# Clinic: Deluxe Edition – 3rd Extension

## General Info
- **Year Published**: 2021
- **BGG Rating**: 7.9
- **BGG Rank**: —
- **Players**: 1-4
- **Duration**: 30-120 min
- **Weight**: 4.00 / 5
- **Designers**: Alban Viard, Nathan Morse
- **Artists**: Ian O'Toole, Todd Sanders
- **Publishers**: AVStudioGames, Capstone Games, Giant Roc, LudiCreations
- **Categories**: City Building, Expansion for Base-game, Medical
- **Mechanics**: Pick-up and Deliver, Simulation, Tile Placement

## Verdict
For those who have mastered hospital management and want some chaos and variety!Absurd variety of new elementsNew layers of strategyBreaks base game monotonyFun and unexpected themesRequires the base gameIncreases unpredictabilityRECOMMENDED

## Description
If you thought managing Clinic: Deluxe Edition was already a full-time job, get ready for some chaos! After navigating through the previous expansions, which brought a nearly suffocating realism to your hospital routine, the 3rd Extension arrives to shake up your management style. Forget the strict technical rigor for a moment and come explore the more unpredictable and even slightly bizarre side of medical life.

This extension is a true package of surprises, bringing 12 new mini-expansions and 3 game variants that completely change the table dynamic. What to expect? Well, you might have to deal with smoking patients, organize helicopter rescues, or even face situations worthy of a horror movie, like ghosts haunting the hallways! Diversity is the highlight here: from therapy dogs that bring comfort to patients to air conditioning systems that can cause accidents if you don't monitor them closely, the variety of elements ensures that no two games are ever the same.

Beyond the thematic content, you'll face new logistical challenges, such as managing temporary staffing agencies and dealing with the mayor's new urban design guidelines. Want a bit more strategy or a bit more madness? The 'Urban Design 2.0' variants and the different doctor profiles (whether they are tough, clever, or humble) allow you to adjust the stress level and complexity of your game. It is the perfect complement for those who have already mastered the base game and want to add layers of unpredictability, humor, and new ethical and operational dilemmas to their clinic. It's less 'elite hospital' and much more 'real life with a touch of madness'!

## How to Play
Game Objective  
In Clinic: Deluxe Edition – 3rd Extension, players manage a clinic full of absurd challenges, from smoking patients to emergency helicopters. The goal is to efficiently run your clinic by treating patients, handling unexpected events, and maximizing your popularity and financial resources. Victory is determined at the end of the game by the total score, which includes popularity, money, and other expansion-specific criteria.  

Setup  
Initial Components  
  
  Set up your initial clinic following the Building Rules, ensuring the storage room is on the ground floor and the entrance connects to the service hub.  
  Add expansion-specific components:  
      
      Cigarette machine: Adjacent to the storage room.  
      Helipad and operating room (1 per player).  
      Public restrooms, triage station, or gift shop, depending on the expansions used.  
      
    
  Place additional boards (e.g., Helicopter Access, Temp Agency) near the main board.  
  Prepare patient pools based on the number of players (e.g., unclassified patients, critical patients, ghosts).  
  
Refer to the manual for details on this section.  

Game Flow  
The game is divided into 3 main phases per round:  
  
  Phase 1: Actions  
      
      Players perform actions such as building, hiring, admitting patients, and moving characters.  
      Specific events occur (e.g., arrival of burn victims via helicopter or fire truck).  
      
    
  Phase 2: Business  
      
      Patient treatment, income generation, and salary payments.  
      Effects of components like cigarettes, therapy dogs, or air conditioning are applied.  
      
    
  Phase 3: Administration  
      
      Patients worsen, staff may downgrade (unless using variants), and temporary components are reset.  
      
    
  

Actions and How to Play  
Main Actions  
  
  Build: Add modules or components like helipads, public restrooms, or air conditioning. Some have restrictions (e.g., only 3 helipads per clinic).  
  Admit Patients: Fill your pre-admission with patients, including special types like critical or unclassified (requiring triage).  
  Move:  
      
      Smokers: Must go to the cigarette machine and return, possibly dying if they accumulate 2 cigarettes.  
      Wheelchairs: Move patients faster horizontally but slower vertically.  
      Ghosts: Increase movement costs in affected modules.  
      
    
  
Special Components  
  
  Therapy dogs: Aid in psychiatric treatment but leave poop, doubling the module's maintenance cost.  
  Gift shop: Visitors bring extra income but must visit the shop before seeing patients.  
  

End of Game and Scoring  
The game ends after a fixed number of rounds. Scoring is based on:  
  
  Popularity: Gained or lost through events like patient deaths, ghosts (+1 per floor), or meeting Urban Design 2.0 requirements.  
  Money: Earned by treating patients (e.g., burn victims give $25-$30).  
  Expansion-specific criteria (e.g., modules built according to Urban Design cards).  
  

Tips to Win  
  
  Plan helipads: Build at least 1 by Round IV to prevent burn victim deaths.  
  Control smokers: Use patients as smokers to avoid penalties from staff deaths.  
  Optimize movement: Wheelchairs are useful for patients but avoid using them for vertical movement.

## FAQ
### Can I play this expansion without the base game?
No way! This is an expansion and requires Clinic: Deluxe Edition to work.

### Does the game get much harder with it?
It depends on the variant you choose, but it introduces more variables and unexpected events that can complicate management.

### How many players does this expansion support?
It follows the base game's limit, from 1 to 4 players.

### How long does a game last with these new elements?
Time may vary depending on the complexity of the variant, but it usually stays between 30 and 120 minutes.

### Is this expansion for casual or experienced players?
Since it's an expansion for a game with a 4/5 weight, it's ideal for those who already know the mechanics and seek more depth.

### What's included in the box?
It adds components for 12 new thematic expansions and 3 rule variants.

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