Manual — Clinic: Deluxe Edition – 2nd Extension

Components
Stretcher Bearers
8 Stretcher Bearers
1 Hiring Rules Reminder board
1 Stretcher Bearer Break Room board

Round VII
1 Round Track overlay
1 double-sided Nurse and Orderly Display overlay (A side)
28 Patients
(4 red, 4 orange, 8 yellow, 12 white)
4 Doctors
(1 orange, 1 yellow, 2 white)
4 Nurses

New Special Modules
3 Resuscitation Module tiles
3 Emergency Room Module tiles
3 Radiology Module tiles
3 Economic Hub Module tiles
1 Special Module Rules Reminder overlay

*
Covered in earlier expansion’s components.

Coffeemaker
8 Coffeemaker tiles
1 Vending Machine board

CEO
4 CEOs
1 CEO’s Desk Board
1 Hiring Rules Reminder board

*
Events
24 Event cards (2 each of 12)
1 Front Page board

8 Nurses

Medical Scanner
8 Medical Scanner tiles
1 Medical Scanner Rules Reminder board

Introduction
Just as you are finishing a tricky game of Clinic Deluxe Edition, including 6 expansions of The Extension, against your best friends on a Saturday evening, you learn by listening to HeavyCardboard.com, your favorite podcast, that the designer of the game, Alban Viard, has just announced the release of a new salvo of expansions. It contains no fewer than 13 expansions, obviously all compatible and combinable with each other. You immediately rush to find a copy, which you unearth via your favorite shop or Kickstarter. You start reading the rules, again asking yourself how to integrate all these new parameters, which would raise your Clinic experience to a level of realism never seen before.
You stare groggily for a moment, your gaze swimming vertiginously in the face of this rulebook and its administrative twists and turns, produced by the convolutions of the designer’s brain.
Is this even still a game, or will it end up as demanding as a hard day at the office?
That’s for you to say….
Designer’s note: You can also include expansions from The Extension and/or the mini expansions contained in the base game if you want to have a completely unique experience as head of a clinic. This rulebook only lists changes to the base game rules.

Morgue
4 Morgue tiles

Beds
8 Bed tiles
1 Bed Rules Reminder board

Surgeon
4 Surgeons
1 double-sided University overlay
1 Hiring Rules Reminder board

*
Secretaries
9 Secretaries
1 Bonus tile
1 double-sided Nurse and Orderly Display overlay (B side)
*
1 Hiring Rules Reminder board
*

Pediatrics
12 babies (pink)
4 Pediatric Service Hub Module tiles
*
4 Pediatric Treatment Room Module tiles
1 double-sided Appointments overlay
*

New Appointments
1 double-sided Appointments overlay (B side)
4 Pediatric Service Hub Module tiles

B
Greater Demand
20 patients (2 red, 4 orange, 6 yellow, 8 white)

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2
Stretcher Bearers
Components
• 8 stretcher bearer teams
• 1 Hiring Rules Reminder board
• 1 Stretcher Bearer Break Room board
Setup
Place the Hiring Rules Reminder board near the Hire
column of the main board.
Place the Stretcher Bearer Break Room board near the
main board.
Fill each column from the left, up through the number of
players, with 1 stretcher bearer team per space.
Playing the Game
Phase 1: Actions
Execute Actions
Action 2: Hire
Stretcher bearer teams are now also available to hire.
If you select the Hire action, you may hire new employees
by paying the costs indicated for their spaces. You can
select any 2 of the following 3 options:
• Hire 1 doctor or hire 1 janitor or buy 1 capsule
and/or
• Hire 1 nurse or orderly or secretary
and/or
• Hire 1 stretcher bearer team or CEO
Example: You could hire 1 doctor and 1 stretcher bearer
team, or you could hire 1 orderly and 1 stretcher bearer
team; however, you could not hire a janitor, a nurse, and a
stretcher bearer, even if you have enough money, because
you would be selecting 3 options. You also could not hire a
nurse and a secretary, because you would be selecting 2
from the same option.
Remember: Each person comes with a car you must park!
Note: Each stretcher bearer team (each meeple) is a unit,
and counts as 1 person for all purposes in the game.
Each team drives in 1 car everywhere together, is hired
together, scores popularity as a unit, and even goes to the
restroom together.
Move
A stretcher bearer team will never be inside your clinic
without a patient. Until that time, the team waits outside
your clinic (e.g. at an entrance) to help someone from
pre-admissions.
Stretcher Bearers
A stretcher bearer team carries 1 patient for that patient’s entire movement into your clinic from pre-admissions. This means that the team and patient will move as a unit to an entrance or helipad from your pre-admissions without spending any time, and then move as usual from there as a unit. Once they arrive at the patient’s destination, unload the patient and divide the time the team and patient spent getting there by 3 (round down).
Example: The stretcher bearer team picks up a yellow Neurology
patient to deliver to the further Neurology treatment room on
Floor 1.
• 0 to move from pre-admissions to the entrance.
• 1 to move from the entrance into the clinic.
• 1 to move from the service hub to the full treatment room
directly above.
• 2 to move to the available treatment room.
Total: 4, but stretcher teams are thrice as fast as patients.
4 ÷ 3 = 1⅓, and we round it down to 1. Even if it had
been 5 ÷ 3 = 1⅔, it would have rounded down to 1.
Phase 2: Business
Expenses
Pay Your Employees
You must pay each stretcher bearer team $1.
Phase 3: Admin
Your Player Board
Move each stretcher bearer team to be outside your clinic
again (e.g. at an entrance) for 0.
End of the Game
Each stretcher bearer team earns you 2 popularity.

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3
New Appointments
Round VII
Create the doctor pool by putting the following
doctors in the Doctor Pool bag, according to the
number of players:

1 2 3 5 (4+1)
2 4 (3+1) 5 (4+1) 7 (6+1)
4 (3+1) 6 (5+1) 10 (8+2) 12 (10+2)
Main Board
Nurse and Orderly Display
Place the Nurse and Orderly Display overlay, A side up,
covering the Nurse and Orderly Display of the main
board.
Other
Place the Round Track overlay covering the Round
track.
End of the Game
After 7 rounds, the game ends.
Note: On the B side, each service has a different set of spaces. Also note that there is a new service, Pediatrics; simply ignore it (unless you are also including the Pediatrics expansion). Each player can only build 1 pediatric service hub.
Main Board
Appointments
For each available service (depends on the player count): • Draw 1 patient and place them in the rightmost space on the “notepad”, even if that space does not have a
red border.
Playing the Game
Phase 3: Admin
Main Board
Appointments: Return the patient in the rightmost space (marked with a red ) of each service to the patient pool.
For services that do not have a space like this, do not return any patients to the patient pool (some patients are truly patient!).
New Appointments
Components
• 1 double-sided Appointments overlay (B side)
• 4 Pediatric Service Hub Module tiles
• 4 Pediatric Treatment Room Module tiles
Setup
Place the Appointments overlay covering the “notepad” of
the main board, B side up.
Round VII
Components
• 1 Round Track overlay
• 1 double-sided Nurse and Orderly Display overlay

(A side)
• 28 patients (4 red, 4 orange, 8 yellow, 12 white)
• 4 doctors (1 orange, 1 yellow, 2 white)
• 4 nurses
Setup
Patient and Doctor Pools
Create the patient pool by putting the following patients in
the Patient Pool bag, according to the number of players:

2 (1+1) 4 (2+2) 7 (4+3) 10 (6+4)
4 (3+1) 10 (8+2) 15 (12+3) 20 (16+4)
8 (6+2) 16 (12+4) 24 (18+6) 32 (24+8)
12 (9+3) 24 (18+6) 35 (26+9) 46 (34+12)
B

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4
New Special Modules
Components
• 3 Resuscitation Module tiles
• 3 Emergency Room Module tiles
• 3 Radiology Module tiles
• 3 Finance Module tiles
• 1 Special Module Rules Reminder overlay
Setup
Module and Tile Displays
Place the Special Module Rules Reminder overlay covering
the Special Module area.
Choose whether you will play using 4 random types of
special modules, or all 8 types:
• 4 random: Randomly select 4 different types of special
modules. Return the other 4 types to the box.
• All 8: Include all of the types (and even the ICU if
you like).
Either way, stack a certain number of Special Module tiles
per the usual rules.
Note: In a 1-player game, you will still end up with only 2
[different] tiles either way you go.
The Modules
Resuscitation
Construction: Cannot be built
adjacent to another special
(blue) module.
Operation: Must have an adjacent service hub on the
same floor to operate.
Capacity: 2 doctors, 1 patient of the affiliated service, any
number of nurses.
Function: During Phase 2: Business, 2 doctors may treat
1 patient matching the color of 1 of the doctors (the
other doctor’s color is irrelevant). Nurses must be present
if the patient matches neither doctor; however, you
only need enough nurses for 1 of the doctors. If the
patient is thus treated, earn 50% more than the total
income (considering gardens and such) from this patient
(rounded down).
Emergency Room
Construction: Cannot be built
adjacent to another special
(blue) module.
Operation: N/A
Capacity: 1 patient, any number of nurses.
Function: During Phase 2: Business, 1 or more nurses may
advise 1 patient, improving the patient (see table below).
You earn income equal to the difference between the two
levels, as follows:
Income
$0 ($8 − $8)
$4 ($12 − $8)
$8 ($20 − $12)
$12 ($32 − $20)
Then immediately move the patient to a treatment room
(it must be specifically a treatment room) for any service,
for 0. If you cannot do this because all are at capacity,
get −1 popularity and return the patient to the patient pool.
Radiology
Construction: Cannot be built
adjacent to another special
(blue) module.
Operation: Must have an adjacent service hub on the same
floor to operate.
Capacity: 1 doctor, 1 patient of the affiliated service.
Function: During Phase 3: Admin, if there are both a doctor
and a patient here, the doctor levels up twice: red stays red,
orange becomes red, yellow becomes red, white becomes
orange. The patient worsens as usual!
Note: This module helps the doctor, not the patient.
You get 1PP in reverse order.
Finance
Construction: Cannot be built
adjacent to another special
(blue) module.
Operation: N/A
Capacity: 3 doctors.
Function: During the Gain Popularity step of Phase 2:
Business, if you have 3 doctors here, each 1 popularity costs
you $2 instead of $3.
!
!

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5
Pediatrics
Pediatrics
Components
• 12 babies
• 4 Pediatric Service Hub Module tiles
• 4 Pediatric Treatment Room Module tiles
• 1 double-sided Appointments overlay
Setup
Place the Appointments overlay covering the “notepad”
of the main board; agree whether you use the A side or
the B side.
Note that there is a new service, Pediatrics, which is
included at all player counts. Also note that on the B side,
each service has a different set of spaces.
Module and Tile Displays
Include the Pediatric Service Hub Module tiles, per the
usual rules, when you set up the service hubs. They are
available at all player counts.
Patient and Doctor Pools
In addition to the patients for your player count, add 3
babies per player to the Patient Pool bag:
3 6 9 12
Playing the Game
Phase 1: Actions
Execute Actions
Action 1: Build
To treat babies, you need a Pediatric Treatment Room
adjacent on the same floor to a Pediatric Service Hub,
with a Supply Room adjacent (possibly above or below the
Pediatric Treatment Room), as well.
Each player can build only 1 pediatric service hub and only
1 pediatric treatment room. Although there are no other
particular construction rules for a pediatric treatment
room, to be available for use it must be adjacent to a
pediatric service hub on the same floor, and it must also
be adjacent to a supply room; however, the supply room
could be directly above or below this pediatric treatment
room (it does not have to be beside the pediatric
treatment room).
Immediately after you build a pediatric treatment room, you
get a one-time bonus action to build a supply room, which
must be adjacent to the pediatric treatment room. You must
still pay for the supply room. If you don’t build the supply room
immediately, the opportunity is wasted.
Action 3: Admit Patients
Your board has no pre-admissions area for
pediatrics. Instead, babies you admit must go
directly to an entrance or helipad.
Parking a Car
Although babies don’t typically drive cars, someone has driven
them to your clinic so each baby comes with a car, as usual.
Taking a Car
When a baby leaves your clinic, a car goes with it, as usual.
New Patients Schedule Appointments
For each available service (depends on the player count) except
Pediatrics:
• Draw 1 patient.
• If the patient is not a baby, place them in the rightmost
space on the “notepad”, even if that space does not have a
red border.
• If the patient is a baby, place them in the rightmost empty
space of the Pediatrics row. If you can’t, because there are
no available spaces in the Pediatric row, return the baby to
the Patient Pool bag, but do not draw a replacement.
Move
Module Capacity
A pediatric treatment room can hold 1 baby, 1 orderly, and
infinite nurses.
Phase 2: Business
Patient Care and Income
In each pediatric treatment room, if there is an orderly and a
nurse, the baby is successfully treated, and you earn $17.
The usual modifiers (such as gardens) apply.
Treatment Rooms
Return the baby to the Patient Pool bag, and return a car to the
parking lot on the main board.
Expenses
Facility Upkeep
Each orderly in a supply room reduces your total upkeep by $3
(minimum $0); however, orderlies in treatment rooms do not.
They were busy with babies.
Phase 3: Admin
Main Board
Appointments: Return the patient in the rightmost space
(marked with a red
) of each service to the patient pool. If you
are using the B side of the Appointment overlay, for services that do not have a space like this, do not return any patients to the patient pool (some patients are truly patient!).
Your Player Board
After patients worsen, each baby on your player board becomes a white patient; return the baby to the Patient Pool bag.

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6
Coffeemaker
Components
• 8 Coffeemaker tiles
• 1 Vending Machine board
Setup
Place the Vending Machine board near the main board.
Fill each column from the left, up through the number of
players, with 1 Coffeemaker tile per space.
Coffeemaker
CEO
CEO
Components
• 4 CEOs
• 1 Hiring Rules Reminder board
• 1 CEO’s Desk board
Setup
Place the CEO’s Desk board near the main board.
Fill each space on it for rounds III – VI with 1 CEO.
Playing the Game
Phase 1: Actions
Execute Actions
Action 2: Hire
Once you have 3 service hubs in your clinic (they don’t
need to be different), CEOs are also available to hire;
however, each clinic can only have 1 CEO.
If you select the Hire action, you may hire new employees
by paying the costs indicated for their spaces. You can
select any 2 of the following 3 options:
• Hire 1 doctor or hire 1 janitor or buy 1 capsule
and/or
• Hire 1 nurse or orderly or secretary
and/or
• Hire 1 stretcher bearer team or CEO
Playing the Game
Phase 1: Actions
Execute Actions Action 1: Build
A coffeemaker costs $2 to build in any module on any floor of your clinic. It counts as 1 of the 2 components you can build by choosing this action, and you are only allowed to build 1 in a single action.
Move
Entering a module with a coffeemaker in it takes 0 or the
usual 1 — your choice! Nobody’s forcing you to drink the
coffee.
Phase 2: Business
Expenses
Facility Upkeep
There is no upkeep cost for coffeemakers.
Example: You could hire 1 doctor and 1 CEO, or you could hire 1
orderly and 1 CEO; however, you could not hire a janitor, a nurse,
and a CEO, even if you have enough money, because you would be
selecting 3 options. You also could not hire a nurse and a secretary,
because you would be selecting 2 from the same option.
Move
Module Capacity
Supply rooms can hold 1 orderly and 1 CEO.
Once your CEO is in a supply room, you can fire any number of
your orderlies (from zero to all!), no matter where they are in
your clinic. Fired orderlies take 0
to leave, and take a car with
them, of course. Return the orderlies to the box; return the cars to the parking lot on the main board.
Phase 2: Business
Expenses
Pay Your Employees
You must pay your CEO $6 (once hired).
Facility Upkeep
If you have a CEO, skip this step. That is to say that facility
upkeep is $0 while you have a CEO, thanks to some clever
contracts drawn up behind closed doors….
Phase 3: Admin
Rounds III – VI: If this round’s CEO was not hired, return that
CEO to the box.
End of the Game
Your CEO is worth 9 popularity.

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7
Events
Events
Overview
Each round, a different Event card will modify the rules of
the current round.
Components
• 24 Event cards (2 each of 12)
• 1 Front Page board
• 8 Nurses
Setup
Place the Front Page board near the right side of the main
board.
Shuffle the Event cards. Place 1 Event card face up on
each of slots I – II of the Front Page board. If the card in
slot I is the Vicious Rumors event, replace it with a new one
from the deck.
Place 1 Event card face down on each of slots III – VI.
Return the rest of the Event cards to the box.
Playing the Game
Phase 3: Admin
Miscellaneous
Remove the Event card for the round just completed from
the Front Page board. In Rounds I – IV, reveal the Event
card for 2 rounds from now. Example: At the end of Round
II, remove the card from slot II, then reveal the card in slot IV.
Events affect all players.
Event Card Clarifications
Heart Attack — Immediate: 1 of your white
patients becomes red.
Medical Convention — Immediate: 1 of your
doctors levels up twice: red stays red, orange
becomes red, yellow becomes red, white
becomes orange.
Staffing Shortage — Phase 1: Actions, Action 2: Hire: Nurses and orderlies cost 50% more (rounded
up) to hire.
Vicious Rumors — Immediate: Each player moves
1 place later in turn order, except for the player last
in turn order, who becomes first.
Costly Popularity — Phase 2: Business, Gain
Popularity: Each 1 popularity costs $4.
Strike — Immediate: Move all orderlies outside
your clinic (e.g. to an entrance) for 0 .
Phase 1: Actions, Action 2: Hire: Any orderlies you hire join the strike outside your clinic (e.g. at an
entrance).
Phase 1: Actions, Move: You cannot move orderlies.
Phase 2: Business, Pay Your Employees: Pay your
orderlies, even though they’re not working.
Phase 2: Business, Facility Upkeep: Orderlies do
not reduce your total upkeep, because they’re on
strike.
Phase 3: Admin, Miscellaneous: Unless next
round’s event is the same, the strike has ended;
next round, you must move your orderlies back into
your clinic as if they were just hired.
Cheap Popularity — Phase 2: Business, Gain
Popularity: Each 1 popularity costs $2.
Wear and Tear — Phase 2: Business, Expenses,
Facility Upkeep: After reducing your total upkeep
with your orderlies, increase your total upkeep 50%
(round up).
Mechanical Failure — Phase 1: Actions, Move:
Your conveyors are broken down; everyone must
walk and take the stairs to get where they are
going!
Arson — Immediate: Destroy one of your
treatment rooms, and any other components
in it (coffeemaker, ironic fire extinguisher,
etc.); return them to the supply. All patients
that were in it die, and you get −5 popularity;
for each, remove the patient from the game
and return a car to the parking lot on the main
board. All of your staff that were in the room
move outside your clinic (e.g. to an entrance)
for 0
; you must move them back into your
clinic during the Move step at the end of Phase 1: Actions.
Patients Panic — Immediate: Each player returns 2 patients for 0
to their pre-admissions area
matching the patients’ services. If your pre- admissions areas are too full to accommodate
2 patients, just return as many as you can
(1 or even 0).
Emergency Staffing — Immediate: Each player
gains 1 nurse from the box, and of course 1 car.
The nurse waits outside your clinic (e.g. at an
entrance) to enter during Phase 1: Actions, Move.

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8
Medical Scanner
Move
Module Capacity
A service hub with a medical scanner no longer can hold
infinite doctors; instead, it can hold 1 doctor, 1 patient, and
any number of nurses.
Phase 2: Business
Patient Care and Income
Each service hub with a medical scanner allows 1 doctor to
treat 1 patient just like in a treatment room; however, the
medical scanner acts like a nurse when treating the patient,
so you need 1 nurse fewer.
Example: A red doctor in a service hub with a medical scanner and
a yellow patient would need 1 nurse (in addition to the medical
scanner) to treat the yellow patient.
Expenses
Facility Upkeep
Upkeep for each medical scanner is $2 (in addition to the $1
upkeep cost of the service hub hosting it).
Medical Scanner
Components
• 8 Medical Scanner tiles
• 1 Medical Scanner Rules Reminder board
Setup
Place the Medical Scanner Rules Reminder board near the
left side of the main board, just left of the Action 1: Build
icon.
Fill each column from the left, up through the number of
players, with 1 Medical Scanner tile per space.
Playing the Game
Phase 1: Actions
Execute Actions
Action 1: Build
A medical scanner costs $4 to build in a service hub on any
floor of your clinic. It counts as 1 of the 2 components you
can build by choosing this action, and you are only allowed to
build 1 in a single action, and only one in each service hub.
Beds
Beds
Components
• 8 Bed tiles
• 1 Bed Rules Reminder board
Setup
Place the Bed Rules Reminder board above the main
board, near the Action 2: Hire icon.
Fill each column from the left, up through the number of
players, with 1 Bed tile per space.
Playing the Game
Phase 1: Actions
Execute Actions
Action 1: Build
A bed costs $1 to build in a treatment room on any floor
of your clinic. It counts as 1 of the 2 components you can
build by choosing this action, and you are only allowed to
build 1 in a single action. Each treatment room can hold
only 1 Bed tile (providing a total of 3 beds).
You cannot build a bed in a treatment room that has a
workaholic doctor in it.
Move
Module Capacity
A treatment room with a bed can hold +1 doctor and +1
patient, so 3 doctors, 3 patients, and any number of nurses.
Phase 2: Business
Expenses
Facility Upkeep
There is no upkeep cost for beds.

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9
Morgue
Phase 3: Admin
When a patient dies, if you have a space available in your
morgue (you have 4 to start with):
• Send the patient to an empty space in your morgue
for 0
.
• Do not apply the penalty of −5 popularity for letting a
patient die. In their grief and gratitude, the family somehow
hasn’t noticed your negligence….
• Earn $32 directly to your savings (it cannot be used to
buy popularity).
• The late patient’s car must remain parked forever.
Once your morgue is full (has 4 deceased patients), patient death returns to the usual rules:
• Remove the patient from the game.
• Get a penalty of −5 popularity for letting a patient die.
• Earn nothing.
• Return the late patient’s car to the parking lot on the
main board.
Morgue
Components
• 4 Morgue tiles
A Few Crucial Gameplay Concepts
Modules
Note that the Morgue tile does not have a checkered floor,
and is not a tile that represents the interior of your
clinic, so it is not a module.
Setup
Construct Your Initial Clinic
You must also build a morgue in a 2 × 2 set of empty
ground-floor spaces. Note that the Morgue tile is just a
little smaller than a 2 × 2 area so it does not obstruct the
parking spaces surrounding it (just like the garden is
a little smaller than a 1 × 1 area for the same reason).
Playing the Game
Phase 1: Actions
Execute Actions
Action 1: Build
General Construction Rules
Note: Because the morgue is not a module, you cannot
build anything above it.
Action 2: Hire
Note: The parking spaces adjacent to
the edges of the Morgue tile are available.
Action 3: Admit Patients
Parking a Car
Note: The parking spaces adjacent to the
edges of the Morgue tile are available
(for some of your -patients, it could even be considered a
shortcut).

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10
Surgeon
Surgeon
Components
• 4 surgeons
• 1 double-sided University overlay
• 1 Hiring Rules Reminder board
Setup
Place the University overlay covering the University of
the main board. If you are playing with the Workaholic
Doctors expansion included with the base game, use the
B side; otherwise, use the A side.
Patient and Doctor Pools
Create the doctor pool by putting the following doctors in
the Doctor Pool bag, according to the number of players:
1 2 3 4
1 2 3 4
1 2 3 4
2 3 4 6
3 5 8 10
Doctor Display
Fill each space of the University from the left, up through
the number of players, with a random doctor drawn from
the bag. Rearrange them according to the diagram on the
university: blue, purple, red, orange, yellow, white. Just
skip any colors you didn’t draw.
Note: The university can never have more than 1 surgeon;
if you draw additional blue doctors, simply return them
to the bag after filling the university. The university can
never have more than 1 workaholic doctor; if you draw
additional purple doctors, simply return them to the bag
after filling the university.
Playing the Game
Phase 1: Actions
Execute Actions
Action 2: Hire
Surgeons always cost $8 to hire (as do workaholic
doctors), as indicated on the University overlay.
If you select the Hire action, you may hire new employees
by paying the costs indicated for their spaces. You can
select any 2 of the following 3 options:
• Hire 1 doctor/surgeon or hire 1 janitor or buy 1 capsule
and/or
• Hire 1 nurse or orderly or secretary
and/or
• Hire 1 stretcher bearer team or CEO
Example: You could hire 1 surgeon and 1 CEO, or you could hire
1 surgeon and 1 orderly; however, you could not hire a surgeon,
a nurse, and a CEO, even if you have enough money, because you
would be selecting 3 options. You also could not hire a surgeon and
another doctor, because you would be selecting 2 from the same
option.
Remember: Each person comes with a car you must park!
Move
The surgeon can only treat patients in an operating room; if
no operating room is available, the surgeon must move to a
service hub to await a suitable patient.
Phase 2: Business
Patient Care and Income
Operating Rooms
In each operating room, 1 surgeon can treat 1 patient, and
operates (heh heh) like a red doctor plus a nurse. This is in
addition to the built-in nurse of the operating room, so it’s as
if you had 1 red doctor and 2 nurses there.
Note: A surgeon cannot treat a patient anywhere else!
Example: Your surgeon is in your operating room with a white
patient. Your surgeon needs one nurse present to assist, because
the surgeon counts as red + nurse, but the operating room also has
a built-in nurse.
Expenses
Pay Your Employees
You must pay each of your surgeons $6.
Gain Popularity
Each surgeon earns you 2 popularity. Yes, this is every round,
for free (their salaries notwithstanding).
Phase 3: Admin
Main Board
Surgeons do not level up, and other doctors do not become
surgeons.
Your Player Board
Surgeons do not level down.
End of the Game
Each surgeon is worth 6 popularity.
(if you are playing with
Workaholic Doctors)

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11
Secretaries
Secretaries
Components
• 9 secretaries
• 1 Bonus tile
•
1 double-sided Nurse and Orderly Display overlay (B side)
• 1 Hiring Rules Reminder board
Setup
Place the Hiring Rules Reminder board near the Hire
column of the main board.
Bonus Tiles
Shuffle the Bonus tile together with the others, and
proceed as usual.
Main Board
Nurse and Orderly Display
Place the Nurse and Orderly Display overlay, B side up,
covering the Nurse and Orderly Display of the main board.
Playing the Game
Phase 1: Actions
Execute Actions
Action 2: Hire
If you select the Hire action, you may hire new employees
by paying the costs indicated for their spaces. You can
select any 2 of the following 3 options:
• Hire 1 doctor or hire 1 janitor or buy 1 capsule
and/or
• Hire 1 nurse or orderly or secretary
and/or
• Hire 1 stretcher bearer team or CEO
Example: You could hire 1 doctor and 1 secretary, or you
could hire 1 stretcher bearer team and 1 secretary; however,
you could not hire a doctor, a secretary, and a stretcher
bearer team, even if you have enough money, because you
would be selecting 3 options. You also could not hire a nurse
and a secretary, because you would be selecting 2 from the
same option.
Remember: Each person comes with a car you must park!
Action 3: Admit Patients
Secretaries in service hubs allow you to
manipulate the appointments for those
services. Each secretary in a service hub provides you +2
QP (queue points) that can only be used related to the
service provided by that hub:
• Moving horizontally in that service’s row on the notepad
(if another patient is in the target space, they swap places
as usual).
• Moving vertically from an adjacent service to this one
(swapping if applicable, as usual).
• Moving vertically from this service to an adjacent one
(swapping if applicable, as usual).
Any other move on the notepad must come from your normal
QP (1 + entrances + helipads).
Admitting patients, even from the secretary’s service, must
come from your normal QP. These secretaries like computer
screens more than humans: They only want to rearrange
appointments and play Klondike solitaire; they don’t want to deal
with actually admitting patients.
Move
Module Capacity
A service hub can hold infinite doctors, infinite nurses,
and 1 secretary.
Phase 2: Business
Expenses
Pay Your Employees
You must pay each of your secretaries $1.
End of the Game
Each secretary is worth 2 popularity.
B

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12
Variant 1: Greater Demand
Variant 1:
Greater Demand
Small City is growing quickly, and demand for healthcare
grows with it. While you dream about the gleam of the
silver this will bring you, don’t forget that it’s just the
lining around a dark and menacing cloud: For greater
demand to become profit, you must treat all those extra
patients! Can you keep up when the patients just keep
coming, right up to the end of the game? 20% more
patients means 20% more profit to the blithe optimist,
but it means 20% more potential pitfalls to the pure
pessimist.
Components
• 20 patients (2 red, 4 orange, 6 yellow, 8 white)
Setup
Patient and Doctor Pools
Create the patient pool by putting the following
patients in the Patient Pool bag, according to the
number of players:
2 (1+1) 3 (2+1) 5 (4+1) 8 (6+2)
4 (3+1) 10 (8+2) 14 (12+2) 20 (16+4)
7 (6+1) 15 (12+3) 22 (18+4) 30 (24+6)
10 (9+1) 22 (18+4) 32 (26+6) 42 (34+8)
Clinic Deluxe 2nd Extension instructions belong
to the author, Alban Viard, and are reserved for
personal uses.
Clinic Deluxe Edition © Alban Viard 2021
Graphic Designer: Todd Sanders
Illustrator: Ian O’Toole
Rules Editor: Nathan Morse

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