Overcrowding and lack of sanitation lead to plagues [1, 4]. Players must invest in clinics, pharmacies, and bathhouses to maintain public health [1, 8]. 4. Economic Systems and Trade
Players must manage fundamental resources such as food, water, and fuel [2, 6]. Every citizen has needs that, if unmet, lead to decreased happiness, health, or death [1, 5]. Settlement Survival
Random events such as tornadoes, droughts, and earthquakes can devastate a thriving settlement in seconds, requiring players to build disaster-mitigation structures like floodwalls or fire stations [3, 4]. Overcrowding and lack of sanitation lead to plagues [1, 4]