Plague Inc. Wiki

Total Organ Failure is a symptom. It causes catastrophic cell death of multiple tissue types, which causes body-wide organ failure and rapid death. It increases severity by 20%, and lethality by 25%.


Total Organ Failure is one of the most lethal symptoms in the game, and the most lethal symptom for the standard plagues. Once evolved, it kills rapidly. Even wealthy countries will go down if enough people are infected. However, this extreme lethality increase is a double-edged sword. This symptom can backfire if not handled correctly.

Total Organ Failure should not be evolved before most of every countries' population is already infected for example: 75% of every country. It is commonly used to kill off the world's population rapidly, and is highly recommended to be used at the end of the game to end the game quickly. However, evolving it too early can often result in a game over, as all infected will likely die before they are able to infect all healthy people. If you want to kill people and infect people at the same time, Necrosis is your best option, with Dysentery and Systemic Infection also being good choices.