When using the threshold of Plague Ships Sail to Distant Ports, must Energy be spent to add the final Disease?
When using the threshold of Plague Ships Sail to Distant Ports, must Energy be spent to add the final Disease?
No, the energy cost is only to remove the top card of the Fear Deck from the game. It's possible to resolve the threshold as just "1 Fear. 3 Damage. Add 1 Disease." if you don't want to pay.