This is an expansion, the base game is needed.
Has saving humanity become routine? Spice Pandemic up with new roles and events. Add a fifth player, try Legendary difficulty, or add an optional challenge:
What if one disease is particularly nasty?
Or, if a fifth disease is wreaking havoc?
Or, even worse, if that fifth disease is being spread by a hidden Bio-Terrorist?
7 new Role cards, with matching pawns
8 new Event Cards
1 purple Disease wood marker
1 Cure Indicator sticker
1 Bio-Terrorist location pad
1 Epidemic card
1 reference card
4 blank cards for customizing
5 petri dishes and labels
8 Virulent Strain Epidemic
2 Mutation cards
12 purple Disease cubes
3 Mutation Event cards