The Black Death Plague Realm of Krankheit is a titanic, cultured nation, ruled by Schwarzer Tod with an iron fist, and remarkable for its ban on automobiles, complete lack of prisons, and complete absence of social welfare. The hard-nosed, hard-working, cynical, humorless, devout population of 17.626 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, moralistic, well-organized government juggles the competing demands of Industry, Defense, and Law & Order. It meets to discuss matters of state in the capital city of Krankenhaus. The average income tax rate is 40.4%, but much higher for the wealthy.

The frighteningly efficient Krankheitian economy, worth a remarkable 2,988 trillion Schritts a year, is fairly diversified and led by the Retail industry, with significant contributions from Gambling, Arms Manufacturing, and Furniture Restoration. Black market activity is rampant. Average income is an impressive 169,550 Schritts, and evenly distributed, with the richest citizens earning only 2.2 times as much as the poorest.

Sports journals are full of uplifting puff-pieces on professional boxers, the Krankheitian football team for the Maxxmas ceasefire consists only of Intelligence Corps personnel, witches' brews set off Geiger counters, and the government is full of rats. 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 139,641^st in the world and 37^th in Philosophers for Most Eco-Friendly Governments, scoring 487.09 on the Dolphin Recycling Awareness Index.