Evilution - How to Set Up and Play

About Evilution, from BoardGameGeek:

Evilution is a solo, dice-rolling game of mathematical thinking. You play as an unseen force striving to facilitate the successful evolution of a woman recently injected with a scientifically modified alien organism. Strategically apply addition, subtraction, multiplication and division to the values of your rolled dice to connect DNA Strands while also blocking Mutagen Cells. Fail, and the mutagens will instead run rampant, causing the host to burst and release dozens of lower, seed carrying life-forms... -description from the publisher