High Score/Plague Inc: Evolved

RANK		EPI/PANDEMIC	CONFIRMED KILLS	ACTIVE	DISEASE TYPE
1		Black Death	~150 million	1346–1353	Bubonic plague
2		Spanish flu	20–100 million	1918–1920	Influenza (the flu)
3		Plague of Justinian	15–75 million	541–549 (oldest major outbreak)	Bubonic plague
4		HIV/AIDS	42 million	1981–present	As self
5		COVID-19	7–28 million	2019–present	Coronavirus
6		Third plague pandemic	~13 million	1855–1960	Bubonic plague
7		Cocoliztli Epidemic	~10 million	1545–1548	Unidentified
8		Antonine Plague	5–10 million (factor for falling of the Roman Empire)	165–180	Measles or smallpox
9		Unit 731 experiments	400,000+	1936-1945	Bubonic plague, anthrax, cholera, smallpox
10		Swine flu	18,449	2009-2010	Influenza (the flu)
11		Ebola	15,000+	1976-present	As self
12		SARS	774	2002-2004	Coronavirus
13		Sverdlovsk anthrax leak	66+	1979	Anthrax
14		Zika	18	2015-2016	As self
15		Amerithrax	5	2001	Anthrax