
- BGG rank
- BGG #2,023
- BGG rating
- 7.3
Tramways
- 1–5 players
- 120 min
- Complexity 3.8/5
- 2016

Rules assistance for Clinic: Deluxe Edition – Biohazard
Plain-language explanations of turns, card effects and disputed situations, with official source references and saved question history.

What would you like to know?
Answers come from the official rulebook, with the page to check.
Clinic: Deluxe Edition – Biohazard is an expansion for Clinic: Deluxe Edition released in 2022 for 1–4 players, 60–150 minutes per game, and ages 14 and up. It was designed by Alban Viard and its main mechanics are Tile Placement, Three Dimensional Movement, and Simulation.
Biohazard is the 8th expansion of Clinic Deluxe Edition. At the time of publication it was advertised as the final expansion, but was followed in 2024 by a 9th expansion: 6th Extension. “To conclude the Clinic: Deluxe Edition series, I wanted to focus on the disposal and recycling of all the refuse produced when patients are treated. This final, lone expansion is compatible with all expansions, because it merely depends on having nurses and orderlies, which are part of the base game! If you can include Janitors from The Extension, you can experience my full vision. I know the janitors already have a lot of challenging work, but as CEO of my own game, I am now adding a new role to their job description: They must tend to biohazards!” —description from the rulebook
Clinic: Deluxe Edition – Biohazard supports 1–4 players according to the catalogue. This range comes from the publisher’s listed player count, so the game can be set up for any group size within it. Some setups, rules and scoring details may still vary by player count, so check your edition’s rulebook for the exact configuration.
The listed playing time for Clinic: Deluxe Edition – Biohazard is 60–150 minutes. This is the publisher’s estimate for a full game. The actual duration depends on the group, the player count and familiarity with the rules: first sessions usually run longer, while experienced groups often finish faster. Setup and teaching time are not included in this estimate.
The catalogue lists Clinic: Deluxe Edition – Biohazard for ages 14 and up. This is the publisher’s recommendation and reflects reading demands, rule complexity and small components rather than theme alone. Younger players can often join with help from an adult, so check the age guidance on your edition and consider your group’s experience with board games.
Clinic: Deluxe Edition – Biohazard has a complexity rating of 3.0 out of 5 from BoardGameGeek players, which makes it a medium-weight game. The rating reflects how much rules knowledge, planning and decision-making a typical game demands. Expect a longer first teach for heavier games, and use a preparation guide before game night.
Clinic: Deluxe Edition – Biohazard belongs to these categories: Economic, Territory Building, and City Building. Its main mechanics are Tile Placement, Three Dimensional Movement, and Simulation. Categories describe the theme and setting of a game, while mechanics describe what players actually do on their turns. Each mechanic links to a catalogue hub with similar games, which helps when you want something comparable.
The credited designers of Clinic: Deluxe Edition – Biohazard are: Alban Viard. These credits come from the published game data and name the people responsible for the game’s design, not its illustrators or publishers. Designer pages on MeepleRules collect other titles by the same designers, which helps when you enjoy a game and want to find similar ones.
The catalogue lists Clinic: Deluxe Edition – Biohazard as an expansion for Clinic: Deluxe Edition. Expansions add new content, rules or scenarios to the base game and usually cannot be played on their own, so you need Clinic: Deluxe Edition to use it. Check that your edition of Clinic: Deluxe Edition is compatible, as some expansions were revised between editions.