Skulls of Sedlec: Plague Doctors

Button Shy · Board game · 2025
1–4 Solo 15–30 min
rating Ludopedia
6.5 rating BGG
Buy
rating Ludopedia
6.5 rating BGG
Our Verdict
RECOMMENDED

Perfect for those who own the base game and want more players or new scoring goals.

Highlights
  • Adds support for 4 players
  • Very easy to integrate
  • New strategic scoring layer
  • Compatible with solo expansions
Keep in mind
  • Requires base game to play
  • Few cards for those seeking complexity
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About the game

What you do in a play session

Imagine the chaos of trying to organize everything while the world falls apart; that's the vibe in Skulls of Sedlec: Plague Doctors. This expansion brings a touch of medieval medical tension to the base game, introducing the desperate struggle of plague doctors trying to contain outbreaks within communities of skulls. The premise is straightforward, but the strategy is where the real challenge lies: you must balance spreading the plague to maximize your points with the need to have enough doctors to treat the infected.

The mechanics are very direct. You simply shuffle the new cards into the main deck and you're good to go, but the dynamics shift immediately. Infected skulls score based on the size of the largest group of adjacent skulls of the same type. Meanwhile, the plague doctor skulls introduce a precision challenge: they are worth 5 points, but only if the number of doctors exactly matches the number of infected. Miss the mark, and you miss the points.

Beyond adding this new scoring layer and the grim theme, the expansion solves a common issue in micro-card games: player count. Now, you can bring a fourth player to the table, making the fight for space and pattern management even tighter and more competitive. And if you're a solo gamer, don't worry—it's fully compatible with existing solo expansions. It's the kind of addition that doesn't complicate the learning curve but adds a fresh 'flavor' for those who have already mastered the base game and want to experiment with new scoring strategies.

Expansion for

Published additional content

1 items

Best player count

BGG community vote

1–4 players
1 OK
2 OK
3 OK
4 OK

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Game details

Mechanics, categories, families and credits

Families

Game: Skulls of Sedlec Players: Expansions Changing Player Count Series: Wallet & Box Micro Games (Button Shy)
Publisher Button Shy
Designer Dustin Dobson, Roshni Patel
Artist Marty Cobb

Frequently Asked Questions

Quick answers before you buy

5 questions
Do I need any other expansions to play?
No, you only need the Skulls of Sedlec base game. It's compatible with other expansions but doesn't depend on them.
How long does it take to learn the new rules?
Very quickly! It's just a few new cards with specific scoring rules. You'll be playing in about 2 minutes.
Does the expansion significantly change the game's complexity?
It doesn't change the basic complexity, but it adds a new 'balancing' scoring challenge that makes the game more interesting.
Can I play solo with this expansion?
Yes! It is fully compatible with the game's solo expansions.
What's inside the box?
The expansion is minimalist, consisting of 6 cards that you shuffle into the main deck.