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Pandemic: Iberia FAQ

67 questions players ask · Updated Nov 7, 2026 · Full rulebook

Board and SetupActionsPurification TokensEpidemics, Infections and OutbreaksEvent CardsRolesInflux of Patients ChallengeHistorical Diseases ChallengeGame End

Board and Setup

  • What do the arrows on the Pandemic: Iberia board mean?
  • What counts as a region on the Pandemic: Iberia board?
  • Do you discard your starting city card after choosing where to start?
  • Can you build a hospital in your starting city on the first turn?
  • Are the challenges optional, and can they be combined?
  • Do Historical Disease effects apply to the nine cities infected during setup?

Actions

  • Can a railroad be built on a dashed line?
  • Which city card do you discard to Move by Ship?
  • Do you need a card to travel to Palma de Mallorca?
  • How many cubes does Treat Disease remove, even after the disease is researched?
  • When a disease is researched, can cubes of that colour still be placed?
  • Do I need a hospital of every colour to win?
  • How many railroad tokens does it take to connect two cities?
  • Can I treat cubes in different cities in the same turn?
  • Who can do Purify Water, and which cards pay for it?
  • After a disease is researched, can its cards purify any region on the board?
  • Do players keep their hands face up?

Purification Tokens

  • Does a purification token stop an outbreak in a city that already has 3 cubes?
  • Must I remove a purification token when a cube would be placed next to one?
  • How do purification tokens work against an Epidemic's Infect step?
  • Where does a purification token go after it prevents a cube?
  • Is there a limit to purification tokens in one region?
  • Are purification tokens placed on cities or in regions, and whom do they protect?
  • Who chooses the order in which outbreak and infection cities are resolved when a purification token could protect more than one?

Epidemics, Infections and Outbreaks

  • Does an outbreak happen at 3 cubes in total, or when a colour would get a 4th cube?
  • If a chain-reaction outbreak hits a city whose own Infection card comes later, does it outbreak again?
  • When an Epidemic draws the bottom Infection card, is it discarded before the reshuffle?
  • Can I play an Event card between the steps of an Epidemic?
  • If I draw an 8th card, can I use it to research before discarding?

Event Cards

  • When can One More Day be played?
  • Who takes the City card when Second Chance is played?
  • How does Government Mobilization work with cards, Sailor and Railwayman?
  • Do the 3 railroads from Ring Railroads have to connect to each other?
  • Where can Hospital Founding place a hospital, and does it remove cubes?
  • Can Event cards be played on another player's turn?
  • Do Mail Correspondence and Telegraph Message need the players in the same city?
  • Can Science Triumph remove cubes from any region?

Roles

  • Can the Rural Doctor remove a cube from an adjacent region if his own city has none?
  • How far can the Rural Doctor reach with his extra cube?
  • Can the Rural Doctor use his ability on every Treat Disease action?
  • How many actions does the Rural Doctor need to remove a Typhus cube?
  • Does the Sailor need a card to sail?
  • Can the Railwayman pick up or drop off passengers along the way?
  • Does the Railwayman's two-rail build cost one action, and must the rails continue in a line?
  • What does the Nurse's prevention token stop?
  • Must the Nurse's token move when she moves?
  • Does the Agronomist's single token action need a card?
  • Can the Royal Academy Scientist share what she sees on the top 3 cards?

Influx of Patients Challenge

  • Do the Nurse's prevention token or purification tokens affect moving patients?
  • Must the patient I move toward a hospital match the hospital's colour?
  • How exactly is a hospital overrun resolved?
  • If I build a hospital that moves an existing one, are cubes removed from the new city?
  • Does building a hospital remove cubes in a normal game?
  • How does a patient pick its route, and can it ride the railroad?
  • How many patients move per turn?
  • Can a patient hop from port to port?

Historical Diseases Challenge

  • Do Yellow Fever cubes chain through port cities?
  • How many Yellow Fever cubes go to neighbouring ports on an Epidemic?
  • Does Yellow Fever apply to the port city that is outbreaking?
  • Do moved cubes trigger Yellow Fever or Cholera in Influx of Patients?
  • Can Typhus's two actions be split across turns, and do Events obey it?
  • Does Malaria's extra black cube apply to cubes placed by outbreaks?
  • How do purification tokens interact with Malaria's double cube?
  • Does Malaria add extra cubes when an Epidemic infects a black city?
  • With Typhus, can the Rural Doctor treat a red cube in his city and an adjacent city for one action?

Game End

  • Does the game end immediately when the last disease is researched?
  • When do you lose because the Player deck runs out?