The pathogen is partially based off of Toxoplasma gondii while the disease it causes is inspired by an episode from the "Futurama" TV series.The Neurax Worm is the only Special Plague that doesn't spawn a unique organisation dedicated to its destruction.The player must play as the Neurax Worm and make everyone happy again. People are forced to wear grey clothing, and holidays, laughter and any other form of Joy have been made illegal.
Land borders, airports and seaports have been shut down to reduce people's happiness down to zero. The Neurax Worm is also the scenario template in a scenario called Santa's Little Helper, where the world has turned into a dark and gloomy dystopia. It's available for purchase it for $2.99 USD or by beating all disease types on Brutal difficulty (mobile) or beating the Fungus disease on Normal or higher (PC). Its defining trait is the ability to burrow into the host's brain and exercise inner mind control from there. The Neurax Worm is a special disease type which was awakened from its millennia-long slumber by human activity.
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