Plague Inc. Chinese Nuclear Retaliation Achievement Guide & Walkthrough


This achievement may be unlocked in all available plague types and even with cheat modes activated. What you need to do is coerce the newly-appointed president of the USA to nuke China(not exactly coerce, more like help her out). Symptoms must be evolved after specific events(pop-ups) appear, doing so would lead to more events that lead to the achievement being unlocked.

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

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
7.) Upon seeing the pop-up above, evolve Paralysis. Then, you guessed it, wait for another pop-up. This is the final one.
USA nukes China
8.) This pop-up signifies that you have unlocked the achievement. Congratulations!

You could either choose to finish the game or just quit. Whichever you choose, the achievement is already unlocked.


  1. Hi there, I just tried to get the achievement with immune strain activated and although Spalin nuked China I did not get it. So I'd say your assumption is correct and since the last update you have to do the achievement without cheat modes activated.

    Nice guides by the way :-)

    1. Thank you for confirming this. I guess Ndemic chose to make achievements much harder for people now.

  2. It does not work!

  3. Worked out just fine.
    Played with cheat and still got the achievement -> patch didnt change a thing ;-)
    Thanks btw for the great guide!

  4. Grant C. GilreathJuly 22, 2014 at 9:45 AM

    It didn't work for me with the cheat in place. They probably altered it since the last poster.

  5. Bruno ScheideckerAugust 4, 2014 at 7:36 PM

    This is impossible. The 2nd pop-up never shows (after insanity). Even with only those symptoms every one dies before the pop-up appears :|

  6. Just posted a guide that works here: http://plagueinc.wikia.com/wiki/Strategy_guide/Chinese_Nuclear_Retaliation
    Feedback appreciated.

  7. Doesn't work, tried three times. Pop ups don't appear before it gets cured.

  8. She tried to nuke them but gets arrested! lol oh well back to the drawing board!

  9. It worked first try. But didn't get the achievement with Cheats enabled

  10. It worked for me, I used the cheats and didn't get the achivement BUT! Then i start over without cheats and then at start of game i got achivement. I Don't know if its a bug or am i lucky? But thats how i got it.

  11. \8trew2q1q
    I couldn't get Katrina's to work either until I made a couple of small adjustments... The

  12. I tried so many times and it didnt work with bacteria. Finally i did it with prion casual. Its easier because you can evolve neural atrophy which slows cure research speed