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There's an outcome called "days until game win" (or "days until win", can't remember exactly), with which you can trigger an instant win at any time (which will show a generic message similar to the transcendence ending).
For instant lose, you have to engineer the circumstances of loss -- either convert all infected people to dead or healthy (triggering disease killed all its hosts), or set cure requirement to -1 so that the disease is instantly cured.