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I don't own it but I'm not particularly interested in it either...
Right now diseases happen far too often and its the same round of diseases all the time. The plague portion is actually very cool but the small diseases like camp fever, slow fever, measles, etc all happen much too often.
No, just requires better documentation and explanations of mechanics. the vast majority of things can be dodged by simply having a competent pysician with over 15 learning. Players just need to adjust their priorities to place construction technology first, allowing you to be AHEAD of the disease curve making you and your court practically immune.
The Gregarious trait will also offset the spam of "successful treatment" cash tips to your physcian with a verbal court announcement of praise increasing your entire courts opinion of both you and the physician itself, which also doubles up to practically kill revolts and sway your council to be heavily in your favor.
Prosperity/depopulation and prosperity events are a wonderful, too. They make being a "good" ruler more engaging.
Being able to request a vassal end an internal war is a godsend. If I need realm peace or just want to maintain the balance of power I can do so without imprisoning a quarter of the realm.
As mentioned in the earlier posts, like most of the major DLCs it requires a shift in strategy to overcome the challenges. Choose the hunting, family or theology focus to boost your ruler's health. Theology is a great one because you will sometimes get an event to seclude yourself in prayer that can miraculously cure even the most terminal diseases. I've had kings cured of cancer and leprosy this way.
Having a good court physician is a must. I recommend finding a character with a minimun INT skill level of 18. They aren't that hard to find, even if you have to invite them from other courts.
Keep your heirs close and in court with you whenever possible. This will prevent them from doing stupid ♥♥♥♥ that can get them killed or hacked up by a poor court physician.
Geography also seems to play a part. Although I almost exclsively play with a 769 start, I've found that Scandinavia stays pretty much free of major diseases for a long time. I've had games starting with a chief in Sweden or Norway where I didn't have a major epidemic break out for at least 100 years.
You can also make epidemics work to your advantage. Have a malcontent councillor or vassal that's causing trouble? Assign them to command a retinue and park it in the middle of a slow fever outbreak. The problem will be solved relatively quickly.
My current game has me in Italy and it just seems like disease after disease. I once had consumption and typhus outbreaks overlap, only to have measels pop up shortly after.
Also, the games seems to hand out great pox too often.
Also, geography is a factor. Southern England is Pestilance Central, as is Italy, with lots of stuff tending to pop up in in French territory. Plenty of disease in the Byzantine empire, too. Slavic and Germanic pagan lands tend to fare better. As I mentioned in a previous post epidemics are very rare in Norse territories and don't start coming with any regularity until the kingdoms start to build up and effectively raid, which makes sense. Probably too spread out and cold for the bacteria to thrive until population centers get big.
But no matter where you start, once the black death starts it's first big red wave from the east, everybody on the map gets a taste.
I'd be understanding getting it on seduction focus lechers, but I've had characters that I've played since they were children come of age, contract generic symptoms (fever, malaise, etc) then be handed Great Pox when as far as the player knows, is a loverless virgin.