First big expansion for the basic game Clinic released inside an awesome real Medical Dossier. It contains the following: 4 new big tiles for the common board that allow new abilities for the doctors, the nurses and the staff one Dormitory one cafeteria one ambulances area one maintenance shop 48 Urban Design Cards which shows a structure in 3 D That the players have to build in 3 levels of complexity a fifth floor for the hospital directors who want to touch the sky 8 big grey cubes "the Janitors" That upkeep the corridors/Elevators 12 players cubes for the new buildings rules