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Host conditions

Host Conditions

Some hosts live with a condition that bends the whole run, each with a big upside and a big downside. 22% of people have one (plus 4% per tier above Common) and 30% of animals (plus 4% per tier). People get human conditions, each species has its own diseases, and every animal can catch the general ones.

On this page48
  1. Type 1 Diabetes
  2. Primary Immunodeficiency
  3. Lupus (Autoimmune)
  4. Raging Fever
  5. Sepsis
  6. Sickle Cell Anemia
  7. Cystic Fibrosis
  8. Chronic Stress & Insomnia
  9. Hemophilia
  10. Severe Allergies
  11. Severe Asthma
  12. Post-Viral Fatigue
  13. Metastatic Cancer
  14. Chemotherapy
  15. Viral Co-infection
  16. White-Nose Syndrome
  17. Rabies
  18. Nipah Virus Carrier
  19. Hibernation Torpor
  20. African Swine Fever
  21. Swine Flu H1N1
  22. Foot-and-Mouth Disease
  23. Mad Cow Disease
  24. Bovine Tuberculosis
  25. Marek's Disease
  26. Avian Influenza H5N1
  27. Newcastle Disease
  28. Fowlpox
  29. Avian Botulism
  30. Duck Plague
  31. West Nile Virus
  32. Oiled Feathers
  33. Pigeon Paramyxovirus
  34. Canine Distemper
  35. Canine Parvovirus
  36. Canine Influenza
  37. Chronic Wasting Disease
  38. Epizootic Hemorrhagic Disease
  39. Deer Virus Reservoir
  40. Simian Immunodeficiency
  41. Filovirus Outbreak
  42. Mpox
  43. Parasitic Worms
  44. Malnutrition
  45. Pneumonia
  46. Lyme Disease (Ticks)
  47. Heat Stress
  48. Lead Poisoning

Type 1 Diabetes

People · Dogs

Sugary blood: +60% nucleotides and immune cells 15% slower. But rooms heal you 70% less.

  • Found in people and dogs
From the Codex

In type 1 diabetes the immune system destroys insulin-making cells; high blood sugar slows wound healing and weakens immune cells.

A condition people can have.

Type 1 Diabetes in the Codex

Weak immune system: cells have 45% less HP, there are fewer of them and far fewer elites. But you earn 40% fewer nucleotides.

  • 25% fewer cells per room
  • 60% fewer elite cells
From the Codex

Some people are born with a weakened immune system (like SCID, 'bubble boy disease') and catch infections far more easily.

A condition people can have.

Primary Immunodeficiency in the Codex

The immune system attacks itself: dying cells burst and hurt their neighbours, +50% nucleotides. But every cell starts alert and hits 30% harder.

  • Lysis bursts only hurt cells, not you
From the Codex

Lupus is an autoimmune disease: the immune system attacks the body's own tissues, causing widespread inflammation.

A condition people can have.

Lupus (Autoimmune) in the Codex

Everything runs hot: you fire 25% faster and move 20% faster. But cells move 30% faster and their shots fly 25% faster.

  • Found in people
From the Codex

A fever above about 41°C is a medical emergency. Fever speeds up immune cells, but extreme heat damages the body too.

A condition people can have.

Raging Fever in the Codex

Sepsis

People · Animals

The body is overwhelmed: double nucleotides and 50% more mutation orbs. But 70% more cells per room and 2 extra rooms per area.

  • Found in people, pigs, cows, chimpanzees, macaques, capuchins, lemurs, seals, camels, llamas and kangaroos
From the Codex

Sepsis is the body's extreme, life-threatening response to an infection, when the immune response spirals out of control.

A condition people can have.

Sepsis in the Codex

Sickled red cells: you move 20% faster and land 15% critical hits. But you have 30% less max HP.

  • Found in people
From the Codex

Sickle cell disease bends red blood cells into crescents; carrying one copy of the gene protects against malaria.

A condition people can have.

Sickle Cell Anemia in the Codex

Thick mucus everywhere: cells move 30% slower and see 30% less far. But you move 15% slower too.

  • Found in people
From the Codex

Cystic fibrosis makes mucus thick and sticky, clogging the lungs and gut and trapping microbes.

A condition people can have.

Cystic Fibrosis in the Codex

A stressed host: +50% nucleotides and 10% critical hits. But Detection starts at 30, rises 70% faster and barely cools.

  • Detection cools 70% slower
From the Codex

Long-term stress and lack of sleep raise cortisol, which disrupts the immune system's normal rhythm.

A condition people can have.

Chronic Stress & Insomnia in the Codex

Blood won't clot: +40% damage. But clearing rooms never heals you.

  • Found in people
From the Codex

In hemophilia a clotting factor is missing, so bleeding takes much longer to stop. It ran through Europe's royal families.

A condition people can have.

Hemophilia in the Codex

Allergic overreaction: +80% nucleotides, double RNA, many more elites. But cells have 30% more HP and hit 20% harder.

  • Twice as many elite cells
From the Codex

Anaphylaxis is a severe allergic reaction where mast cells release histamine all at once.

A condition people can have.

Severe Allergies in the Codex

Narrowed airways: cells move 20% slower, +30% nucleotides. But you move 10% slower and there are more pits.

  • 60% more pits
From the Codex

In asthma the airways swell and narrow; respiratory viruses are a common trigger of attacks.

A condition people can have.

Severe Asthma in the Codex

An exhausted immune system: cells have 20% less HP and hit 15% softer. But far fewer mutation orbs and RNA.

  • Half as many mutation orbs and RNA drops
From the Codex

Post-viral fatigue can leave people exhausted for months after an infection, with an immune system that hasn't fully settled.

A condition people can have.

Post-Viral Fatigue in the Codex

The host is riddled with cancer: every organ grows a tumor that starts a stage bigger, grows faster and spreads twice more. Tumors pay out triple and the run pays +30%.

  • Tumors grow 50% faster
  • Appears once Tumors & Metastasis are unlocked (Level 7)
From the Codex

Metastasis is when cancer spreads from where it started to other organs through the blood or lymph.

A condition people can have.

Metastatic Cancer in the Codex

The drugs wipe out immune cells (30% less HP, hit 20% softer) and shrink tumors (they take 50% more damage). But they poison you too: −20% max HP.

  • Found in people
From the Codex

Chemotherapy kills fast-dividing cells: cancer, but also immune cells, which is why patients catch infections easily.

A condition people can have.

Chemotherapy in the Codex

Another virus is already here: you start with a random trait of the host's genome tier. But the immune system is primed: cells have 15% more HP.

  • The only condition people and every animal can have
From the Codex

Hosts are often infected with more than one virus at once; viruses sharing a cell can swap genes.

A condition people can have.

Viral Co-infection in the Codex

A fungus covers the bat: cells see half as far and +60% nucleotides. But you can only see a small circle around you.

  • Fruit Bats only
From the Codex

White-nose syndrome is a fungal disease that has killed millions of North American bats since 2006.

Found in: Fruit Bat.

White-Nose Syndrome in the Codex

Rabies

Bat · Dog · Deer · Reindeer

A rabid host: +30% damage. But every cell is already alert and moves 40% faster.

  • Found in fruit bats, dogs, white-tailed deer and reindeer
From the Codex

Rabies infects the brain and makes animals aggressive; it's nearly 100% fatal once symptoms start.

Found in: Fruit Bat, Dog, White-Tailed Deer, Reindeer.

Rabies in the Codex

Another virus lives here: you deal 15% less damage. But triple RNA and +50% nucleotides.

  • Found in fruit bats and pigs
From the Codex

Fruit bats carry Nipah virus without getting sick; it has spilled over to pigs and people in Asia.

Found in: Fruit Bat, Pig.

Nipah Virus Carrier in the Codex

A hibernating bat: cells move half as fast and Detection rises half as fast. But the cold slows your fire rate 30%.

  • Fruit Bats only
From the Codex

Hibernating bats drop their body temperature and immune activity, which lets fungi and viruses take hold.

Found in: Fruit Bat.

Hibernation Torpor in the Codex

The pig's cells are dying: they have 35% less HP. But 60% more of them per room.

  • Pigs only
From the Codex

African swine fever kills nearly all infected pigs and has spread across Asia and Europe since 2018.

Found in: Pig.

African Swine Fever in the Codex

As Influenza A: pig flu to swap genes with, +35% damage and double mutation orbs. As any other virus: a competing flu, −20% damage but +20% nucleotides.

  • Pigs only
  • Effect depends on your virus
From the Codex

Pigs catch both bird and human flu; the 2009 pandemic strain was assembled inside pigs.

Found in: Pig.

Swine Flu H1N1 in the Codex

Blistered tissue: cells that touch you take 15 damage, +30% nucleotides. But you move 15% slower.

  • Found in pigs, dairy cows, camels, llamas and kangaroos
From the Codex

Foot-and-mouth disease causes painful blisters in cattle and pigs; the 2001 UK outbreak led to millions of animals being culled.

Found in: Dairy Cow, Pig, Dromedary Camel, Kangaroo, Llama.

Foot-and-Mouth Disease in the Codex

Spongy, prion-riddled tissue: cells see 60% less far and Detection rises 60% slower. But the floor is full of holes.

  • 2.5x as many pits
  • Dairy Cows only
From the Codex

Mad cow disease (BSE) is caused by misfolded prion proteins that leave the brain full of tiny holes.

Found in: Dairy Cow.

Mad Cow Disease in the Codex

Bovine Tuberculosis

Cow · Camel · Llama

Granulomas wall off infection: fewer cells, +60% nucleotides. But they have 40% more HP and elites are common.

  • 20% fewer cells, 60% more elites
  • Found in dairy cows, camels and llamas
From the Codex

Bovine tuberculosis forms granulomas, balls of immune cells walling off the bacteria.

Found in: Dairy Cow, Dromedary Camel, Llama.

Bovine Tuberculosis in the Codex

Tumorous tissue everywhere: cells have 20% less HP, +40% nucleotides. But 3 extra rooms per area.

  • Chickens only
From the Codex

Marek's disease is a herpesvirus of chickens that causes tumors; its vaccine was the first against a cancer.

Found in: Chicken.

Marek's Disease in the Codex

+30% nucleotides either way. As Influenza A: another flu to swap genes with, +40% damage, but cells have 20% more HP. As any other virus: −25% damage, but cells have 20% less HP.

  • Found in chickens, mallard ducks, herring gulls, pigeons, penguins and seals
  • Effect depends on your virus
From the Codex

H5N1 bird flu has spread worldwide in wild birds since 2021; when two flu strains meet, they can swap genes.

Found in: Chicken, Mallard Duck, Herring Gull, Pigeon, Penguin, Seal.

Avian Influenza H5N1 in the Codex

Newcastle Disease

Chicken · Pigeon

Nervous-system damage: cells move 30% slower. But every cell is already alert.

  • Found in chickens and pigeons
From the Codex

Newcastle disease is a paramyxovirus of poultry that attacks the nervous system.

Found in: Chicken, Pigeon.

Newcastle Disease in the Codex

Fowlpox

Chicken

Pox lesions: cells have 30% less HP. But wounded cells slowly regenerate.

  • Chickens only
From the Codex

Fowlpox is a poxvirus spread by mosquitoes that causes wart-like lesions on birds.

Found in: Chicken.

Fowlpox in the Codex

Avian Botulism

Duck · Gull · Penguin

Paralysing toxin: cells move 45% slower. But you move 20% slower and fire 15% slower.

  • Found in mallard ducks, herring gulls and penguins
From the Codex

Botulism toxin, made by bacteria in stagnant water, paralyses waterbirds and kills thousands each year.

Found in: Mallard Duck, Herring Gull, Penguin.

Avian Botulism in the Codex

Duck Plague

Mallard Duck

A haemorrhaging host: dying cells burst and hurt neighbours, +50% nucleotides. But the bursts can hurt you too.

  • Mallard Ducks only
From the Codex

Duck plague (duck viral enteritis) is a herpesvirus that causes internal bleeding in ducks and geese.

Found in: Mallard Duck.

Duck Plague in the Codex

West Nile Virus

Duck · Gull · Pigeon

A mosquito-borne brain infection: double RNA, cells see 40% less far. But they hit 25% harder.

  • Found in mallard ducks, herring gulls and pigeons
From the Codex

West Nile virus cycles between birds and mosquitoes and can infect the brain of birds, horses and people.

Found in: Mallard Duck, Herring Gull, Pigeon.

West Nile Virus in the Codex

Oiled Feathers

Gull · Penguin

Slick feathers: you move 10% faster, dash 40% more often and enemy shots are 20% slower. But rooms heal you half as much.

  • Found in herring gulls and penguins
From the Codex

Oil from spills mats seabird feathers, destroying their waterproofing and insulation.

Found in: Herring Gull, Penguin.

Oiled Feathers in the Codex

A dizzy, twitching host: you move 25% faster and dash 40% more often. But enemy shots fly 30% faster.

  • Pigeons only
From the Codex

Pigeon paramyxovirus makes birds twitch, twist their necks and lose balance.

Found in: Pigeon.

Pigeon Paramyxovirus in the Codex

Canine Distemper

Dog · Seal

Weakened by distemper: cells have 25% less HP. But dying cells burst and can hurt you.

  • Found in dogs and seals
From the Codex

Canine distemper is a measles-like virus that attacks dogs' breathing, gut and nervous system.

Found in: Dog, Seal.

Canine Distemper in the Codex

Parvovirus wrecked the gut: cells have 40% less HP. But you have 25% less max HP.

  • Dogs only
From the Codex

Canine parvovirus attacks rapidly dividing cells in the gut and is often deadly to unvaccinated puppies.

Found in: Dog.

Canine Parvovirus in the Codex

As Influenza A: dog flu to mix with, you fire 25% faster and get +20% nucleotides. As any other virus: you fire 15% slower, but +30% nucleotides.

  • Dogs only
  • Effect depends on your virus
From the Codex

Canine influenza viruses jumped to dogs from horses (H3N8) and birds (H3N2).

Found in: Dog.

Canine Influenza in the Codex

Chronic Wasting Disease

Deer · Reindeer

A wasting deer: cells have 40% less HP. But you have 30% less max HP and cells hit 20% harder.

  • Found in white-tailed deer and reindeer
From the Codex

Chronic wasting disease is a prion disease of deer and elk that slowly wastes them away.

Found in: White-Tailed Deer, Reindeer.

Chronic Wasting Disease in the Codex

Haemorrhagic fever: dying cells burst and hurt neighbours, +40% nucleotides. But cells hit 25% harder.

  • Found in white-tailed deer and reindeer
From the Codex

Epizootic hemorrhagic disease, spread by biting midges, causes fever and bleeding in deer.

Found in: White-Tailed Deer, Reindeer.

Epizootic Hemorrhagic Disease in the Codex

Deer Virus Reservoir

White-Tailed Deer

Another virus already here: −10% damage. But cells have 30% less HP and Detection rises 30% slower.

  • White-Tailed Deer only
From the Codex

Studies found human viruses spreading widely among wild white-tailed deer.

Found in: White-Tailed Deer.

Deer Virus Reservoir in the Codex

SIV already wrecked its defences: cells have 45% less HP and few elites. But you earn 20% fewer nucleotides.

  • As Retrovirus you also deal +30% damage
  • 60% fewer elite cells
  • Found in chimpanzees, macaques, capuchin monkeys and ring-tailed lemurs
From the Codex

Some SIV strains cause AIDS-like disease in monkeys and apes, just as HIV does in people.

Found in: Chimpanzee, Macaque, Capuchin Monkey, Ring-Tailed Lemur.

Simian Immunodeficiency in the Codex

The host is collapsing: 40% fewer cells with 30% less HP. But you have 25% less max HP and Detection starts at 40.

  • Chimpanzees only
From the Codex

Ebola outbreaks have killed large numbers of wild chimpanzees and gorillas.

Found in: Chimpanzee.

Filovirus Outbreak in the Codex

Mpox

Primates

Pox lesions: cells that touch you take 20 damage, 10% critical hits. But 30% more cells per room.

  • Found in chimpanzees, macaques, capuchin monkeys and ring-tailed lemurs
From the Codex

Mpox is a poxvirus that circulates in animals including primates and rodents and can spread to people.

Found in: Chimpanzee, Macaque, Capuchin Monkey, Ring-Tailed Lemur.

Mpox in the Codex

Parasitic Worms

Any animal

Worms steal the host's food: cells have 30% less HP. But you earn 30% fewer nucleotides.

  • Any animal can have it
From the Codex

Parasitic worms compete with their host for nutrients and can dampen immune responses.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Parasitic Worms in the Codex

Malnutrition

Any animal

A starving host: 30% fewer cells, and they're 10% slower. But you have 20% less max HP.

  • Any animal can have it
From the Codex

A poorly fed body makes fewer immune cells and fights infections less well.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Malnutrition in the Codex

Pneumonia

Any animal

Lungs full of bacteria: cells are distracted (see 40% less far), +30% nucleotides. But 40% more cells per room.

  • Any animal can have it
From the Codex

Bacterial pneumonia often follows a viral infection once the airways' defences are damaged.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Pneumonia in the Codex

Tick-borne inflammation: 10% critical hits, +40% nucleotides. But wounded cells regenerate.

  • Any animal can have it
From the Codex

Ticks spread Lyme disease bacteria, which cause long-lasting inflammation.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Lyme Disease (Ticks) in the Codex

Heat Stress

Any animal

An overheated host: you move 15% faster and dash 30% more often. But 15% less max HP and enemy shots fly 15% faster.

  • Any animal can have it
From the Codex

Overheating forces the body to divert resources, weakening immune defences.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Heat Stress in the Codex

Lead Poisoning

Any animal

Poisoned tissue: cells hit 25% softer and Detection rises 30% slower. But they have 25% more HP.

  • Any animal can have it
From the Codex

Lead from old bullets and fishing weights poisons wildlife and suppresses the immune system.

Found in: Fruit Bat, Dairy Cow, Pig, Chicken, Dog, Mallard Duck, White-Tailed Deer, Herring Gull, Chimpanzee, Pigeon, Penguin, Seal, Dromedary Camel, Kangaroo, Macaque, Capuchin Monkey, Llama, Ring-Tailed Lemur, Reindeer.

Lead Poisoning in the Codex

See also