The game is often included in massive "XBLIG packs" shared within the modding community, serving as a nostalgic touchstone for those who remember the early 2010s indie boom.
If you're interested in exploring more about this era, I can help you with: Cooties Patient Zero [Indie] [Jtag/RGH]
You begin as the original carrier, tasked with spreading "cooties" to as many NPCs as possible. The game is often included in massive "XBLIG
Since the official XBLIG marketplace shut down, these games live on primarily through RGH/JTAG homebrew communities and archival projects. Gameplay Mechanics and "The Infection" Cooties Patient Zero [Indie] [Jtag/RGH]
Success depends on creating a domino effect, where infected characters pass the virus to others automatically.