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Disease spreads across your lands, destabilizing regions, draining your resources, and testing your authority. Quarantine cities, draft troops, balance fear and order… but every choice comes at a cost. Hold the line for as long as you can. There is no victory, only survival…
Linux · Aug 15, 2025
Worldwide · Exact date · Early access · IGDB
Mac · Aug 15, 2025
Worldwide · Exact date · Early access · IGDB
PC (Microsoft Windows) · Aug 15, 2025
Worldwide · Exact date · Early access · IGDB
Linux · Sep 1, 2026
Worldwide · Exact date · Full release · IGDB
Mac · Sep 1, 2026
Worldwide · Exact date · Full release · IGDB
PC (Microsoft Windows) · Sep 1, 2026
Worldwide · Exact date · Full release · IGDB
Catalog sources
31 achievements available.
Hidden until unlockedSteam
Keep everything (except spread rate) >70% for 10 days.
LockedSteam
Publish a map to the Workshop.
LockedSteam
Play a map from the Workshop.
LockedSteam
Complete a game on a map from the Workshop on any difficulty.
LockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Keep Power >60% for 25 days.
LockedSteam
Win on easy.
LockedSteam
Hidden until unlockedSteam
Survive your first day.
LockedSteam
Hidden until unlockedSteam
Keep your economy >80% for 14 days.
LockedSteam
Win on hard.
LockedSteam
Keep Morale >75% for 15 days.
LockedSteam
Unlock at least 3 advisors, then play without an advisor.
LockedSteam
Hidden until unlockedSteam
Survive your first month.
LockedSteam
Win on nightmare.
LockedSteam
Win on normal.
LockedSteam
Keep Spread Rate >80% for 7 days.
LockedSteam
Keep Spread Rate <20% for 15 days.
LockedSteam
Hidden until unlockedSteam
Under his watchful guard, no region will falter.
LockedSteam
Nowhere is safe....
LockedSteam
Hidden until unlockedSteam
Hidden until unlockedSteam
Survive 1000 in-game days and play a game with no advisor.
LockedSteam
Keep Stability >70% for 15 days.
LockedSteam
Survive your first week.
LockedSteam
Survive your first year.
LockedSteam
Community notes
