Mafia "Mafia look at little child. Mafia see loser."

The Illness has Spread is the Act 5 of the fourth Chapter: Alpine Skyline. It can only be accessed after gaining the Time Pieces from each feature in Alpine Skyline, including re-do.

Hat Kid has to destroy the source of the illness, the four flowers. Each is located in each features of Alpine Skyline. Just like Act 6, the destination to the flowers are shown on the screen.