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Coughing is a tier 1 symptom. It makes people release the pathogen into their surroundings, increasing disease infectivity. Coughing makes a plague more effective in urban areas (+0.05).

Symptoms Combos

Trivia

  • This is the most expensive tier 1 symptom for standard plagues.
  • There is a coughing sound effect.
  • In the original Plague Inc. trailer, coughing is the one symptom that is specifically stated, until it mutated to become deadly.
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