The Black Death Plague Realm of Krankheit is a gargantuan, efficient nation, ruled by Schwarzer Tod with an iron fist, and renowned for its compulsory vegetarianism, zero percent divorce rate, and enforced nudity. The hard-nosed, hard-working, cynical, humorless, devout population of 12.414 billion Krankheitians are kept under strict control by the oppressive government, which measures its success by the nation's GDP and refers to individual citizens as "human resources."

The medium-sized, corrupt, well-organized government juggles the competing demands of Defense, Industry, and Law & Order. It meets to discuss matters of state in the capital city of Krankenhaus. The average income tax rate is 46.3%, but much higher for the wealthy.

The frighteningly efficient Krankheitian economy, worth a remarkable 2,038 trillion Schritts a year, is fairly diversified and led by the Retail industry, with major contributions from Arms Manufacturing, Uranium Mining, and Furniture Restoration. Black market activity is rampant. State-owned companies are common. Average income is an impressive 164,245 Schritts, and evenly distributed, with the richest citizens earning only 2.2 times as much as the poorest.

Takeaway food bought on the weekend now comes with fifty percent more sweat and tears, foragers descend on national cemeteries for 'all-you-can-dig-up' extravaganzas, funerals are often rudely interrupted by juggling clowns shouting for volunteers from the audience, and ambitious "businessmen" use their children to sell and advertise their products. Crime, especially youth-related, is totally unknown, thanks to a well-funded police force. Krankheit's national animal is the Zombie Horse, which teeters on the brink of extinction due to widespread deforestation, and its national religion is Apocalyptic Spirituality.

Krankheit is ranked 39,608^th in the world and 23^rd in Philosophers for Largest Gambling Industry, scoring 5,427.2 on the Kelly Criterion Productivity Index.