Galenus Rulebook

Table of Contents

Table of Contents

• Goal of the Game
• Components
• Player setup
• Roma Board setup
• General concepts
• Sequence of play
  • Work Phase
• Your Villa
  • Recruit patients
  • Treat patients
  • Publish works
• Roma
  • Baths
  • Arena
  • Regions
  • Journeys
    • Shop
    • Work on a project
• Contest Phase
  • Preparation
  • Presentation
  • Adjudication
• New Year Phase
• Final Scoring
• Solo Mode
  • Extra Components
  • Solo Setup
  • How to win
  • Solo Sequence of play
    • Work Phase
    • Contest Phase
    • The New Year phase
  • The Dignitaries
  • Difficulty Levels
  • The Pergamon cards for solo mode
• The Asymmetric Villas
  • Eudemus the Sofist
  • Epigenes the Patrician
  • Teuthras the Archiatros
  • Boethus the Anatomist
  • Martianus the Eristratean
  • Scribonia the Midwife
  • Flavius the Lemnian
  • Maximianus the General

Goal of the Game

The goal of the game is to enter Galenus' inner sanctum by earning his respect, either by possessing four more notable works than any other player at the end of any year or by having the most positive impact at the end of five years.

You make a positive impact (gain impact points or IP) by treating patients, publishing works, and completing projects. You make a negative impact (lose impact points) by depleting your health and focus, and neglecting your patients.

Components

Printed components

• 1 Rulebook
• 1 Roma board
• 1 Skillboard
• 8 double sided villas
• 36 double sided Regio cards
• 3 region deck cover cards
• 10 journey cards

Punch out components

• One 1st player marker
• 4 bidding dials, 1 per player color
• 12 books (6 Galenus, 6 Hippocrates)
• 28 herbs (7 per color)
• 3 sect doctrines

Wooden components

• 24 mediples, 6 per player color
• 4 contest markers, 1 per player color
• 16 skill markers, 4 per player color
• 4 impact markers, 1 per player color
• 4 philosophy markers, 1 per player color
• 4 reputation markers, 1 per player color
• 4 health markers, 1 per player color
• 1 Galenus pawn
• 30 notable works
• 100 patients (25 sanguine, 35 phlegmatic, 15 choleric, 25 melancholic)

Player setup

Each player chooses a color and takes...

A. 1 randomly assigned villa.

• Players may choose to play with asymmetric powers or not.
• Players may choose a villa in reverse player order instead of random assignment. B. 6 mediples of their color (each representing two months of their work effort) placed in their villa's living quarters. C. 1 contest marker of their color, placed at the start of the contest track. D. 1 impact marker of their color, placed at the start of the impact track. E. 4 skill markers of their color, placed at the start of the 4 skill tracks. F. 3 attribute markers of their color (philosophy, health, and reputation) placed on their starting spaces (marked with a dot) on the attribute tracks of their villa. G. 1 bidding dial of their color placed near their villa. H. Randomly select a first player who takes the first player marker. Turns will proceed clockwise from this player.

Roma Board setup

I. Place all of the notable works, patients, books and herbs in a supply next to the Roma board. J. Place 4 notable works from the supply on each bold line, one on each column, 12 total. K. Add four sanguine patients to the arena (these represent gladiators). L. Separate the region cards into their respective decks (Patrician, Plebeian, Peregrini), shuffle each of them, and place the decks close to the Roma board with a region deck cover on top.

• Take the bottom card from each deck and place them "summer" side up on their respective spaces on the Roma board.
• Add the indicated number and type of patients to each region card from the supply and add or remove gladiators in the arena as indicated. M. Shuffle the journey cards and place them face down next to the Roma board.
• Take the top journey card and place it face up on the indicated space on the Roma board.
• Add the indicated number of herbs and/or books to the journey card.
  • There is no difference between Galenus and Hippocrites books.

General concepts

Before we begin, here are a few general concepts that apply to this game:

The Golden Rule: If any text in the game contradicts these rules, the game text takes precedence.

Component Limits: Patients, notable works, and books are not limited. In the unlikely event that you run out of them, use whatever replacements you like.

Sequence of play

The game is separated into three phases: work, contest, and new year.

Work Phase

During this phase everyone takes a turn in clockwise order deciding whether they want to plan or get results. You can start getting results while other players are still planning.

• If you choose to plan:
  • Take one of your unplanned mediples (representing approximately two months of work effort) from your villa's living quarters and place it in your villa's atrium or a planning space on the Roma board. This represents part of your plan.
    • Until you get results, you must place one mediple per turn either in your villa or on the Roma board. Your villa can accept multiple mediples, but only one of your mediples can be placed in any other planning space on the Roma board.
• If you choose to get results:
  • You may no longer plan for the rest of the year.
  • If this is your first turn getting results, move any unplanned mediples in your living quarters to the preparation space in the theater (you're spending this extra time preparing for the medical contest).
  • If you are the first person to get results, you must choose what the contest subject is. Pick one of the four patient types and place a patient of that type from the supply in the contest subject spot.
  • You must then choose any mediple that is part of your plan and move it into an available action space in that section and perform the corresponding action.
  • On your next turn repeat the above step until no more of your mediples can get results, then pass your turn until no one else's mediples can get results.

Once no more mediples of any player can get results, proceed to the contest phase.

Your Villa

Your villa is separated into five sections.

1. Living quarters: where your unplanned mediples live.
2. Garden: store your herbs and manage your attribute track here.
3. Hospital: take in and treat patients here.
4. Office: store books, sect doctrine, and publish your own works here.
5. Atrium: place your mediples here when you choose to plan in your villa.

Before we discuss what actions you can perform in your villa, let's go over your attribute track:

A. Focus: You gain focus by treating patients. You lose focus when your health is depleted. If your focus track is full, you instead increase your philosophy. B. Philosophy: you gain philosophy either by acquiring books or extraneous focus. You lose philosophy when you publish or bid in a contest. If your philosophy track is full, you instead increase your reputation. C. Reputation: you gain reputation when you treat choleric patients (1). You lose reputation when you recruit patients into your home or enter the arena. If your reputation track is full, you instead decrease your health. (2) D. Health: you gain health when you visit the baths. You lose health when you treat phlegmatic patients. If you need to lose health but your health is at zero, you must instead lose focus. If you do not have focus to lose, you must instead lose impact points.

(1) These include diseases of excess like gout, jaundice, and diabetes which were suffered mainly by the higher classes who were more influential in society. (2) Become too popular in Ancient Rome and your enemies will make sure you suffer for it.

PLAN: When you choose to plan at home, you place your mediple in your villa's atrium.

GET RESULTS: Once you choose to get results, you can take one of those mediples and place it somewhere in your villa to perform an action. There are three actions you can perform in your villa.

Recruit patients

1. Move 1 mediple from the atrium to the hospital.
2. Decrease your reputation by one. If you do not have reputation to lose, you cannot perform this action.
3. Take one patient of your choice from each of the three region cards and place it in your hospital. You do not get the region card's clearing bonus (see Figure X) if you recruit the last patient from a card.

Treat patients

1. Move 1 mediple from the atrium to the hospital.
2. You can treat up to the four different types of patients with one treatment action. The amount of patients you can treat depends on your skill level in each of the four respective humors (see Figure 1) and the number of herbs you use.
   • a. You may treat one extra patient over your skill level for every herb you expend of the same color. Herbs are acquired during journeys, described later in these rules.
3. When you treat any patient, you may choose to gain impact or focus.
   • a. If you choose to gain impact points, return the treated patients from the hospital to the supply and increase your impact marker by 1 per patient.
   • b. If you choose to gain focus, place that patient on an available space on your focus track. It is now considered focus.
     • i. If your focus track is full, you can choose to either exchange it with focus already on your focus track, discarding the old focus and gaining no additional benefit, or return the new focus to the supply and increase your philosophy by one.
4. If you treat any number of choleric patients, increase your reputation by 1. If you treat any number of phlegmatic patients, decrease your health by 1.
5. When you are done treating patients this turn, you can then increase your skill by 1 on any one humor track corresponding to a patient type you treated. You may not cross bold publication lines.
   • a. Only one player may advance to the top spot of any skill track, at which point that player becomes primus inter pares for that humor and gains 8 impact points.

Publish works

1. Move 1 mediple from the atrium to the office.
2. In order to publish a work you need:
   • a. Your skill marker to be next to a bold publication line corresponding to the humor you're writing about.
   • b. The amount and type of focus necessary to publish that level of work (e.g. the first bold line requires one focus in that humor, the second bold line two, etc.). You can expend philosophy to make up for all but one of the focus required.
3. If you meet the requirements, you may publish:
   • a. Return the necessary focus to the supply and expend as much philosophy as you need.
   • b. Move your skill marker over the bold line.
   • c. Gain 2 impact points.
   • d. If you are the first to publish at a certain level (i.e. there is a notable work on the publication line) then you have published that notable work. Take it and place it in your villa's library.

Figure 1: This is the skill board, representing your skill in the four humors (blood, phlegm, black bile, yellow bile). After any treatment action you can move one of your skill markers across a thin line on any humor's skill track corresponding to a patient type you treated. The bold lines can only be crossed when you publish a work.

Roma

Now let's look at the Roma board, where the rest of your work actions are done. The Roma board is separated into the baths, arena, regions, theater, and journeys.

Baths

PLAN: If you choose to plan in the baths, place your mediple in the planning area.

GET RESULTS: Once you choose to get results, you may either heal or join a sect.

1. Heal
   • Place your mediple in one of the heal spaces.
   • Increase your health to its maximum level on the health track.
2. Join a sect
   • If you do not already have a sect doctrine, you may place your mediple in the join a sect space. Only one mediple may be placed here per year.
   • Grab one of the available sect doctrines and place it in your office. This sect doctrine gives you a one time special ability; turn the tile over once you've used it. It also gives you a tiebreaker during contests; higher numbers are better.
     • You never change, lose, or have more than one sect doctrine.

Arena

PLAN: If you choose to plan in the arena, place your mediple at the entrance.

GET RESULTS: Once you choose to get results, you have to spend one reputation to move your mediple inside and get results. If you do not have reputation to spend, that mediple cannot get results this year.

Once you enter the arena you may treat gladiators (sanguine patients). You treat gladiators the same way you treat patients in your villa, except:

• First in line: If you are the first to get results at the arena, you may treat one extra gladiator above your skill level. Place your mediple in the first in line space.
• Learning: If another player has already treated a gladiator this year, and you have less skill in the blood humor than this player, you may learn from them and increase your skill in the blood humor two steps if possible.
  • Remember: you can only pass a bold line by publishing.
• If there are no gladiators left to treat, your mediple cannot get results this year.

Regions

The three region spaces on the Roma board represent the three classes in Ancient Rome: Patricians (noble citizens), Plebeians (common citizens), and Peregrini (non-citizens, who represented the majority of the Roman Empire).

Let's look at the anatomy of a region card.

A. Class: this shows you where to place the card and the class of patients in this region and gives some indication as to what type of patients to expect. B. Seed Numbers: The number and type of patients to seed the region with when it is placed or flipped. C. Clearing bonus: this is the amount of impact points you get when you treat the last patient in the region.

• Reminder: you do not get this bonus if you recruit the last patient into your villa, as this patient has not yet been treated. D. Season: cards have "summer" and "winter" sides that give you different clearing bonuses for treating the last patient in the region. E. Event title: the title of the event occurring in this region. Events on the "summer" side may give some indication of what to expect in the winter. F. Event text: some background for the event; it has no significance for gameplay. G. Planning space: where you place your mediple when you plan in a region, and where patients wait to be treated. H. Treatment: where you place your mediple when you get results to treat patients. I. Project: the action one player may perform instead of treating patients.

PLAN: If you choose to plan on a region, place your mediple in the planning space.

GET RESULTS: Once you choose to get results, you may either move your mediple to a treatment space or the project space. Only one player may work on a project. If you cannot treat patients or work on a project, your mediple cannot get results.

1. Treat patients
   • You treat patients just as you would in your villa.
   • You learn from other players, just as you would in the arena.
     • It does not matter what type of patient the other player on this region treated when gaining the extra level of skill, but it must correspond to a patient you treated. (Example: if you treat a phlegmatic patient and someone with higher skill in phlegm has already treated any type of patient in that region, you may move your skill up two in the phlegm track.)
   • If there are no patients left to treat, then you cannot perform the treatment action.
2. Work on a project
   • Perform the project action exactly as described, if possible.
   • If you do not have the requisite skill or there are not enough patients to perform the action exactly as written, then you cannot perform the project action.

Journeys

The journey card represents a journey you may take to another city under Roman rule to acquire herbs, books, or partake in projects.

Let's look at the anatomy of a journey card.

A. Location: where this journey takes place, with some historical information about this journey. B. Seed numbers: the number of herbs and books to be added to this journey card when it is drawn. C. Planning space: place mediples here when you plan. D. Project: Available to one mediple; you may work on the indicated project here. E. First in line: Available to one mediple; you may acquire extra herbs or books when you shop. F. Leftovers: Available to all subsequent mediples; you may acquire one herb or writing when you shop.

PLAN: If you choose to plan on a journey card, place your mediple in the planning space.

GET RESULTS: When you get results, you can either shop or work on a project.

Shop

• Once you choose to get results, you may move your planned mediple to the first in line space if it is empty. Then acquire two herbs or books in any combination and place it in your villa.
  • In a 2p game you may acquire three herbs or books in any combination.
• Otherwise, you may move your planned mediple to a leftovers space and acquire one herb or writing and place it in your villa.

Why do I want herbs and books?

Herbs allow you to treat patients more effectively. Whenever you perform a treatment action, you can expend an herb to treat an extra patient of that color over your skill level. Also, if you have all four herb types in your possession during final scoring, you can make theriac which is worth 10 extra impact points.

Books can be expended to increase your philosophy by 2. You may do this at any time during your turn, or during preparation in the contest phase described later. If you cannot increase your philosophy, instead increase your reputation.

Work on a project

• Instead of acquiring you may move your planned mediple to the project space if it is empty, and perform the indicated action on that space.

Once every player has gotten results with all their mediples, move on to the contest phase.

Contest Phase

During this phase everyone does their preparation and presentation to see who is most skilled in the year's contest subject, then you reward prizes during adjudication.

Preparation

• Every player decides, in player order, if they want to discard any books to gain philosophy.
• Every player moves their contest marker up a number of spaces equal to the number of mediples they have in the preparation space in the theater. This represents the time you spent this year preparing for the contest.
• Every player then moves their contest marker up a number of spaces equal to the number of publications they have made in the contest subject (i.e. how many bold publication lines you've crossed in that humor's skill track).

Presentation

• Every player then grabs their bidding dial and secretly places a bid equal to the amount of philosophy and focus they have of the contest subject that they would like to spend on this contest. Any philosophy and focus you bid will be lost regardless of the outcome.
• Once every player has dialed in their bid, reveal them and move your contest marker that many spaces up on the contest track. Discard any philosophy and focus you bid.

Adjudication

• Check to see which player is furthest up on the contest track. If there is a tie, the player with the highest numbered sect doctrine wins. If no player has a sect doctrine, the player who bid the highest wins. If there is still a tie, the player who is ahead in turn order wins.
• Award prizes as follows...
  • First place: Take the first player token and a notable work from the supply, then increase your reputation by 3.
  • Second place: Increase your reputation by 2.
    • In a 2p game there is no award for second place.
  • Third place: Increase your reputation by 1.
    • In a 3p game there is no award for third place.
• Regardless of how they did in the contest, if any player has passed Galenus, or tied him and holds a sect doctrine, they gain a notable work from the supply. Beating Galenus is something worth writing about!

Once everyone has received their spoils from the contest, it's time for the new year.

New Year Phase

At the end of the year determine if anyone has won, otherwise prepare for the new year.

1. Check to see if any player has four more notable works than any other player. If so, that player earns the respect of Galenus and enters his inner sanctum, thus immediately winning the game. Otherwise continue with the new year phase.
2. Place Galenus in his starting position, then move him down as many spaces as there are regions with untreated patients. This represents the time he has to spend making up for your inadequacies instead of preparing for the next contest.
3. Reset contest markers to their starting space and return all mediples to their villa's living quarters.
4. Empty the arena of gladiators (they died of their injuries) and add four new gladiators.
5. Discard the journey card, along with any herbs and books on it, and replace it with a new one. Seed the journey card with the indicated number of herbs and books.
6. Flip any "summer" region cards without patients to their "winter" side and seed the card with the indicated number and type of patients and add or remove gladiators as listed on that region card.
7. Discard any "winter" region cards without patients and replace them with new region cards of the same class, seeding them with the indicated number and type of patients and also add or remove any gladiators listed on that region card.

Final Scoring

At the end of the fifth year, if no one has four more notable works than any other player, instead proceed to final scoring.

• Add 2 impact points for every notable work you have.
• Add 1 impact point for every philosophy you have.
• Add 10 impact points if you can make a theriac (have one of every herb type). You cannot get this bonus more than once.
• Subtract 1 impact point for every patient still in your villa's hospital.

The player with the most impact wins, becoming Galenus' closest confidant.

In case of a tie:

1. The player with the most skill markers on primus inter pares spaces wins.
2. If still tied, the player with the most publications (crossed the most bold lines) wins.
3. If still tied, the tied players enter Galenus' inner sanctum and share the victory.

Solo Mode

Before finding fame in Rome, Galenus worked in his hometown of Pergamon to gain renown. In this solo variant you play a young Galenus, trying to gain favor from local dignitaries and impress your teachers. Will you meet your goals and move on to Rome, or are you not yet ready for the big city?

Extra Components

• 4 "Perga" cards
• 4 "Mon" cards
• 5 dignitary cards
• 2 brown mediples

Solo Setup

Set the game up as in a normal 4 player game with the follow exceptions:

A. You are the beige player. B. Shuffle the "Perga" cards and the "Mon" cards, then flip over one "Perga" card and one "Mon" card. Combined, they make up your four goals. C. Place the four dignitaries above the skill tracks, one above each column.

• There are two brown dignitaries, depending on if you're playing an easy game or not. Choose Nicon the Architect for an easier game. D. Shuffle all of the region cards together and draw four region cards, one on each region space (class doesn't matter) and another one right below them. E. Place the Galenus pawn in the 1st (lowest) position of the contest track, this represents you. F. Randomly place a grey, green, purple, and brown mediple on the contest track in the 2nd, 3rd, 4th, and 5th positions.
• Each of these mediples represents one of the dignitaries and shall henceforth be referred to as a dignitary mediple. G. Place a dignitary mediple of each color on the region card relative to its position on the contest track. For example, if the black mediple is the highest on the contest track, place a black mediple on the top most region card. If a green mediple is at the bottom of the contest track, place it on the bottom most region card. H. On the skill track only place your markers and grey's markers.

How to win

You win the game by completing all four goals on the "Perga" and "Mon" cards you drew by the end of the fifth year. You can increase or decrease the difficulty level using the conditions listed later in these rules.

Solo Sequence of play

The solo game works like a regular 4 player game, except for the following changes:

Work Phase

There is no "plan" in the work phase. On your turn you take a mediple from your living quarters and place it directly in the action space you want to perform.

The dignitaries each have a special action, listed on their card, that they perform in the same order as their place on the contest track. At the start of every work phase the highest dignitary mediple on the contest track will do its special action, and then the next one down will do its action, etc. until it reaches your mediple, at which point you can do all of your actions. If there is ever a tie on the contest track, the leftmost mediple goes first.

Learning

• When treating patients you may increase your skill level by 2 for that humor if the dignitary mediple in that region matches the dignitary card on that humor track. If the dignitary card is removed, you do not get to learn from them.
  • EXAMPLE: You treated a choleric and phlegmatic patient in the Patrician region. You decide to increase your skill level on the phlegm track, and because the purple dignitary mediple is in that region and the purple dignitary card is still on the phlegm track, you can increase your skill level by 2, as long as you don't cross a publication line.
• You will never learn from someone in the arena.

Baths of Trajan

• You can acquire multiple sect tiles during the game, your tiebreaker is the highest number amongst your tiles.

Pompay Theater

• Placing a mediple in the "contest subject" space allows you to switch the position of two dignitary mediples on the contest track.

Completing Goals

• If at any point you achieve a goal, remove a dignitary card of your choice from the skill track and its pieces from the game. That dignitary no longer performs its action and you can no longer learn from him.

Contest Phase

The contest phase works the same as in a 4 player game, with these exceptions:

• There is no contest subject. Instead, you only move up equal to the number of your unplanned mediples and how much philosophy you choose to bid.
• Only you earn prizes, depending on if/where you placed in the contest.

The New Year phase

The New Year phase works the same as in a 4 player game, with these exceptions:

• Galenus is reset to the bottom of the contest track.
• Rearrange the dignitary mediples on the regions to match their new places on the contest track.

The Dignitaries

Satyrus the Physician (Grey): Galenus' teacher. Treat all patients in their current region.

Pelops the Physician (Green): Galenus' teacher, student of Quintus. Attempt to treat all four patient types starting with the topmost region, moving down to the next region until every patient type has been treated. If Pelops successfully treats every patient type move all his skill markers up to just below the next publication line. If this marker was already next to a publication line, cross it, remove the notable work, and move it up to just below the next publication line.

Asiarch the High priest of Pergamon (Purple): Entrusted the Gladiators of Pergamon to Galenus alone. Remove all of the gladiators from the arena.

Theagenes the Cynic (Brown): an especially memorable patient who in Galenus's opinion lived an ideal lifestyle. Discard the top three herbs and/or books listed on the current journey card, or as many as are available up to three.

Nicon the Architect (Brown): Galenus' father oversaw his education. Treat one patient of your choice from the region Nicon is in and raise your skill level on the respective humor track one step, as long as you don't cross a publication line.

Difficulty Levels

• Easy: Replace Theagenes the Cynic with Nicon the Architect.
• Normal: No changes to the solo rules.
• Intermediate: Place the "Perga" card above the "Mon" card. When you complete a goal, you may now only remove the dignitary in the same position (e.g. if you complete the second goal, remove the dignitary in the second region from the top).
• Hard: Same as "Intermediate", but you must gain 40 IP and six publications by the end of the fifth year.
• Extreme: Same as "Hard", but you must gain an extra 5 IP, and the dignitaries start one space up on the contest track.
• Legendary: Same as "Hard", but you must gain an extra 10 IP, a theriac, and dignitaries start two spaces up on the contest track.

The Pergamon cards for solo mode

"1. Perga"

• Publish at least once in every humor subject.
• Have your philosophy, reputation, and health tracks at their highest levels simultaneously.

"2. Perga"

• Recruit 4 patients of the same type with one action.
• Reach a primus inter pares space.

"3. Perga"

• Make two second level publications.
• Act first during any year.

"4. Perga"

• Gain four notable works.
• Have 3 philosophy, reputation, and health simultaneously.

"1. Mon"

• Treat ten patients of the same type in one year.
• Gain 4 philosophy from excess focus alone.

"2. Mon"

• Go from 0 to 4 reputation, and back to 0 over the course of the game.
• Treat six patients of one type in one action.

"3. Mon"

• Treat two patients of each type in one year.
• Collect one of each herb color.

"4. Mon"

• Collect three herbs of the same color.
• Treat four patients each of two different types in one action.

The Asymmetric Villas

The asymmetric sides have special abilities and slightly different attribute tracks for players that want a little more variety in their play.

Eudemus the Sofist

Greek culture was so revered in Rome that Greeks could manage without speaking a word of Latin. Sofists were honored teachers, orators, and carriers of Greek culture. Galenus cured Eudamus of semitertian fever; he predicted the fever spikes with astonishing accuracy.

• Philosophy track has five levels and starts at the highest level.
• Gets the starting player token at the beginning of the game.

Epigenes the Patrician

The esteemed Epigenes recommended that Galenus treat a friend of the chancellor, leading to his first visit to the imperial palace and eventually becoming doctor to four Roman emperors.

• Reputation track has five levels and starts at the highest level.
• Never loses health for excess reputation.
• Receives one reputation per choleric patient treated instead of one per action.

Teuthras the Archiatros

The archiatri were community doctors. They were exempt from taxes, employed by the state, and obliged to serve a specific municipality. Teuthras was a friend and colleague of Galenus to whom he wrote some of his more polemic correspondence.

• Reputation track has six levels and starts at the highest level.
• Every time your health hits the top level, gain 1 IP.
• Every time you use an herb during treatment, gain 1 IP.

Boethus the Anatomist

Boethus was a wealthy student of anatomy who sponsored some of Galenus' most extravagant events, such as his elephant dissections.

• Has four focus slots.
• If your focus track is full and you gain excess focus, also gain 1 IP.

Martianus the Eristratean

Martianus was a doctor and a part of the Eristrateans who Galenus warned against too much bloodletting. He was also a famous rival competitor against Galenus himself.

• Starts with 4 reputation.
• When you heal in the baths, gain 1 IP.
• You can use the "Join a sect" space even if occupied.

Scribonia the Midwife

Galenus held midwives in high regard for their ability to deliver babies and treat other female ailments. His first publication "On the anatomy of the uterus" was written for them.

• During setup add patients from the supply to the indicated spaces.
• If you treat patients in a region, you may also include one of these patients as if they were in that same region.

Flavius the Lemnian

The earth in Lemnos was known for its medicinal properties. Flavius was a member of the Philostrati, a prominent Lemnian family.

• You always shop for herbs and books as if you are first in line.

Maximianus the General

Galenus was ordered to join the campaign of Marcus Valerius Maximianus, an important general during the Marcomannic wars.

• Health track has five levels and starts at the highest level.
• Can always treat one extra sanguine patient, if available.