From the publisher’s rulebook
Who goes first in Plague Inc.: The Board Game?
Ndemic Creations English edition, 2016

The person who washed their hands most recently starts.
Rule details
Play then proceeds clockwise.
Starting DNA Points depend on turn order: the first player starts at 0, the second at 1, the third at 2, and the fourth at 3.
Source & edition
- Plague Inc.: The Board Game: English rulebookNdemic Creations Ltd · Turn Order and Starting DNA Points; credits · Checked 2026-09-24Printed page references: 2, 8
Image: © Ndemic Creations · Ndemic Creations
If your rules call for a random choice, use the player picker.
If there’s a tie
The rulebook doesn’t say. If you need a tie-break, pick a player at random.
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