CLINIC 4 EXTENSION AV Studio Games User Manual
- June 7, 2024
- CLINIC
Table of Contents
The Basement
Introduction
The 4th Extension is a special expansion for Clinic Deluxe Edition, following
The Extension, released with the base game in 2019, and 2nd Extension and 3rd
Extension, neither of which has been released yet due to the pandemic, which
has disrupted organized playtesting…. Don’t worry! Those two boxes will still
be released eventually. In the meantime, here is an unexpected treat, which
adds another floor to your clinic (but not the way you think), as well as
double-size tiles.
Designed by Alban Viard
Graphics by Todd Sanders
Rules by Nathan Morse
The Basement
Did you ever think about underground activities in a clinic?
Well, sometimes the oddest activities go on in the most remote areas of the
clinic…. Behind locked doors, in the shadows, a talented “surgeon” performs
the most delicate operations: A hidden room, flickering in a thin luminous
halo, hosts disquieting experiments…
Components
- 4 double-sided Basement player board extensions (Normal/Expert)
- 3 double-sided parallelogram Locker Room Module double tiles
- 3 double-sided parallelogram Boiler Room Module double tiles
- 3 double-sided parallelogram Dr. Funkenstein’s Laboratory Module double tiles
Normal Side
Expert Side
Setup
Each player places a Basement board below their Ground Floor player board.
For each type of double tile, put 1 fewer than the number of players near the
other available modules (return the others to the box). Fora 1-player game,
instead take 1 of each type, then return a random one to the box, and put the
remaining 2 near the other available modules.
Playing the Game
Phase 1: Actions
Execute Action
Action 1: Build
On your Basement board, you can only build the 3 new tiles. You cannot build
any components there from the base game or
The Extension 1 – 3; not even conveyors! However, same-color basement
modules are allowed to be adjacent to each other. Moreover, adjacent basement
modules do not cause the buildings above them to become connected.
In the even-numbered rounds, Rounds II, IV, and VI, when you choose the Build
action, in addition to the 2 components you can construct, you can construct
one of the three double tiles for $6.
Note that each tile is double-sided, so you can choose which way it is
oriented.
Note: Each clinic can have no more than 1 of each type of basement
module. Also, 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. You could use this, for example, to take a new doctor directly
through the locker room, or have an incoming patient meet an existing patient
in Dr. Funkenstein’s Laboratory, or use the long basement modules as a
shortcut (read on to learn about all of these possibilities)….
Move
People (patients, doctors, nurses, orderlies…) can move down to the basement
as usual; however, 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
grould floor spaces: Each space costs 1 time.
Locker Room: A doctor that moves through your locker room levels up
(it’s amazing what a clean change of clothes does for you); however, your
locker room can only be used twice per round.
Example A: The yellow doctor moves down from the psychiatry treatment
room on the ground floor to the locker room for a quick change of clothes,
which takes 1 time, then must return to the ground floor to treat a patient in
the cardiology treatment room 2 spaces west of the psychiatry treatment room.
The doctor (now orange; thanks to the locker room) takes advantage of the
double-size locker room to do this in just 2 time, moving up to the space
between the treatment rooms, then west to the cardiology
treatment room. So, the doctor’s entire move takes 3 time: 1 to go down, 0 to
move to the west end of the locker room, 1 to go up, 1 to go west.
Dr. Funkenstein’s Laboratory:
By moving 2 same-color patients to Dr. Funkenstein’s Laboratory, “Dr.
Funkenstein” (the mechanized surgeon unit there) will very quickly swap a few
“interchangeable parts”,
worsening both patients, after which they must immediately return to
modules that can treat them for the same services from which they came;
however, Dr.Funkenstein’s Laboratory in your clinic can only be used once
per round (i.e. to worsen one pair of patients).
Note: The patients don’t have to start in a module: One or both of the
patients can come from Pre-Admissions, on their way to their treatments.
Example B: In both your ground-floor cardiology treatment room and your psychiatry treatment room, you have a yellow patient. You move the psychiatry patient down, then south to Dr. Funkenstein’s Laboratory; 2 time. You move the cardiology patient east, down, south to Dr. Funkenstein’s Laboratory; 3 times. Dr. Funkenstein optimizes which patient has which parts with alarming efficiency, after which they become orange and return to their rooms; 5 more times (2 + 3). So, for a total of 10 times, two patients went from yellow to orange. Fortunately, your clinic can provide precisely the services they need….
Module Capacity: Basement modules have a capacity of 0:
Doctors cannot hide in their lockers for a quick nap; they must return to work
in their usual locations. The boiler room is too hot for anyone to stay in
there, and nobody wants to spend any time in Dr. Funkenstein’s creepy horror
movie set.
Phase 2: Business
Expenses
Pay Your Employees
Boiler Room: The poorly insulated boiler room makes the modules directly above
it on all floors nice and toasty; it’s so comfortable that you do not
need to pay employees in those modules!
Facility Upkeep
Each basement module costs $3 to maintain.
Boiler Room: Because the poorly insulated boiler room warms all of the
modules directly above it on all floors already, 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.
Example C: Phase 2: Business, Expenses step — first, it’s time to pay
your staff. The orange doctor and the orderly on the ground floor are both
above the boiler room, so you do not need to pay them; this would be true
even if they were on Floor 1 or higher. You must pay everyone else, though: 1
white doctor × $1 + 2 nurses × $1 + 1 orderly × $1 = $4.
Next, it’s time to pay facility upkeep. One supply room and one treatment room
are above the boiler room, so you do not need to pay upkeep for those. That
leaves 3 basement rooms × $3 + 4 other modules × $1 + 1 garden × $1 = $14. $14
− 2 orderlies × $3 = $8.
End of the Game
Each basement module is worth 4 Popularity.
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