Rank 18 is the rank following Rank 17. This rank unlocks Kennie Whooser, who automates and speeds up Nurses, and Mertha Joy, who gives more power to the Placebo industry. Rank 18 has 13 Missions, and at least 10 of them must be completed in order to rank up to Rank 19.

# Name Requirement Reward
1 R&D Asap! Spend 1,300 Science Wood
2 Swap-Port the Troops! Trade 8 Military Wood
3 Grow-It-All! Own 77,777 Irrigations Wood
4 Professional Burrower! Own 524,288 Mines Wood
5 Land in the Hand! Collect 30 HH Land Stone
6 Bustling Bunkers! Own 2.6 M Bunkers Wood
7 Precision Care Own 911 Clinics Wood
8 Professional Burrower! Own 8 M Mines Wood
9 Duck and Coal! Own 24 M Coal Plants Stone
10 A Healthy People! Collect 911 B Placebos Wood
11 Precision Care Own 225,000 Clinics Stone
12 Professional Burrower! Own 18 M Mines Wood
13 Stronger Than Dirt! Collect 600 HH Ore Stone
Community content is available under CC-BY-SA unless otherwise noted.