Step 1: 💧 Water and 🌍 Earth

Combine 💧 Water and 🌍 Earth to create 🌱 Plant

Step 2: 🌍 Earth and 🌬️ Wind

Next, combine 🌍 Earth and 🌬️ Wind to create 🌫️ Dust

Step 3: 🌊 Lake and 🌊 Lake

Then, combine 🌊 Lake and 🌊 Lake to create 🌊 Ocean

Step 4: 💧 Water and 💧 Water

Now, combine 💧 Water and 💧 Water to create 🌊 Lake

Step 5: 🔥 Fire and 🔥 Fire

And then, combine 🔥 Fire and 🔥 Fire to create 🌋 Volcano

Step 6: 🌋 Volcano and 🌫️ Dust

As next step, combine 🌋 Volcano and 🌫️ Dust to create 🌋 Ash

Step 7: 🌫️ Dust and 🌱 Plant

Combine 🌫️ Dust and 🌱 Plant to create 🌱 Pollen

Step 8: 🌋 Ash and 🌊 Ocean

Combine 🌋 Ash and 🌊 Ocean to create 🧂 Salt

Step 9: 🌋 Volcano and 🌊 Lake

Combine 🌋 Volcano and 🌊 Lake to create 🏝️ Island

Step 10: 🌱 Pollen and 🌋 Ash

Combine 🌱 Pollen and 🌋 Ash to create 🤧 Cough

Step 11: 🧂 Salt and 🧂 Salt

Combine 🧂 Salt and 🧂 Salt to create 🧂 Salt Lick

Step 12: 🤧 Cough and 🏝️ Island

Combine 🤧 Cough and 🏝️ Island to create 😷 Tuberculosis

Step 13: 😷 Tuberculosis and 🧂 Salt Lick

Combine 😷 Tuberculosis and 🧂 Salt Lick to create 🐄 Cow