So just completed a Standard Speed Emperor Game on Pangea Small with Egypt.
This was the longest game I can remember playing. I lost on turn 500..... a TIME VICTORY!!!!??? I honestly forgot that thing existed, I was just so shocked when it happened.
I was going CV this game, but also tried out Medicancy with a focus on ITRs. I decided to try something out....how critical is TR tourism to a CV?
The answer....pretty darn important. I had about the best tourism game I could have otherwise. Egypt's extra artifacts got me started. My two main opponent's were the Dutch and Portugal. Portugal actually converted enough of my cities to share a religion...so yeah me!
I tried to keep one ETR with Dutch and Portugal when I could (when sanctions, cold wars, and just wars in general stopped me). I focused my Musicians on the Dutch. I managed to get Order's +34% against Order civs (which helped against Portugal), and +50% tourism against civs with less happy than you (which helped against the Dutch). I even managed to snag passport for a time, and had the international fair for a +50% tourism for a time. I got all the key wonders, Cristo, Great Firewall, CN tower, the culture boosters. Religion wise I even picked up Sacred Sites. And it was working in that I creeping up on tourism, but the time victory ultimately got me. I managed to nuke Dutch's capital to close the gap, but it was a close race at the end for Portugal science victory. We both ended the game with GDRs facing off on each other
A few notes:
1) Sacred Sites: I still think this is a garbage belief, and my current run didn't change my mind. I feel 1 extra TR could snag me more tourism.
2) ITRs: Part of the reason my science was so slow this game was I was playing slow science civs, who focused on culture. That said, the lack of science from TRs was clearly felt. Combined that with the loss of tourism, and it was clear in this game that ETRs were the proper way to go.
3) Medicancy: Definitely a lot better than it used to be. Is it enough? I will say that +123 hammer trade routes at the end of the game (with iron curtain) was pretty darn awesome, but I had negative income most of the game, and honestly I built everything I could have wanted. I still think ETRs would have given me more value in a lot of ways.
4) Happiness: My happiness stayed low until industrial area but manageable....about -2 to -8 most of the game. Once I got the industry closer I was in the green the rest of the game. My goal was to keep it high enough for Dictatorship of the Proletariat to stay active. The AI also had no happiness issue, Portugal had freaking +100 happy most of the game.
5) Boredom and Tourism: This may just be a bias, but something I was noticing this game. The tourism bonus from boredom seemed lower over all. I wonder if that is an effect on the new happiness adjustments. It is important to remember that boredom directly effects your tourism modifier, so it has a big effect on CV.
Also just noting, the -50% tourism from another ideology is just brutal. I wish it was more like -25%, because there is very little you can do to control for that.