| 4 |  The Knox InfectionPlague Inc: Evolved · Caistrophytum | 14.1K | +57 | +213 |
| 5 |  LycanthropyPlague Inc: Evolved · ArcticRazor | 68.3K | +25 | +62 |
| 6 |  COVID-19Plague Inc: Evolved · NicolasTRib | 12.6K | +37 | +112 |
| 7 |  The Busan VirusPlague Inc: Evolved · kod77 | 12.5K | +41 | +155 |
| 8 |  Slime ReinventionPlague Inc: Evolved · SHIROakuma | 12.5K | +41 | +158 |
| 9 |  Clockwork VirusPlague Inc: Evolved · Exeter | 47.3K | +19 | +44 |
| 10 |  Necromorphs 2Plague Inc: Evolved · Wilfredo Paulino | 7K | +22 | +78 |
| 11 |  Beyond HumanPlague Inc: Evolved · indigofenix | 51.7K | +26 | +96 |
| 12 |  SCP-001: When Day BreaksPlague Inc: Evolved · The Overlordship | 11.4K | +24 | +83 |
| 13 |  Alien Hive MindPlague Inc: Evolved · Trivorowowowowowo | 18.4K | +18 | +60 |
| 14 |  Sexuality Transmission DIseasePlague Inc: Evolved · TheTainted_Wisdom | 10.4K | +30 | +108 |
| 15 |  The ThingPlague Inc: Evolved · Jahtzee | 30.9K | +13 | +38 |
| 16 |  Mind's CorruptionPlague Inc: Evolved · UncreativeDude | 9.5K | +35 | +138 |
| 17 |  After The PlaguePlague Inc: Evolved · brothercake | 48.3K | +14 | +15 |
| 18 |  NecromorphsPlague Inc: Evolved · Wilfredo Paulino | 55.1K | +13 | +38 |
| 19 |  Cult SimulatorPlague Inc: Evolved · DeDevilTails | 17K | +17 | +49 |
| 20 |  Bacteria: Google TranslatedPlague Inc: Evolved · kat | 21.5K | +49 | +269 |
| 21 |  Rise of DragonsPlague Inc: Evolved · JCBQ | 10.4K | +8 | +14 |
| 22 |  Necroax WormPlague Inc: Evolved · neilb67 | 16.5K | +10 | +22 |
| 23 |  梦境病毒Plague Inc: Evolved · Chara | 6K | +14 | +38 |
| 24 |  Children Of The NightPlague Inc: Evolved · sparringboy217 | 13.8K | +42 | +183 |
| 25 |  scp-2316Plague Inc: Evolved · Vii | 12.3K | +32 | +161 |
| 26 |  r/TwoSentenceHorror (16+)Plague Inc: Evolved · Rutherford Gaming | 13.7K | +26 | +142 |
| 27 |  The Power of the SpiralPlague Inc: Evolved · indigofenix | 12K | +10 | +34 |
| 28 |  Green FluPlague Inc: Evolved · Exeter | 6.9K | +15 | +57 |
| 29 |  Lycanthropy (Monster Plague Engine POC)Plague Inc: Evolved · indigofenix | 7.8K | +8 | +15 |
| 30 |  Bio-weapon III Reich 1945Plague Inc: Evolved · FadenMir | 8.9K | +10 | +32 |
| 31 |  Dota 2Plague Inc: Evolved · Discord | 5.7K | +9 | +26 |
| 32 |  心疫Plague Inc: Evolved · 古明地晨还想再睡一会 | 10.2K | +12 | +45 |
| 33 |  RabiesPlague Inc: Evolved · SMG Guy *Ask me to throw guns* | 21.3K | +12 | +54 |
| 34 |  Vampire Plague 2.0Plague Inc: Evolved · Eremus007 | 12.4K | +7 | +7 |
| 35 |  Virus-XPlague Inc: Evolved · HidanTsuda | 8.8K | +7 | +14 |
| 36 |  用R-18本子统治世界??? / Rule the world with H-Comic???Plague Inc: Evolved · 1+1=⑨ | 5.7K | +6 | +32 |
| 37 |  百合大法好 ～ユリなんか大好きだから～Plague Inc: Evolved · Hibiki | 14.3K | +5 | +7 |
| 38 |  Jurassic PlanetPlague Inc: Evolved · typical. 🎃 | 13.9K | +7 | +13 |
| 39 |  SCP-751 (Organ Eater)Plague Inc: Evolved · Eremus007 | 35.1K | +8 | +33 |
| 40 |  Smeshariki Virus 1.0Plague Inc: Evolved · Helena | 7.3K | +13 | +55 |
| 41 |  Nano machinesPlague Inc: Evolved · Mushy | 16.5K | +7 | +35 |
| 42 |  Realistic Zombie Virus ModPlague Inc: Evolved · JaguarLee | 7.6K | +7 | +34 |
| 43 |  Sonic FeverPlague Inc: Evolved · Coolsy101 | 9.1K | +5 | +9 |
| 44 |  MalariaPlague Inc: Evolved · Law | 12.2K | +6 | +18 |
| 45 |  SCP-682Plague Inc: Evolved · ThyCheshireCat | 9.5K | +5 | +10 |
| 46 |  Monster Girl DiseasePlague Inc: Evolved · branson | 18.3K | +10 | +58 |
| 47 |  Crippling DepressionPlague Inc: Evolved · (: | 16K | +6 | +16 |
| 48 |  Nature's RevengePlague Inc: Evolved · Jack of Hearts | 27.2K | +3 | -9 |
| 49 |  The HARRAN VirusPlague Inc: Evolved · Gyde | 7.9K | +8 | +39 |
| 50 |  冠状病毒Plague Inc: Evolved · 啊！雪莉！ | 38.1K | +5 | +13 |