Evolving horrible symptoms too early, like internal hemorrhaging or pulmonary edema, will alert doctors to a public health crisis. Most playthroughs are pretty slow in the beginning. Although there are differences from real life disease for the purpose of gameplay or game development (true parasites, for instance, typically want to keep their host alive for as long as possible), the game’s infection model is accurate enough that the CDC has commented on it. Parasites are easier for humans to detect, and so on. Viruses evolve wildly and can be difficult to control. Fungi have a difficult time moving around on their own. Each class of plague has its own set of abilities based on its lifestyle, as you might expect. After that, evolving, developing, and moving the disease is all down to the player. You start by selecting which country to condemn first, before patient zero is stealthily infected. Each plague starts out very weak, with no abilities to its name.
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