Like it on Normal; reasonably challenging for a decent chunk of time, small map is interestingly different from A New Home, Hate it on Extreme. too much 'find the perfect answer tuned to the exact sequence of events that occurs in the early game', not enough general system mastery focus. Overmuch emphasis on RNG influence re: illness amounts and distribution. Actually has Discontent game over a real possibility, but heavily through 'cheap shots', like a wave of 15 Workers showing up already hungry.