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: Adds 34 new diseases, including 10 visual ailments like Wanderlust (craving adventure) and Blank Look (receding facial features).

: Optimized AI pathfinding to prevent staff from getting stuck in tight spaces or losing their way.

: Improved the display of Steam Workshop item icons and better handling for offline mod loading. Pebberley Island DLC Highlights

The expansion takes players to a tropical region to assist the eccentric millionaire in a quest for the fabled "Source of Eternal Life". New Hospitals : Pebberley Reef : A beach-themed level with extreme weather.

: Players can now hold Left Ctrl and click on an item to immediately copy it to their cursor for faster hospital building.