Includes: 5 wooden pill bottles (for use with the maternity expansion and alternatives for the punchboard ones from the base game) 1 helicopter mini 1 parking garage (base game upgrade) 1 screen printed birthing die new round tracker (base game upgrade) 4 wooden syringes (base game upgrade) 5th player expansion The 5th Player expansion adds everything you'll need to play the base game and the other expansions with a 5th player including: A new player hospital Extra nurse meeples Extra score tracker Extra Dice The Helicopter from the Community Care expansion acts as ambulance '0' - the 6th ambulance for a 5 player game. These will not be included in the retail version of the game but will be available to non backers at conventions and directly from the publisher's store at a much higher price.