Pandemic · Expansion

State of Emergency

Most groups can skip#3 in our Pandemic buy order
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
  1. Pandemic (base game)
  2. State of Emergency

You need the Pandemic base game. Other expansions are not required.

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