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Here are Influenza events:
https://eu4.paradoxwikis.com/Economic_events#Influenza.21
If you get "Influenza!" in random province and you pick option 2 "This is not the first flu in our country, I don't care!" to avoid spending 50 Admin points, then it can spread to neighbouring provinces randomly. You want to use option with Quarantine instead.
The Plague event from Grain:
https://eu4.paradoxwikis.com/Trade_goods_events#Plague.21
There are also specific Plague events for several countries listed here:
https://eu4.paradoxwikis.com/Plague_(disambiguation)
After the initial spread you get the option to quarantine without admin cost.
I literally never pay the admin cost - it then spreads to maybe 4-6 more provinces (i never pay attention) and at that point i can quarantine for "free" (basically for worse penalties in those provinces)
I see. Never got that point. Like i said, i had it spread only one time in my early days and didnt even really understood what was happening. All i saw were negative events popping up way too often. So i figured i would just pay the price. I mean, the Influenza event doesnt happen that much in the game anyway, maybe 4-5 times. Woudl be 200-250 points for the whole game, quite cheap. But i will let it spread next time again, just to see what will happen eventually.
It used to be a lot worse if you ignored it, as it would then spread to nearby provinces, which would then each create a pop up, give the option for paying 50 for each of them individually, and if you declined to pay it even once it would then spread even more, until it eventually hit every province that it could reach. When it worked like that, paying the 50 was vastly superior to massive event spam and huge penalties to loads of provinces. The way it works now, where it eventually groups them and lets you deal with it at that stage without paying, it isn’t always as worthwhile.