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Disease () is one of four types of tokens first introduced in the Branch and Claw expansion, alongside Beasts, Wilds, and Strife.
Disease tokens represent maladies and poor health. They reduce population: sometimes sharply, but more often by keeping growth in check. Disease is dangerous to the Dahan - not as devastating as was the case historically (thanks to their relationships with Spirits of healing and vigor), but some of the Token Events dealing with can harm the Dahan.