Update: Please notify me if this achievement can not be unlocked with a cheat mode active. Before the recent update, it was possible to unlock this with the use of cheat plagues. I'm not sure if it is possible to unlock now, now that cheat plagues have been moved to being cheat modes.
It is highly recommended to attempt to unlock this achievement with the cheat mode Immune Strain activated. This is because it takes quite a long time for the pop-ups to appear, really really long in some games. I also recommend using the Bacteria plague type in casual difficulty.
Here's the genes I used to make waiting a little more bearable.
Metabolic Hijack
Aquacyte
Sympto-Stasis
Creationist
Extremophile
1.) Start in China
2.) Evolve the following in this order:
- Cysts
- Hyper Sensitivity
- Coughing
- Sneezing
- Bird 1 and 2
- Drug Resistance 1 and 2
3.) Keep an eye on USA and wait until the country is fully infected. Once it is, evolve Inflammation, Seizures, and Fever.
4.) Be patient and wait for this pop-up to appear:
USA President taken ill |
5.) Right after seeing the pop-up above, evolve Insanity. Then wait for another pop-up to appear:
New President of USA selected |
6.) Spalin is now president. Once again, wait for another pop-up.
USA Threatens China |
USA nukes China |
You could either choose to finish the game or just quit. Whichever you choose, the achievement is already unlocked.