I love this expansion, thematically it really adds to the game.
I don’t find it slows the game down, it is still 4 actions per turn (so no extra actions). I guess it might for the first couple of plays until you get the rules down.
In terms of difficulty, it adds difficulty in term of more actions needed to cure a disease, but it takes away the need to meet up and exchange to get 5 cards (which saves a lot of actions).
IMHO I think overall it makes the game SLIGHTLY harder, but not but much. I also think it makes the game much more interesting and it really drips theme.
I don’t find it slows the game down, it is still 4 actions per turn (so no extra actions). I guess it might for the first couple of plays until you get the rules down.
In terms of difficulty, it adds difficulty in term of more actions needed to cure a disease, but it takes away the need to meet up and exchange to get 5 cards (which saves a lot of actions).
IMHO I think overall it makes the game SLIGHTLY harder, but not but much. I also think it makes the game much more interesting and it really drips theme.