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Also figured out the sickle cell bug seems to happen even without LoV. So it seems just AGOT related.
It also sounds like the mod is almost becoming an overall mortality patch with the falling down the stairs and pregnancy/infant mortality additions. That's interesting in and of itself, though it may be worth gameruling those other elements for those who just want the core plague changes (the latter especially, even though it's close to the main theme).
here's my Chinese translation:
https://steamhost.cn/steamcommunity_com/sharedfiles/filedetails/?id=2903983628