Optional and House Rules

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To build an improvement the player must skip playing a card AND roll a 7+ on two dice.  If a player rolls double plague (1's) not only will the improvement NOT be built, but the player will lose 20 pop and the Plague will break out (see rules).

This rule is useful if your play group tends prefers to build improvements rather than play cards. Submitted by:  Jo Gonzales 

An eliminated player may move any Pestilence in play on self to any other player.

Alternate - An eliminated player may move any Pestilence in play on self to any other player with no more than one Pestilence played on each player - additional Pestilence card(s) are discarded.

Warning - this can lead to cascading elimination