Whenever a species is communal, it risks the outbreak of major disease. At any time, these could become a huge setback if allowed to get strong enough.


If the Hygiene or Medicine Sickle is already in play, the scenes of this round are set in locations where many sick people are even if the Medical Structure card is not in play.

If the Hygiene or Medicine Sickle is not in play, every player also loses a token.

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