- Our take
- Usually bought last. Only chase it if you love Pandemic and want the Superbug challenge. Z-Man lists it as unavailable.
- 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.
- What you need first
- Pandemic (base game)
- State of Emergency
You need the Pandemic base game. Other expansions are not required.
Pandemic · Expansion
State of Emergency
Most groups can skip#3 in our Pandemic buy order
Compare it
Sources
- hexagamers.com (opens in a new tab)
- zmangames.com (opens in a new tab)
- en.wikipedia.org (opens in a new tab)
Last checked 2026-09-27. Spot a mistake? Tell us.