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 | Land in the Hand! | Collect 8 LL Land
|
Wood
|
| 13 | Stronger than Dirt! |  Collect 600 HH Ore
|
Stone
|
