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7 points

I mention farming below. Plumbing, well depends on population. We can shit in the field like we did for millennia. It’s just fertilizer.

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20 points

Also a Cholera breeding ground. Which is why for centuries more people died in cities than were born, despite having no access to contraception.

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10 points

That’s where the science and technology comes in.

Also, isn’t plumbing a technology? Or does it have to be in the Civ VI Technology tree to be recognised as one? I know Agriculture and Animal Husbandry is

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3 points
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Depends on population level. Don’t need plumbing until towns get to the size that outhouses don’t work. Just need soap to wash our hands.

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