Pandemic · Expansion

State of Emergency

Most groups can skip

Our take
Usually bought last. Only chase it if you love Pandemic and want the Superbug challenge. Z-Man lists it as unavailable.
What you need first
Just the base game
What it adds
Five roles and three challenges: animal-borne diseases on extra boards, nasty surprise event cards, and a superbug you can't treat, only vaccinate.
What it fixes
Gives more ways to tune difficulty, including quarantine markers to make it easier.

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Sources

Last checked 2026-09-27. Spot a mistake? Tell us.