (City, Town,
Village).
gain 2 .
This ability counts as 2 movement.
You may continue to move only if you have
additional movement.
Standard Move rules apply.

7 | CONSTRUCTION CRANE
Whenever you Construct in Towns gain
3 | EXAMINATION DESK
1 additional Influence. This way, instead of
Whenever an opponent’s Plague the usual 2, you gain 3 (if you’re the first
Doctor enters a location that contains to construct there).
one of your buildings gain 1 .
You may gain multiple Coins in a
single turn if the opponent’s Plague
Doctor enters multiple buildings that
you own.

27
 8 | AMBULANCE CART 12 | EXPERIMENTAL LAB
Whenever you Move , you may Whenever you Research , you can
quarantine one Sick Person from remove 1 Healthy Person from your Healthy
each Location you enter - for free. Population track to gain 3 Sick People
This means that the first 2 Sick People from the supply and place them in your
will be free in a location. You can use Quarantine.
this Technology multiple times per
movement, which means that you get
this effect in each unique location you
enter. This technology does not apply
to roads.

9 | AIRBORNE MEDICINE 13 | PRODUCTION LINE

Whenever you Cure , you may When you Produce , you Castle produces
remove one Sick Person from your 2 of the same resources instead of the usual
Quarantine. Discard the Sick Person 1.
in the general supply.

10 | PLAGUE EXPERTS 14 | INFIRMARY

Whenever you Assign , you can Whenever you gather Sick People from the
place up to 2 Healthy People on this map (while moving), you can place one of them
Technology. on the 1st slot of the Infirmary.
Whenever you Research or Cure While you have a Sick Person on the Infirmary
you can use one or two of the Healthy and you play Research or Cure , you
People to assign them to the Capital have to move that person one space to the
City or a building. right.
When the Sick Person reaches the Healthy
Person icon , that person is cured and
placed on the rightmost free space of the
11 | SCHOLARS Healthy Population track. You can only have
one Sick Person on this Technology. First
Whenever you Research , you you must cure this person in order to place a
can reassign one of your People that new one on this Technology.
is already assigned in the Capital to Note: Whenever you Cure Sick People, you
your Healthy Population track or one may choose the order of placing people
of your buildings.
on the track. Example:. Pay 1 to cure
from Quarantine, then cure the 1 from the
Breathing Apparatus for free, then pay 2
to place another from the Quarantine.

28
15 | PROTECTIVE UNIFORM 19 | QUARANTINE TENT
Whenever Sick People are placed in You may place two additional Sick People
your Districts (Pest Phase), you may in your Quarantine. Keep the people on the
block 1 Sick Person for each District. slot of this Technology.
Return the blocked People in the
supply.
Note: You can choose to ignore this
Technology and gather the Sick
People.

16 | MOVING PERMIT 20 | TOOL CART:

Whenever you Move , you do not Whenever you Construct , gain the
spend any movement when moving resource of the location where the building
through other player’s Buildings. is constructed. This way, you may gain up
to 2 resources if you construct with your
Plague Doctor and Containment token.
You gain these resources at the end of
the Construct action, and these resources
cannot be used to construct additional
buildings in the same turn.

17 | MEDICINAL TRIALS 21 | ADVANCED CONTAINMENT

Action: Spend 3 to take 2 Healthy Your Containment token cannot get
People from the supply and place destroyed in the Pest phase and will
them on the rightmost space of the block the Sick People, if they were to be
Healthy Population track. placed in its location. Whenever you place
To use this Technology place an the Containment token on a location
Assistant on this Technology. that contains at least 1 Sick Person, you
immediately place 1 Sick Person on the
rightmost space of the Healthy Population
track (and the rest in your Quarantine).

18 | QUARANTINE TENT 22 | STEEL HORSESHOE

You may place 1 additional Sick Whenever you Move , you may move up
Person in your Quarantine. Keep the to 4 times, instead of 2.
Person on the slot of this Technology. Standard movement rules apply.

29
 23 | SYRINGE 27 | STORAGE CONTAINERS
When you finish playing the Cure Increase the storage of one resource up to
action , you gain 1 . 7. You can only place one resource on this
Technology. If you would gain a resource
that would exceed your normal storage but
you have a resource on this Technology, you
do not gain that resource.
Note: If you place a Sick Person on the
Quarantine storage slot, you loose the
resource from this Tehcnology card.

24 | QUARANTINE CHECKPOINT 28 | ADRENALINE SHOT

Your special buildings do not receive Action: You may play a combination of
Sick People from Pest cards or spread actions that has already been played this
from destroyed Locations. You can round. Instead of placing the Assistant on
however, ignore this Technology the Action grid, place the Assistant on this
(in the Pest phase) and choose which Technology, and name the combination of
special buildings can receive and actions you are playing.
which cannot receive Sick People.

25 | MOBILE PASTURE 29 | TUITION

Action: Spend any number of Whenever you Assign any number of
resources to gain that amount of People in the Capital City gain 1 .
Coins. You cannot exceed the storage
limit. You always gain only 1 from this
Technology, no matter the number of People
you assign in the Capital City.

26 | LOADING CRANE 30 | STORAGE PODS

Increase the storage of all resources Whenever you Produce , gain the
up to 6. resource of the location your Plague Doctor
is in. If the Plague Doctor is in an empty
Note: If you place a Sick Person on the
location, you do not receive a resource from
Quarantine storage slot, you loose the
this Technology.
resources from this Tehcnology card.

30
 Variants
Advanced Setup variant
Place the map board at the middle of the table in reach of all players and then:
1. Take random location resource tokens depending on the player count:

Player
Number of Location tokens
count
5 10 Cities; 15 Towns; 20 Villages
4 10 Cities; 10 Towns; 20 Villages
3 5 Cities; 10 Towns; 20 villages
2 10 Cities; 15 Towns; 5 Villages

You will notice that the location resource tokens are marked on the back side with the type of location they belong to:
You will notice that the location resource tokens are marked on the back side with the type of location they belong to:

Village Town City

Placethe resource tokens on each corresponding location at random then turn them face up so you can see the resource side
of those tokens.
Some of the location tokens have a Sick People icon on them. Place a Sick Person on the corresponding location.

31
 Icon Glossary
Move Imperative
Trade Action Any Resource Castle
Token one slot up

Move Action Science Healthy Person District

Construct Action Contaiment Token Sick Person Workshop

Produce Action Influence Dead Person Factory

Research Action Most Influence City Treasury

Agenda
Political
Building
Vast
Push
Shelter
Heal War
Mastery
Emmisaries
Employment
Infrastructure
Council
Cooperation
Accumulation
for
theProduction
Efficient
Quarantine Progress
the
People
Focus
Program
Sick
Protocols

Cure Action Least Influence Town Imperatives

Gain
Gain
Gain
Gain
Gain
Gain
Gain
21125/4/3/2/1
122 1for
for
for
for
for
for
for
each
each
each
for
each
each
each
each
each
building
empty
depending
two
set
building
special
you
you
of
(healthy)
pair
that
basic
space
have.
have
you
that
is
resources
building
among
on
assigned
shares
assigned
your
you
inTechnologies
your
aplace
have
you
location
in
of
you
tohave.
the
Quarantine.
have
your
constructed.
on
have.
Capital
the
constructed.
(with
buildings.
. youother
City.
track.
own.).
players’ buildings.

Agenda

i
Era I

Imperative
Black Routes
Urban
Quarry
Containment
Settlement
Ports
Quarantine
Grove
Logging
Farm
Empire Restoration
Outposts
Planning
Collaboration
Rural
Reconstruction
Invention
Reconstruction
Rehabilitation
Restoration
Camp
Network
Lord
Expertise
Rebuilding
Protocols
Repair
When
When
When
When
Whenyou you
you
you
youconstruct
build
acquire
build
construct
build
gather in
in
inataaa
building
least
location
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Technology.
that
that
location.
location.
from
on
adjacent
aiswith
road.
contains
with
not
a location
a adjacent
single
to
.. an
a
location
to
opponent’s
connected
a location
already
location.tobuildig.
already
containing
a .

Assign Action Renown Points Village

containingyourAgenda
building.
your building.

Political War
Building
Push
Shelter
Heal Mastery
Emmisaries
Employment
Vast
Infrastructure
Council
Cooperation
Accumulation
for
theProduction
Efficient
Quarantine Progress
the
People
Focus
Program
Sick
Protocols
Agenda
141510131211495738621

Gain
Gain
Gain
Gain
Gain
Gain
Gain
21125/4/3/2/1
122 1for
for
for
for
for
for
for
each
each
each
for
each
each
each
each
each
building
empty
depending
two
set
building
special
you
you
of
(healthy)
pair
that
basic
space
have.
have
you
that
is
resources
building
among
on
assigned
shares
assigned
your
you
inTechnologies
your
aplace
have
you
location
in
of
you
tohave.
the
Quarantine.
have
your
constructed.
on
have.
Capital
the
constructed.
(with
buildings.
. youother
City.
track.
own.).
players’ buildings.

Agenda

i
Era I

Lumber Renown Tokens Destruction Token Cart 31

Item 20141915101713181621121149578621
Item
Blast
Steel
Medical
Ambulance
Medical
Loading
Medical
Fenced Furnace
Constitution
Hospital
Health
Containment
Watchtower
Protective
Quarantine
Binoculars
Containers
Breathing
Contract
Syringe
Horseshoe
Journal
Gloves
House Pass Crane
Mask
Bed
Repair Technologies
Imperative
Black Routes
Urban
Quarry Outposts
Containment
Settlement
Ports
Quarantine
Grove
Logging
Farm
Empire
Collaboration
Rural Restoration
Planning
Reconstruction
Invention
Reconstruction
Rehabilitation
Restoration
Camp
Network
Apparatus
Coffin
T entsLord
Expertise
Rebuilding Protocols
Uniform Top:
When
When
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When
Whenyou you
you
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5
You 141510131211495738621
6youWhenever 7 infected
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Negative Renown
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either anywhere
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2 resources.
movement.
infected.
by 2.
resource.

Negative Renown
Food Assistants Ready
Tokens

Take back a Healthy

Herb Roads
Person from Capital

Coin Harbour Plague Doctor

32