An expansion for Kill Team: Elites, this box includes 5 miniatures, a scenery set, a background booklet, as well as brand-new Tactics and Mission cards. Included:

- 8-page Dolorous Strain booklet
- 8 Death Guard Tactics cards (1 of which is exclusive to this set)
- 1 Environment Tactic card for using virulent infestations in your games
- 2 Mission cards designed for use with a Death Guard kill team
- 1 Death Guard Kill Team tokens sheet
- 5 Death Guard Blightlord Terminator datacards
- 5 multipart plastic Blightlord Terminator miniatures armed with a combi-bolter and a choice of either a balesword or bubotic axe – there are also options to arm one of their number with either a plague spewer, reaper autocannon or blight launcher, and another with a double-handed flail of corruption
- 1 set of Sector Sanctoris Ruins

This expansion requires a copy of the Kill Team Core Rules Manual and Kill Team: Elites to use.