Pyrrameds header
by Pandaqi 30 minutes

Pyrrameds (Rules)

2-6 players

Setup

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Separate the deck into MEDICINE and PATIENTS. Deal each player 2 of each type.

Then combine all cards into one deck.

  • Place a row of 6 cards in the middle of the table.
  • Fairly deal the remaining cards over all players.

Any leftover cards are shown and discarded.

Example setup for 3 players.

Objective

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The game ends as soon as a player’s hand is empty. They win.

Gameplay

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From start player, take clockwise turns until done. On your turn, either PLACE or SWAP.

Place

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Placement happens following pyramid rules (or “staircase”), both above and below the starting row.

  • Place cards between those from the previous layer.
  • Each layer contains one fewer card than the previous one.
Example of how to resolve a Place action, differentiating MEDICINE and PATIENT cards.

A MEDICINE card can only be placed if the numbers are right.

  • Check the cards on the previous layer that “support” this card. (There must be 1 or 2. You can’t place a card disconnected from the previous layer.)
  • Your number must be higher than all or lower than all.

A PATIENT card can only be placed if …

  • There is a path through the pyramid, starting from the patient card
  • Which passes through all required medicine (for this patient); nothing more and nothing less.
  • And never travels backward. (You can’t go up and then down again; or left and then right.)

Playing a patient is hard! And so you are rewarded.

For each requirement on your patient, pick a player who must show you a hand card.

Swap

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Swap two cards that are already in the pyramid.

Some restrictions, however, apply.

  • Reveal a hand card to all other players.
  • If it’s a patient, you can only swap cards of types they want.
  • If it’s medicine, one of the swapped cards must be of that type.
Example of how to do a Swap action.

Expansions

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Played the game a few times and ready for more challenge? You’re in the right place! Try any of the expansions below.

Operations

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This expansion adds special cards.

Their placement rules are the same as for medicine. Once placed, they instantly trigger their action (written on them).

Intensive Care

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This expansion adds more unique medicine and patients.

It also adds wildcards (numbers, medicine, requirements that can be any type you want). These are always represented by question marks (?).

Because of the increased deck size, also increase the starting row to 8 cards.