| 4 |  Bacteria: Google TranslatedPlague Inc: Evolved · kat | 21.7K | +98 | +304 |
| 5 |  Children Of The NightPlague Inc: Evolved · sparringboy217 | 13.9K | +69 | +217 |
| 6 |  The Busan VirusPlague Inc: Evolved · kod77 | 12.5K | +66 | +184 |
| 7 |  用R-18本子统治世界??? / Rule the world with H-Comic???Plague Inc: Evolved · 1+1=⑨ | 5.8K | +60 | +136 |
| 8 |  Slime ReinventionPlague Inc: Evolved · SHIROakuma | 12.6K | +54 | +169 |
| 9 |  scp-2316Plague Inc: Evolved · Vii | 12.4K | +54 | +171 |
| 10 |  Beyond HumanPlague Inc: Evolved · indigofenix | 51.7K | +53 | +132 |
| 11 |  The Knox InfectionPlague Inc: Evolved · Caistrophytum | 14.1K | +51 | +215 |
| 12 |  梦境病毒Plague Inc: Evolved · Chara | 6K | +46 | +103 |
| 13 |  r/TwoSentenceHorror (16+)Plague Inc: Evolved · Rutherford Gaming | 13.8K | +46 | +143 |
| 14 |  吸血鬼异变（东方project）Plague Inc: Evolved · North13537 | 19.1K | +45 | +124 |
| 15 |  COVID-19Plague Inc: Evolved · NicolasTRib | 12.7K | +43 | +140 |
| 16 |  阻止高考！Plague Inc: Evolved · 安老师sama | 29.4K | +42 | +104 |
| 17 |  百合大法好 ～ユリなんか大好きだから～Plague Inc: Evolved · Hibiki | 14.3K | +38 | +100 |
| 18 |  戒色吧(R-18)Plague Inc: Evolved · 圆头耄耋 | 10.6K | +37 | +91 |
| 19 |  Mind's CorruptionPlague Inc: Evolved · UncreativeDude | 9.5K | +37 | +141 |
| 20 |  LycanthropyPlague Inc: Evolved · ArcticRazor | 68.3K | +37 | +99 |
| 21 |  Sexuality Transmission DIseasePlague Inc: Evolved · TheTainted_Wisdom | 10.5K | +36 | +124 |
| 22 |  The ThingPlague Inc: Evolved · Jahtzee | 30.9K | +32 | +70 |
| 23 |  Necromorphs 2Plague Inc: Evolved · Wilfredo Paulino | 7K | +31 | +89 |
| 24 |  NecromorphsPlague Inc: Evolved · Wilfredo Paulino | 55.1K | +31 | +67 |
| 25 |  SCP-001: When Day BreaksPlague Inc: Evolved · The Overlordship | 11.5K | +31 | +107 |
| 26 |  RabiesPlague Inc: Evolved · SMG Guy *Ask me to throw guns* | 21.4K | +31 | +73 |
| 27 |  Monster Girl DiseasePlague Inc: Evolved · branson | 18.3K | +30 | +82 |
| 28 |  心疫Plague Inc: Evolved · 古明地晨还想再睡一会 | 10.2K | +30 | +84 |
| 29 |  Smeshariki Virus 1.0Plague Inc: Evolved · Helena | 7.4K | +29 | +79 |
| 30 |  Cult SimulatorPlague Inc: Evolved · DeDevilTails | 17.1K | +28 | +67 |
| 31 |  Alien Hive MindPlague Inc: Evolved · Trivorowowowowowo | 18.4K | +26 | +63 |
| 32 |  SCP-751 (Organ Eater)Plague Inc: Evolved · Eremus007 | 35.1K | +24 | +32 |
| 33 |  笨蛋瘟疫Plague Inc: Evolved · MaPignon.NaCl | 9.7K | +24 | +48 |
| 34 |  Cat-a-strophePlague Inc: Evolved · Morphed | 47.5K | +23 | +30 |
| 35 |  冠状病毒Plague Inc: Evolved · 啊！雪莉！ | 38.1K | +22 | +40 |
| 36 |  Green FluPlague Inc: Evolved · Exeter | 6.9K | +22 | +76 |
| 37 |  貮刺螈Plague Inc: Evolved · 羽落鸽 | 21.5K | +21 | +53 |
| 38 |  FlanderizationPlague Inc: Evolved · Miniwolfen | 10.6K | +21 | +60 |
| 39 |  A Demon AwakensPlague Inc: Evolved · R34LM | 109.7K | +19 | -22 |
| 40 |  Realistic Zombie Virus ModPlague Inc: Evolved · JaguarLee | 7.7K | +19 | +52 |
| 41 |  Vampire PlaguePlague Inc: Evolved · Eremus007 | 48.2K | +18 | +29 |
| 42 |  Succubus' Wrath ULTIMATEPlague Inc: Evolved · MezzoMe | 9K | +17 | +32 |
| 43 |  Necroax WormPlague Inc: Evolved · neilb67 | 16.6K | +17 | +43 |
| 44 |  Clockwork VirusPlague Inc: Evolved · Exeter | 47.3K | +17 | +55 |
| 45 |  Bio-weapon III Reich 1945Plague Inc: Evolved · FadenMir | 8.9K | +16 | +52 |
| 46 |  寄生兽:生命准则（寄生獣 / Parasitic）Plague Inc: Evolved · 白糕 | 9.5K | +16 | +43 |
| 47 |  The Power of the SpiralPlague Inc: Evolved · indigofenix | 12K | +15 | +43 |
| 48 |  Dota 2Plague Inc: Evolved · Discord | 5.7K | +14 | +35 |
| 49 |  The Mercer VirusPlague Inc: Evolved · Canton | 38.4K | +14 | +19 |
| 50 |  The Last Of UsPlague Inc: Evolved · Blastoise914 | 37.1K | +13 | +4 |