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Sorry for the late reply. I went to collage 😅

Yep, you did! Thank you so very much for giving me 5 stars! It helps a lot to give the game more visibility! And also thank you so very much for thinking my game is perfect! It's my first review and it really made my day! I had a blast creating this game so someone saying that it's perfect is pure bliss! I was just saying that in case you wanted to talk more about the game, you can leave a comment. But 5 stars and saying that it's perfect is already more than enough ❤️🥰

The game has 6 endings. You can get all the endings by following the directions of the guide/walkthrough: https://badmedicinegames.itch.io/infectious-doctor/devlog/699161/walkthrough

But to sum it all, to get the secret twist ending, you need exactly 4 affection points, nothing more nothing less than that.