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Step by step
Objective of the Game
The 4th Extension adds another floor to your clinic, the Basement, and introduces double-size tiles. While the specific victory condition isn't detailed here, players are generally aiming to manage and expand their clinic, utilizing new underground activities and modules to improve efficiency and potentially gain Popularity.
Preparation (Setup)
- Each player places a Basement board below their Ground Floor player board.
- For each type of double tile (Locker Room Module, Boiler Room Module, Dr. Funkenstein’s Laboratory Module), put 1 fewer than the number of players near the other available modules. Return any remaining double tiles to the box.
- For a 1-player game, take 1 of each type of double tile, then return a random one to the box, and put the remaining 2 near the other available modules.
Fluxo do Jogo
Phase 1: Actions
Players execute actions during this phase.
Phase 2: Business
This phase involves managing expenses.
- Expenses: This step includes paying employees and facility upkeep.
Ações e Como Jogar
Action 1: Build
When you choose the Build action:
- On your Basement board, you can only build the 3 new double tiles (Locker Room Module, Boiler Room Module, Dr. Funkenstein’s Laboratory Module). You cannot build any components from the base game or The Extension 1 – 3, not even conveyors.
- Same-color basement modules are allowed to be adjacent to each other.
- Adjacent basement modules do not cause the buildings above them to become connected.
- In even-numbered rounds (Rounds II, IV, and VI), in addition to the 2 components you can construct, you can construct one of the three double tiles for $6.
- Each double tile is double-sided, allowing you to choose its orientation.
- Each clinic can have no more than 1 of each type of basement module.
- Underground Utility Work (from The Extension) does not prevent building basement modules beneath it.
- Entrance: You can build entrances directly into your basement on the spaces provided.
Move
People (patients, doctors, nurses, orderlies) can move down to the basement as usual.
- Each basement module occupies two spaces.
- When a person moves up from a basement module, they can move to either space above the module.
- People can move through empty basement spaces just as through empty ground floor spaces: Each space costs 1 time.
Locker Room
- A doctor that moves through your locker room levels up.
- Your locker room can only be used twice per round.
- Module Capacity: Basement modules have a capacity of 0. Doctors cannot hide in their lockers; they must return to work in their usual locations.
Dr. Funkenstein’s Laboratory
- By moving 2 same-color patients to Dr. Funkenstein’s Laboratory, "Dr. Funkenstein" (the mechanized surgeon unit) will swap parts, worsening both patients.
- After being worsened, patients must immediately return to modules that can treat them for the same services from which they came.
- Dr. Funkenstein’s Laboratory in your clinic can only be used once per round (i.e., to worsen one pair of patients).
- Patients do not have to start in a module; one or both can come from Pre-Admissions.
- Module Capacity: Basement modules have a capacity of 0. Nobody wants to spend any time in Dr. Funkenstein’s Laboratory.
Boiler Room
- Module Capacity: Basement modules have a capacity of 0. The boiler room is too hot for anyone to stay in there.
- Expenses - Pay Your Employees: The poorly insulated boiler room makes the modules directly above it on all floors comfortable, so you do not need to pay employees in those modules.
- Expenses - Facility Upkeep: Each basement module costs $3 to maintain. Because the poorly insulated boiler room warms all of the modules directly above it on all floors, you do not need to pay their upkeep cost — not even for the operating room! However, you must still pay normal upkeep for gardens above it.
Fim de Jogo e Pontuação
End of the Game
Consulte o manual para detalhes sobre esta seção.
Scoring
- Each basement module is worth 4 Popularity.
Dicas para Vencer
- Strategically use the Locker Room to level up doctors, but remember it can only be used twice per round. This can be a quick way to improve your staff's capabilities.
- Consider building the Boiler Room to reduce employee and facility upkeep costs for modules directly above it. This can lead to significant savings over the course of the game.
- Utilize Dr. Funkenstein’s Laboratory to worsen patients, potentially creating new treatment opportunities or fulfilling specific patient needs, but be mindful of the one-time-per-round limit and the need to return patients to treatment modules.
Rules manual
Official PDF file
Frequently Asked Questions
Quick answers about the rules
What is the objective of Clinic: Deluxe Edition – 4th Extension?
How do you set up Clinic: Deluxe Edition – 4th Extension?
How do you play Clinic: Deluxe Edition – 4th Extension?
How does Clinic: Deluxe Edition – 4th Extension end, and how do you score?
What are some tips for winning Clinic: Deluxe Edition – 4th Extension?
Expansion for
Published additional content